Falls and functional impairments in cancer survivors with chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
This study was conducted in order to characterize the prevalence of falls and functional impairments (FIs) and their association with chemotherapy-induced peripheral neuropathy (CIPN) in cancer survivors.
We analyzed baseline assessments from a phase III RCT in cancer survivors with self-reported CIPN scores of >4 out of 10. Patients completed the EORTC QLQ-CIPN-20 for neuropathy and reported falls in the previous 3 months. FIs were defined using the Activities of Daily Living subsection of the Vulnerable Elder’s Scale. Associations of baseline characteristics and CIPN with falls and FIs were examined using logistic regression.
Of 421 patients, 11.9 % experienced recent falls and 26.6 % reported FIs. Motor neuropathy was the only factor associated with falls (OR = 1.127, p = 0.01). Factors associated with FIs included non-white race (OR = 0.335 white relative to non-white, 0.781, p = 0.01) and greater motor neuropathy scores (OR = 1.262, p < 0.0001).
CIPN, primarily motor, is associated with falls and FIs. Future prospective research should investigate the ability of motor neuropathy severity to predict falls.
- Falls and functional impairments in cancer survivors with chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study
Supportive Care in Cancer
Volume 21, Issue 7 , pp 2059-2066
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Functional impairments
- Cancer survivors
- Industry Sectors
- Author Affiliations
- 1. Department of Radiation Oncology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA
- 2. Department of Public Health, University of Rochester Medical Center, 265 Crittenden Blvd, Rochester, NY, 14642, USA
- 3. Department of Medicine, Hematology/Oncology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA
- 4. Southeast Cancer Control Consortium, Piedmont HEM/ONC Assocs, 445 Pineview Dr. Suite 200, Kernersville, NC, 27284, USA
- 5. Wilmot Cancer Center, 601 Elmwood Avenue, Box 704, Rochester, NY, 14642, USA