Durvalumab Immunotherapy: Nursing Management of Immune-Related Adverse Events During the Journey of Patients With Stage III Non-Small Cell Lung Cancer

杜瓦卢马布 医学 不利影响 阶段(地层学) 放化疗 免疫疗法 肿瘤科 肺癌 内科学 重症监护医学 癌症 无容量 生物 古生物学
作者
Marianne Davies,Emily Duffield
出处
期刊:Clinical Journal of Oncology Nursing [Oncology Nursing Society]
卷期号:24 (3): 277-283 被引量:2
标识
DOI:10.1188/20.cjon.277-283
摘要

When resection is not an option, platinum-based chemoradiotherapy (CRT) has been the historic standard of care in non-small cell lung cancer (NSCLC). Prognosis remains poor with CRT alone. Durvalumab has shown significant improvement (versus placebo) in progression-free and overall survival in patients with unresectable stage III NSCLC without progression following CRT.This article aims to provide an overview of the efficacy and safety outcomes with durvalumab in patients with stage III NSCLC and identify management strategies for potential adverse events (AEs).A review of published literature and guidelines was performed to evaluate durvalumab clinical outcomes and AE management strategies.Durvalumab has established efficacy in patients with unresectable stage III NSCLC and is now the standard of care following CRT. Nurses need to be trained to recognize potential immune-related AEs in patients treated with immune checkpoint inhibitors.

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