Reply To: Weight change percentage affecting chemotherapy dose adjustment.

  • Janet DeJean

    May 4, 2022 at 3:46 pm

    We use the 10% and don’t do anything for the 5 – 9%.  I hope this helps!


    Janet DeJean, MSN-Informatics, RN, CPON

    Clinical Specialist

    Texas Children’s Cancer & Hematology Centers

    Texas Children’s Hospital

    6621 Fannin Street |B.0780.18 | Houston, Tx  77030 

    (: 832-822-4870 | Ê: 832-825-4557

    Voalte: 3-4312 | *






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    Original Message:
    Sent: 5/4/2022 2:57:00 PM
    From: Stacy Shourt
    Subject: Weight change percentage affecting chemotherapy dose adjustment.

    This is Stacy Shourt from Upstate University Hospital, NY.  What is the consensus percentage threshold for dose adjusting chemotherapy?  I’ve typically seen a 10% difference in dose, caused by a weight change, as the cut off for notifying providers to adjust chemotherapy.  Are there any institutions using a lower number, like 5%, or do most facilities use the 10% cutoff?  And do any provider groups require notification if the difference is between 5-9%.  I hope I’m asking this clearly enough to be answered, thank you.

    Stacy Shourt, CPNP,RN
    Fayetteville, NY
    United States