Davies, M. (2014). New modalities of cancer treatment for NSCLC: Focus on immunotherapy. Cancer Management and Research, 6, 63–75. 

DOI Link

Purpose & Patient Population

PURPOSE: To review immunotherapeutic agents and strategies for the management of patients on immunotherapy
 
TYPES OF PATIENTS ADDRESSED: Patients receiving immunotherapy for non-small cell lung cancer

Type of Resource/Evidence-Based Process

RESOURCE TYPE: Expert opinion

Phase of Care and Clinical Applications

PHASE OF CARE: Active antitumor treatment

Guidelines & Recommendations

Provides overall guidelines for patients receiving immunotherapy:
  • Antidiarrheals for grade 1 diarrhea, and corticosteroids if diarrhea progresses to grade 2
  • Systemic corticosteroids for severe, persistent, or recurring adverse events
  • Dose delay for moderate adverse events until recovery and discontinuation of treatment for severe reactions

Limitations

  • Expert opinion level evidence
  • Provides an overall general approach to the management of adverse events rather than specific treatment algorithms

Nursing Implications

Provides general concepts for the management of immune-related adverse events