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Chemotherapy — risks and complications

5 documented risks. Severity reflects clinical significance, not probability.

Febrile neutropenia (life-threatening infection during low blood counts)

severe20.00% (10.00–30.00%)

Prevention: G-CSF prophylaxis in high-risk regimens; patient education on temperature monitoring; immediate access to emergency care.

Sources: asco-chemo-safety-standards, esmo-clinical-practice-guidelines

Infusion reaction or anaphylaxis

severe5.00% (2.00–10.00%)

Prevention: Pre-medication for high-risk drugs; trained team with emergency access.

Sources: asco-chemo-safety-standards

Cardiotoxicity (anthracycline-related)

severe5.00% (2.00–15.00%)

Prevention: Cumulative dose limits; baseline and serial echocardiography; cardioprotective agents.

Sources: esmo-clinical-practice-guidelines

Nausea and vomiting

minor50.00% (30.00–80.00%)

Prevention: Combination antiemetic regimen tailored to emetogenic risk.

Sources: esmo-clinical-practice-guidelines

Long-term effects (secondary malignancy, infertility, organ dysfunction)

severe5.00% (1.00–10.00%)

Prevention: Use of regimen-specific lowest-effective dose; fertility preservation referral.

Sources: esmo-clinical-practice-guidelines

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