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Gynecol Oncol Rep. 2021 Jun 24;37:100820. doi: 10.1016/j.gore.2021.100820. eCollection 2021 Aug.

Medical marijuana utilization in gynecologic cancer patients.

Gynecologic oncology reports

Julia Fehniger, Allison L Brodsky, Arum Kim, Bhavana Pothuri

Affiliations

  1. Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Perlmutter Cancer Center, NYU Langone Health, New York, NY, United States.
  2. Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, State University of New York Downstate Health Sciences University, Brooklyn, NY, United States.
  3. Department of Medicine, Division of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, NY, United States.

PMID: 34258360 PMCID: PMC8255178 DOI: 10.1016/j.gore.2021.100820

Abstract

BACKGROUND: Medical marijuana (MM) use is common among cancer patients, but relatively little is known about the usage patterns and efficacy of MM used by gynecologic cancer patients.

METHODS: Demographic and clinical data were collected for gynecologic cancer patients prescribed MM between May 2016 and February 2019. The electronic medical record was used to query formulation prescribed, usage patterns, length of use, symptom relief, and side effect profile. Descriptive statistics were calculated.

RESULTS: Of 45 gynecologic cancer patients prescribed MM, 89% were receiving chemotherapy; 56% were undergoing primary treatment. MM was used for a median of 5.2 months (range 0.6-25.4). Over 70% of patients reported improvement in nausea/vomiting, compared to 36% of patients using MM for pain relief (p = 0.02). Of 41 patients with follow-up information, 71% found MM improved at least one symptom.

CONCLUSIONS: Among a small sample of gynecologic cancer patients prescribed MM for symptom management, self-reported follow-up indicated symptom relief for the majority of patients and minimal therapy-related side effects. This data can prove useful for counseling gynecologic cancer patients on the efficacy and side effects of MM.

© 2021 The Authors.

Keywords: Cannabis; Gynecologic cancer; Management of treatment-related toxicity; Medical marijuana; Symptom control

Conflict of interest statement

Julia Fehniger, Allison Brodsky, and Arum Kim have nothing to disclose. Bhavana Pothuri reports grants, personal feels and non-financial support outside the submitted work; institutional PI for indust

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