Supportive care

Cancer and its treatments are often associated with a range of complications that can significantly impact patients’ quality of life and the continuity of care. We provide integrated supportive care solutions aimed at preventing and managing treatment-related side effects, including chemotherapy-induced neutropenia, oral complications, and cachexia, supporting patients throughout their therapeutic journey.

Chemotherapy-induced neutropenia

A neutrophil is a white blood cell that serves as a first line of defense against infections, especially bacterial ones. They make up about 50–70% of circulating white blood cells.​

Chemotherapy can reduce their number, leading to neutropenia, defined as <1500 neutrophils/µL. Severity increases as counts fall below 1000 and particularly under 500 neutrophils/µL.

Cachexia therapy​

Cancer cachexia is a syndrome frequently observed in patients with advanced-stage cancer and has a significant impact on prognosis. It is associated with decreased physical capacity, reduced tolerance to treatments, and shorter survival.​
More than 70% of patients with cancer, particularly in advanced stages, develop signs and symptoms of cachexia, and approximately 20% die as a result of this syndrome. Despite its clinical relevance, cachexia is often underdiagnosed and inadequately treated and therefore remains an unresolved clinical challenge.

Oral cavity disorders associated with chemotherapy

Oropharyngeal candidiasis represents a frequent opportunistic infection in oncology patients, primarily driven by chemotherapy-induced immunosuppression and alterations in oral flora. This condition manifests as painful erythematous or pseudomembranous lesions that can severely impair nutritional intake and quality of life.​ Management strategies focus on rigorous oral hygiene and the administration of targeted antifungal agents to prevent systemic dissemination.

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References

  • Lalla RV, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2014 May 15;120(10):1453-61.​
  • AIOM. Linee Guida. Trattamento e prevenzione della cachessia neoplastica. Edizione 2024. Available at: 4d7b9db5-06ce-4ea9-dbab-4a57f2f8852a. Accessed May 2024.​
  • Patel, K & West, HJ. Febrile Neutropenia. JAMA Oncol. 2017 Dec 1;3(12):1751.
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