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Cited by 631

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Recommended Guidelines for the Treatment of Cancer Treatment-Induced Diarrhea

Benson, Al B., Ajani, Jaffer A., Catalano, Robert B., Engelking, Constance, Kornblau, Steven M., Martenson, James A., McCallum, Richard, Mitchell, Edith P., O'Dorisio, Thomas M., Vokes, Everett E., Wadler, Scott·2004·Journal of Clinical Oncology

Abstract

Purpose: To update and expand on previously published clinical practice guidelines for the treatment of cancer treatment-induced diarrhea. Methods: An expert multidisciplinary panel was convened to review the recent literature and discuss recommendations for updating the practice guidelines previously published by this group in the Journal of Clinical Oncology in 1998. MEDLINE searches were performed and the relevant literature published since 1998 was reviewed by all panel members. The treatment recommendations and algorithm were revised by panel consensus. Results: A recent review of early toxic deaths occurring in two National Cancer Institute-sponsored cooperative group trials of irinotecan plus high-dose fluorouracil and leucovorin for advanced colorectal cancer has led to the recognition of a life-threatening gastrointestinal syndrome and highlighted the need for vigilant monitoring and aggressive therapy for this serious complication. Loperamide remains the standard therapy for uncomplicated cases. However, the revised guidelines reflect the need for recognition of the early warning signs of complicated cases of diarrhea and the need for early and aggressive management, including the addition of antibiotics. Management of radiation-induced diarrhea is similar but may not require hospitalization, and chronic low- to intermediate-grade symptoms can be managed with continued loperamide. Conclusion: With vigilant monitoring and aggressive therapy for cancer treatment-induced diarrhea, particularly in patients with early warning signs of severe complications, morbidity and mortality may be reduced.

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Metadata

Authors
Benson, A. B., Ajani, J. A., Catalano, R. B., Engelking, C., Kornblau, S. M., Martenson, J. A., McCallum, R., Mitchell, E. P., O'Dorisio, T. M., Vokes, E. E., & Wadler, S.
Venue
Journal of Clinical Oncology
Published
2004-07-15
Volume
22
Issue
14
Pages
2918-2926
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2097257602
Cited by
631
References
24
FWCI
18.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Recommended Guidelines for the Treatment of Cancer Treatment-Induced Diarrhea. https://app.cochat.ai/papers/10.1200/jco.2004.04.132
The paper
Benson, A. B., Ajani, J. A., Catalano, R. B., Engelking, C., Kornblau, S. M., Martenson, J. A., McCallum, R., Mitchell, E. P., O'Dorisio, T. M., Vokes, E. E., & Wadler, S. (2004). Recommended Guidelines for the Treatment of Cancer Treatment-Induced Diarrhea. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2004.04.132

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.