Chemotherapy-induced polyneuropathy in cancer care-the patient perspective

Support Care Cancer. 2023 Mar 27;31(4):235. doi: 10.1007/s00520-023-07688-5.

Abstract

Purpose: Chemotherapy-related polyneuropathy (CIPN) is a very common, often dose-limiting side effect that affects the patients' quality of life. Treatment usually consists of a combination of medicinal, medical, and individualized treatment approaches, although the effectiveness of these therapies is insufficient for many patients. The aim of this article is to review and evaluate the impact of CIPN on patients' daily lives and possible effective treatment approaches.

Methods: A standardized questionnaire was developed based on ten anonymous telephone interviews with CIPN patients. The content of the questionnaire was divided into 5 categories: demographics, clinical presentation, everyday symptoms, treatment of CIPN symptoms, and medical care. Mostly closed questions were used but multiple choice and individual additions by free text answers were possible.

Results: CIPN limits patients' quality of life over a long period of time. In addition to diurnal and situational fluctuations, the emotional burden negatively affects patients' daily lives in many ways. From the patients' point of view, the individually implemented therapy measures were most effective in treating their complaints. But even the combination of different therapy methods insufficiently alleviates the symptoms of the patients.

Conclusion: It is important and necessary to comprehensively inform patients about CIPN as a possible side effect, to point out prevention strategies, and to critically examine and evaluate different therapy approaches. In this way, misunderstandings of the doctor-patient relationship can be avoided. In addition, patient satisfaction and quality of life can be increased in the long term.

Keywords: CIPN; Chemotherapy-induced polyneuropathy; Impact on daily life; Neuropathy pain; Peripheral neuropathy; Quality of life.

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Drug-Related Side Effects and Adverse Reactions* / drug therapy
  • Humans
  • Neoplasms* / drug therapy
  • Peripheral Nervous System Diseases* / chemically induced
  • Physician-Patient Relations
  • Polyneuropathies* / drug therapy
  • Polyneuropathies* / therapy
  • Quality of Life

Substances

  • Antineoplastic Agents