What Is Adjunctive Therapy?

Adjuvant therapy is also called additional therapy. Treatment is usually given after surgery to destroy any remaining cancer cells in the body. Adjuvant therapy is given to reduce the possibility of tumor recurrence or spread to other sites. Adjuvant treatment may include radiotherapy, chemotherapy, hormone therapy, or further surgery.

Adjuvant therapy

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Adjuvant therapy is also called additional therapy. Treatment is usually given after surgery to destroy any remaining residue in the body

Adjuvant treatment may include radiotherapy, chemotherapy, hormone therapy, or further surgery. Tumor adjuvant therapy is a treatment for directly removing tumor tissue or destroying tumor cells. In a broad sense, there are many contents of adjuvant tumor therapy, such as adjuvant chemotherapy before and after tumor surgery, antiemetic therapy during chemotherapy, liver and kidney function protection during chemotherapy, treatment to protect bone marrow tissue, sensitization therapy during radiation therapy, and various complications of tumor patients. Treatment of cancer, various nursing treatments for cancer patients, biological treatment (immunotherapy), traditional Chinese medicine treatment, Chinese medicine Fuzheng Guben treatment, psychological treatment, analgesic treatment for advanced cancer, qigong treatment, etc., these can be regarded as tumor assistance Category of treatment ^[1]

Although adjuvant therapy is sometimes in a secondary position, adjuvant therapy is by no means an optional treatment. Adjuvant therapy for a certain period is still very important. The main treatment plan and adjuvant treatment are only relative terms. Relationships and complementary relationships, as the patient's condition changes, the two statuses will also exchange, saying that who is important and who is not important are one-sided.

Patient treatment requires long-term and comprehensive consideration, and different stages of the disease have different treatment methods. Xunzheng Medicine believes that the treatment of tumors must not only destroy tumor tissues, but also protect the entire body tissues to the greatest extent. Cancer adjuvant therapy plays a role in supporting tumor treatment and protecting the whole body tissues.

Tumor surgery is not the end of tumor treatment. Postoperative adjuvant chemotherapy can effectively prevent and treat tumor metastasis and recurrence. In the 1950s and 1960s, tumor patients had severe vomiting symptoms during chemotherapy. The main reason was that chemotherapy stopped. The adjuvant treatment of vomiting could not keep up, so that chemotherapy for tumors was very difficult at that time, and patients were afraid of chemotherapy and were unwilling to receive chemotherapy. Since the development of a powerful and highly selective serotonin receptor antagonist in the central nervous system in the 1970s and 1980s, the problem of antiemetics during chemotherapy has been well resolved, and chemotherapy for tumors has also developed rapidly. With the continuous improvement of the efficacy of tumor chemotherapy, its status and importance in the entire tumor treatment process have been paid more and more attention. Some tumors can be cured by chemotherapy. However, adverse reactions to tumor chemotherapy, such as nausea, vomiting,

1. Definition of adjuvant therapeutic drugs

Adjuvant treatment drugs are also called additional treatment drugs, which are not directly used to prevent or combat diseases. The purpose of use is to reduce the side effects of treatment, improve patient tolerance, and enhance the effect of treatment. At present, there is no clear classification of adjuvant drugs in China, and no special control measures have been formulated for adjuvant drugs. Adjuvant treatment drugs are rarely mentioned in various medications and treatment specifications, guidelines, and expert consensus, and the specifications for indications in the instructions are also broad. Therefore, adjuvant therapy drugs are widely used in the treatment of various diseases. Adjuvant therapy drugs are currently not clearly defined.

Narrow adjuvant therapeutic drugs refer to drugs that are clearly indicated in the drug insert or related disease diagnosis and treatment guidelines for adjuvant treatment of certain diseases. Adjuvant medicine in the broad sense can be understood to mean that in addition to the above drugs, they are not explicitly used in the diagnosis and treatment guidelines for diseases, and do not play a major role in determining the treatment of diseases. The National Library of Medicine defines adjuvant drugs as drugs that help promote the absorption of major drugs, prevent or reduce adverse reactions, and enhance body function. Adjuvant therapy drugs can be divided into enhanced tissue metabolism, blood circulation, neurotrophic, vitamins, electrolytes, free radical scavengers, immunomodulators, new sugar infusions, etc. according to their functions and indications ^[2] .

2. Reasonable use of adjuvant drugs

Adjuvant therapy drugs have certain practical significance in clinical drug treatment, but the phenomenon of unreasonable use of adjuvant therapy drugs is common in medical institutions. The unreasonable use of adjuvant therapy drugs is one of the important reasons for medical resources. In order to cooperate with the country's deepening reform of the medical and health system, to guide clinicians in rational use of medicines, reduce the proportion of medicines, and promote the optimal use of medical resources, it is urgent to effectively manage the clinical rational use of adjuvant therapeutic drugs. Management of the clinical application of the drug:

First, the hospital formulates relevant management policies; second, the clinical pharmacist of the Ministry of Pharmacy conducts training on the rational use of adjuvant therapeutic drugs and special reviews of adjuvant therapeutic drug prescriptions. Since the implementation of the policy and the work of clinical pharmacists, the amount of auxiliary treatment drugs in our hospital has decreased significantly. The work of clinical pharmacists has played a positive role in promoting the implementation of hospital policies. The rational use of adjuvant therapy drugs reduces the waste of medical resources, reduces the cost of medicines, and reduces the burden on patients ^[3] .