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Chemotherapy-Induced Peripheral Neuropathy Linked To Patient Falls - OncologyPRO
Chemotherapy-Induced Peripheral Neuropathy Linked To Patient Falls - OncologyPRO
PatientFalls
Neurologicalsideeffectsoftaxaneandplatinumchemotherapymayincreasetheriskoffalling
Date:18May2016
Author:ByLyndaWilliams,SeniormedwireNewsReporter
medwireNews:Patientswithchemotherapyinducedperipheralneuropathy(CIPN)areathighriskoffalling,
suggestsresearchpublishedinJAMANeurology.
Of116patientsbeginningneurotoxictaxaneorplatinumchemotherapyforbreast,ovarianorlungcancer,
the32patientswithCIPNsymptomswereasignificant2.67timesmorelikelytoreportafalloranearfall
thanthosewithoutthesesideeffects.
Thisnearly3foldincreaseinriskisparticularlystrikinggiventhatpatientswithcanceralreadyhavean
elevatedriskoffalling,sayNoahKolb,fromtheUniversityofUtahSchoolofMedicineinSaltLakeCity,
USA,andcoauthors.
Thepatients,whowereagedanaverageof55.5years,wereaskedtouseanautomatedtelephoneservice
toreportCIPNsymptomsdailyduringacourseofchemotherapy.CIPNsymptomswereconsidered
significantifthepatientdescribednumbnessortinglingataseverityscoreof3oraboveona10pointscale
foratleast10days.
Overanaverageof62days,37fallsand37nearfallswererecordedin24participants.Theseoccurredin
34.3%ofpatientswithCIPNversus15.4%ofpatientsnotaffectedbyCIPN,givingahazardratio(HR)of
2.67afteradjustingforage,genderandlengthoffollowup.
Increasingagewasalsosignificantlyassociatedwithagreaterfallrisk,ataHRof1.27per5yearincrease
inage,theresearchersnote.
Overthewholereportingperiod,patientswhofellhadahighermeanscorefornumbnessandtingling
severitythanthosewhodidnot(1.5vs0.7)andexperiencedthesesymptomsmoreoften(18.0vs9.1days).
Therewasamodestcorrelationbetweennumberoffallsperparticipantandnumbnessandtinglingseverity
scores,theteamadds.
Notingthat18.8%ofpatientswithCIPNrequiredmedicalattentionforafall,versus9.5%ofasymptomatic
patients,NoahKolbetalsummarise:TheCIPNrelatedfallsandtheassociatedinjuriesincreasetheuseof
healthcareresourcesandreducequalityoflife.
FurtherresearchisneededtoelucidatethebeststrategiestoidentifypatientswithCIPNearlyand
intervenetopreventfallsamongthisvulnerablepopulation.