PMID- 38008655 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240214 IS - 1878-3449 (Electronic) IS - 0749-2081 (Linking) VI - 40 IP - 1 DP - 2024 Feb TI - The Role of Nurses in the Management of Adverse Events in Patients Receiving First-Line Axitinib Plus Immuno-Oncology Agents for Advanced Renal Cell Carcinoma. PG - 151545 LID - S0749-2081(23)00220-6 [pii] LID - 10.1016/j.soncn.2023.151545 [doi] AB - OBJECTIVES: The recent approval of first-line tyrosine kinase inhibitor plus immuno-oncology agent combination therapy for the treatment of advanced renal cell carcinoma offers substantially improved response rates and survival compared with the previous standard of care. This expansion of treatment options has also led to a greater range and complexity of potential treatment-related adverse events related to overlapping toxicities. The aim of this article is to discuss the management of common treatment-emergent adverse events (AEs) associated with axitinib plus immuno-oncology therapy, highlight the specific roles of oncology nurses in managing these events, and provide AE management resources to aid oncology nurses in their care of patients with advanced renal cell carcinoma. DATA SOURCES: Author experience, journal articles, and treatment guidelines were used. CONCLUSION: The use of oncology nurses and nurse-led innovations to monitor and assess treatments can have a positive impact on the management of AEs in cancer patients by identifying those who are most at risk, providing regular assessment, appropriate patient education, and supporting the monitoring of patient safety. IMPLICATIONS FOR NURSING PRACTICE: Skilled oncology nurses should be a key part of a team that addresses the supportive care needs and management of AEs that are associated with novel cancer treatments. Early and ongoing communication between the patient and oncology nurses regarding the development of adverse events is a critical component of maximizing treatment outcomes and quality of life. CI - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Parreira, Sara AU - Parreira S AD - CUF Oncology, Lisbon, Portugal. FAU - Burns, Kathleen AU - Burns K AD - Dana-Farber Cancer Institute, Massachusetts. FAU - Moldawer, Nancy AU - Moldawer N AD - Cedars Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, California. FAU - Zomordian, Nazy AU - Zomordian N AD - UCLA, Department of Urology, California. FAU - Bandali, Nesan AU - Bandali N AD - Sunnybrook Odette Cancer Centre, ON, Canada. FAU - Virdee, Kiran AU - Virdee K AD - Memorial Sloan Kettering Cancer Center, New York. FAU - Walsh, Meghara AU - Walsh M AD - Dana-Farber Cancers Institute, Massachusetts. FAU - Kelly, Daniel AU - Kelly D AD - Cardiff University, Wales, UK. FAU - Rao, Dharanija AU - Rao D AD - Pfizer Inc., NY, USA. FAU - Teresi, Rosemary AU - Teresi R AD - Pfizer Inc, NY, USA. FAU - Wood, Laura S AU - Wood LS AD - Cleveland Clinic Cancer Center, Cleveland, Ohio (retired). Electronic address: woodls401@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20231125 PL - United States TA - Semin Oncol Nurs JT - Seminars in oncology nursing JID - 8504688 RN - C9LVQ0YUXG (Axitinib) RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Humans MH - *Carcinoma, Renal Cell/drug therapy/chemically induced MH - Axitinib/adverse effects MH - *Kidney Neoplasms/drug therapy/chemically induced MH - Quality of Life MH - Protein Kinase Inhibitors OTO - NOTNLM OT - Adverse event management OT - Avelumab OT - Axitinib OT - Nursing care OT - Pembrolizumab OT - Renal cell carcinoma COIS- Declaration of competing interest Sara Parreira, Kathleen Burns, Nancy Moldawer, Nazy Zomordian, Nesan Bandali, Kiran Virdee, Meghara Walsh and Laura Wood have no disclosures to report. Daniel Kelly is a member of a team of Grant Recipients from Pfizer to conduct an independent medical education program entitled "RCC4Nurses: Improving quality of nursing care in metastatic renal cell carcinoma" with the University of Glasgow and the European Oncology Nursing Society. Dharanija Rao and Rosemary Teresi are full-time employees and hold stock or stock options in Pfizer. EDAT- 2023/11/27 00:43 MHDA- 2024/02/11 07:43 CRDT- 2023/11/26 21:59 PHST- 2023/04/18 00:00 [received] PHST- 2023/10/17 00:00 [revised] PHST- 2023/10/20 00:00 [accepted] PHST- 2024/02/11 07:43 [medline] PHST- 2023/11/27 00:43 [pubmed] PHST- 2023/11/26 21:59 [entrez] AID - S0749-2081(23)00220-6 [pii] AID - 10.1016/j.soncn.2023.151545 [doi] PST - ppublish SO - Semin Oncol Nurs. 2024 Feb;40(1):151545. doi: 10.1016/j.soncn.2023.151545. Epub 2023 Nov 25.