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Sleep Quality and Associated Factors Among Survivors of Breast Ca...

Nouf Alanazi, Fangyi Gu, Chin-Shang Li, Rebec...

ONF 10.1188/24.ONF.163-174

Current issue

Number 2 / March 2024 Vol. 51, No. 2

Explore topics including:

  • Cardiovascular disease and health among women with breast and gynecologic cancer
  • The impact of chemotherapy-related cognitive impairment on social roles and well-being
  • Inflammatory and nutritional biomarkers in patients with esophageal squamous cell carcinoma

Steroids for Moderate to Severe Diarrhea

Steroids have been used for immunosuppressive and anti-inflammatory properties for immunotherapy-induced diarrhea and colitis. Clinical presentation and grade of diarrhea guide decision on initial steroid dosage and administration route. 
 
  • Budesonide Prophylaxis--Immunotherapy-induced diarrhea

  • Vedolizumab: Unresolved or Refractory Diarrhea - Immunotherapy Induced Diarrhea

Budesonide Prophylaxis for IID

Budesonide is a corticosteroid that decreases  inflammation in the digestive tract associated with diarrhea. It is a treatment option for Crohn's disease.  Budesonide has been studied as prophylaxis for immune checkpoint inhibitor related enterocolitis. Research findings do not support Budesonide prophylaxis in this setting.

View Intervention Evaluation Table

Vedolizumab: Unresolved or Refractory Diarrhea for IID

Vedolizumab is an integrin receptor antagonist indicated for treatment of inflammatory bowel disease. It has been studied in the treatment of immune-mediated diarrhea and colitis with favorable results in response, reduced hospitalizations and shorter steroid use duration.

View Intervention Evaluation Table

  • Dietary Fiber

Dietary Fiber for RID

Modification of dietary fiber has been studied for management of cancer treatment-related diarrhea and gastrointestinal toxicity.

View Dietary Fiber Evaluation Table

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