Supportive Care in Cancer

, Volume 21, Issue 7, pp 2059–2066

Falls and functional impairments in cancer survivors with chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study

  • J. S. Gewandter
  • L. Fan
  • A. Magnuson
  • K. Mustian
  • L. Peppone
  • C. Heckler
  • J. Hopkins
  • M. Tejani
  • G. R. Morrow
  • S. G. Mohile
Original Article

DOI: 10.1007/s00520-013-1766-y

Cite this article as:
Gewandter, J.S., Fan, L., Magnuson, A. et al. Support Care Cancer (2013) 21: 2059. doi:10.1007/s00520-013-1766-y

Abstract

Purpose

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.

Methods

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.

Results

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).

Conclusion

CIPN, primarily motor, is associated with falls and FIs. Future prospective research should investigate the ability of motor neuropathy severity to predict falls.

Keywords

FallsFunctional impairmentsNeuropathyCancer survivors

Supplementary material

520_2013_1766_MOESM1_ESM.pdf (28 kb)
ESM 1(PDF 28 kb)

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • J. S. Gewandter
    • 1
  • L. Fan
    • 2
  • A. Magnuson
    • 3
  • K. Mustian
    • 1
  • L. Peppone
    • 1
  • C. Heckler
    • 1
  • J. Hopkins
    • 4
  • M. Tejani
    • 3
  • G. R. Morrow
    • 1
  • S. G. Mohile
    • 3
    • 5
  1. 1.Department of Radiation OncologyUniversity of Rochester Medical CenterRochesterUSA
  2. 2.Department of Public HealthUniversity of Rochester Medical CenterRochesterUSA
  3. 3.Department of Medicine, Hematology/OncologyUniversity of Rochester Medical CenterRochesterUSA
  4. 4.Southeast Cancer Control Consortium, Piedmont HEM/ONC AssocsKernersvilleUSA
  5. 5.Wilmot Cancer CenterRochesterUSA