Prevalence, Severity, and Self-Reported Characteristics of Taste Alterations in Patients Receiving Chemotherapy

Oncol Nurs Forum. 2018 May 1;45(3):342-353. doi: 10.1188/18.ONF.342-353.

Abstract

Objectives: To describe the prevalence, severity, and self-reported characteristics of taste alterations (TAs) induced by chemotherapy and to investigate TAs across chemotherapy regimens.

Sample & setting: 243 adult patients from five outpatient practices in Northern Italy.

Methods & variables: Correlation, univariate, and multivariate linear regression analyses. Variables include TAs, symptoms reported by patients, and the effect of TAs on quality of life.

Results: A majority of the study sample reported TAs. Difficulty in tasting saltiness was most common, followed by difficulty in tasting umami and sweetness. The severity and characteristics of TAs changed across chemotherapy regimens. TAs correlated with quality of life and were significantly associated with patient's age and a 21-day chemotherapy schedule.

Implications for nursing: TAs are a frequent side effect of chemotherapy, with varying characteristics that have a negative effect on quality of life. Healthcare professionals should routinely assess for TAs and provide patients with specific management strategies depending on the nature of TAs.

Keywords: antineoplastic agents; dysgeusia; quality of life; taste alterations; taste disorders.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use*
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Neoplasms / drug therapy*
  • Prevalence
  • Self Report*
  • Surveys and Questionnaires
  • Symptom Assessment / statistics & numerical data*
  • Taste / drug effects*
  • Taste Disorders / chemically induced*

Substances

  • Antineoplastic Agents