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Table 4 Reasons for non-compliance with SOGUG guidelines

From: Impact on clinical practice of the implementation of guidelines for the toxicity management of targeted therapies in kidney cancer. The protect-2 study

 

Sunitinib

718

Sorafenib

227

Pazopanib

142

Everolimus

166

Temsirolimus

100

Bevacizumab

21

Hypertension, n cycles (%)

374

227

73

3

 Basal BP not recorded

226 (99.6)

27 (37.0)

3 (100)

 BP not recorded

363 (97.1)

137 (60.4)

45 (61.6)

 Dose reduction

9 (2.4)

1 (1.4)

 Dose interruption

1 (0.3)

 Treatment discontinuation

2 (0.5)

1 (0.4)

Cardiac toxicity, n cycles (%)

518

 Non-recorded basal LVEF

145 (28.0)

 LVEF not performed

484 (93.4)

 Dose reduction

1 (0.2)

 Dose interruption

1 (0.2)

 Treatment discontinuation

2 (0.4)

Hypotyroidism, n cycles (%)

389

 Basal TSH not recorded

114 (29.3)

 TSH > 10 mU/l not-performed

358 (92.0)

 Dose interruption

2 (0.5)

Diarrhea, n cycles (%)

180

31

36

 Not recorded

165 (91.7)

29 (93.5)

36 (100)

 Dose reduction

12 (6.7)

1 (3.2)

 Dose interruption

3 (1.7)

1 (3.2)

Hyperglycemia, n cycles (%)

50

33

 Not recorded

25 (100)

33 (100)

Dyslipemia, n cycles (%)

102

72

 Not recorded

102 (100)

72 (100)

Pneumonitis, n cycles (%)

71

37

 Basal data not recorded

66 (93.0)

35 (94.6)

 Follow-up data not recorded

5 (7.0)

1 (2.7)

 Treatment discontinuation

2 (2.8)

1 (2.7)

Liver toxicity, n cycles (%)

104

 Basal liver function not recorded

19 (18.3)

 Liver function not recorded

81 (77.9)

 ALT increase > 3–8 ULN

5 (4.8)

 Dose interruption

2 (1.9)

 Treatment discontinuation

1 (1.0)

Proteinuria, n cycles (%)

 

Not performed

19 (100)

  1. Length of cycles according to routine clinical practice: sunitinib 6 weeks; other treatments 4 weeks