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Question-ERR® - September 20 03
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Prescribing Issues Related to Injectable Chemotherapy Medications

Country of Practice
USA 64%
International 18%
Do you prescribe and/or dispense chemotherapy?
No41%
Yes59%
1. The treatment of cancer may include complicated dosing regimens. Often the dose is calculated based on the patient's body weight (i.e., milligram per kilogram), body surface area (i.e., milligram per square meter) or a laboratory parameter (e.g., neutrophil, serum creatinine or platelet count). How often do you order, or see orders for, chemotherapy that include the calculation or documentation that supports the dose prescribed?
Always22%
Almost always22%
Frequently8%
Sometimes25%
Never23%
2. How often do practitioners include a patient's height and weight information with a chemotherapy order?
Always28%
Almost always18%
Frequently9%
Sometimes25%
Never21%
3. Do you perform independent calculations to verify chemotherapy doses prior to dispensing and/or administering the drug?
No21%
Yes77%
4. The treatment of cancer often includes complicated medication regimens with unique directions and/or dosing schedules . How often do you order, or see orders, for chemotherapy with only "as directed" or "UD" as the instructions?
Always2%
Almost always3%
Frequently9%
Sometimes23%
Never63%
5. How often do you order, or see orders for, chemotherapy with the duration of the course of treatment specified? (e.g., for 4 doses)
Always36%
Almost always26%
Frequently18%
Sometimes15%
Never4%
6. How often do you order, or see orders for, chemotherapy with the frequency of treatment cycles specified? (e.g., give for 5 days each month for 3 months)
Always18%
Almost always21%
Frequently16%
Sometimes26%
Never15%
7. Please choose the one option that best describes how chemotherapy for INJECTION / INFUSION is stored in your practice.
Injectable chemotherapy that is stored at room temperature is separated from other products, however we don't have a separate refrigerator for refrigerated chemotherapy. 26%
All medications that require room temperature storage are together, however we have a separate refrigerator for refrigerated chemotherapy. 6%
All chemotherapy is stored in a separate area that includes a chemotherapy-only refrigerator. 29%
We do not store chemotherapy for injection separately from other injectable medications 10%
Our practice site does not dispense chemotherapy for injection. 10%
Other 1%
8. Please choose the one option that best describes how ORAL chemotherapy is stored in your practice.
Oral chemotherapy that is stored at room temperature is separated from other products, however we don't have a separate refrigerator for refrigerated oral chemotherapy. 16%
All medications that require room temperature storage are together, however we have a separate refrigerator for refrigerated oral chemotherapy. 7%
All chemotherapy is stored in a separate area that includes a chemotherapy-only refrigerator. 13%
We do not store oral chemotherapy separately from other medications. 41%
Other 4%