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Outcomes were measured using the Neuropathic Pain Symptom Inventory (NPSI), the Brief Pain Inventory (BPI), and Quantitative Sensory Testing (QST) and were recorded at baseline, 2 weeks post treatment completion, and at first, fifth, ninth, and final weekly paclitaxel treatments ( Griffiths et al. Compound motor action potential amplitudes of motor nerves more preserved at 3 months post treatment. This article is distributed under the terms of the Creative Commons Attribution Non-Commercial Non-Derivative License, which permits unrestricted non-commercial and non-derivative use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Additional studies are needed to further assess the validity of the findings in the Tsuyuki study and to discern benefit from compression compared with direct cooling. Congruent with the hypothesis that less cold may confer less benefit, the singular finding of benefit that achieved statistical significance in the study by Sundar and colleagues (2016) was the correlation between the amount of skin cooling achieved and motor nerve amplitude preservation at 6 months ( p< . The true level of tolerability of peripheral cooling has not been determined, and the range of tolerability reported in the studies reviewed here is in keeping with the range of tolerability reported in other studies that used cooling to prevent dermatologic toxicities. Multicenter study of a frozen glove to prevent docetaxel-induced onycholysis and cutaneous toxicity of the hand. This self-controlled study included 29 breast cancer patients receiving anthracycline plus paclitaxel.Outcomes were measured using the CTCAE and the PNQ and were recorded at baseline, before each treatment cycle, and 1 week after nab-paclitaxel was administered. Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: A systematic review and meta-analysis.

The Impact of Peripheral Cooling on Chemotherapy-Induced

Results related to CIPN severity included reduced occurrence of grades D or E peripheral neuropathy according to the PNQ on the intervention side (hand: 2. CTCAE results demonstrated a decrease in the incidence of ≥ grade 2 peripheral neuropathy on the intervention side ( p< . To date, interventions to effectively prevent this toxicity have not been established, and interventions to treat CIPN have produced only modest results. The results of several trials currently underway involving compression and cooling therapy as they impact peripheral neuropathy and nail toxicity should be evaluated for implications and study design considerations.Peripherally neurotoxic agents received by these patients included paclitaxel, albumin-bound paclitaxel, docetaxel, and platinum-based drugs, and were administered alone, in combination with other agents on this list, or with other nonperipherally neurotoxic chemotherapy agents (see summary of the included studies in Table 1). A single study used compression with tightly fitting surgical gloves, which achieved fingertip cooling ( Tsuyuki et al. Symptoms were assessed at baseline and before every cycle of paclitaxel administration during outpatient care.

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although analysis of the impact of preexisting peripheral neuropathy was not calculated in the late peripheral neuropathy group ( Eckhoff et al. Eckhoff and colleagues (2013) conducted a randomized, prospective, phase III trial of 1,725 Danish breast cancer patients to evaluate CIPN in patients receiving two docetaxel-based chemotherapy regimens.

Both direct application of cooling and use of compression to achieve fingertip cooling showed potential benefit. The limitations of this review include the small number of available studies on the topic, the small sample size in five of the six studies, variations in cooling methods, and inconsistent design of controls. Risk of docetaxel-induced peripheral neuropathy among 1,725 Danish patients with early stage breast cancer. Symptoms were recorded before the start of each cycle and 3 weeks after the last chemotherapy in the regional cooling group. Evaluation before the start of each cycle and 3 weeks after the last chemotherapy in the regional cooling group.