Colorectal Cancer Survivors Suffering From Sensory Chemotherapy-Induced Peripheral Neuropathy Are Not a Homogenous Group: Secondary Analysis of Patients' Profiles With Oxaliplatin-Induced Peripheral Neuropathy

被引:5
|
作者
Kerckhove, Nicolas [1 ,2 ,3 ]
Selvy, Marie [1 ]
Lambert, Celine [2 ]
Gonneau, Coralie [1 ]
Feydel, Gabrielle [2 ]
Petorin, Caroline [4 ]
Vimal-Baguet, Agnes [4 ]
Melnikov, Sergey [5 ]
Kullab, Sharif [6 ]
Hebbar, Mohamed [7 ]
Bouche, Olivier [8 ]
Slimano, Florian [9 ]
Bourgeois, Vincent [10 ]
Lebrun-Ly, Valerie [11 ]
Thuillier, Frederic [11 ]
Mazard, Thibault [12 ]
Tavan, David [13 ]
Benmammar, Kheir Eddine [14 ]
Monange, Brigitte [14 ]
Ramdani, Mohamed [15 ]
Pere-Verge, Denis [16 ]
Huet-Penz, Floriane [17 ]
Bedjaoui, Ahmed [18 ]
Genty, Florent [19 ]
Leyronnas, Cecile [20 ]
Busserolles, Jerome [1 ,3 ]
Trevis, Sophie [21 ]
Pinon, Vincent [21 ]
Pezet, Denis [22 ]
Balayssac, David [1 ,2 ]
机构
[1] Univ Clermont Auvergne, INSERM U1107 NEURO DOL, Clermont Ferrand, France
[2] CHU Clermont Ferrand, Delegat Rech Clin & Innovat, Clermont Ferrand, France
[3] Univ Clermont Auvergne, Inst Analgesia, Clermont Ferrand, France
[4] CHU Clermont Ferrand, Serv Oncol Digest, Clermont Ferrand, France
[5] Ctr Hosp St Flour, Serv Chirurg Gen & Viscerale, St Flour, France
[6] Ctr Hosp Moulins Yzeure, Serv Oncol, Moulins, France
[7] CHRU Lille, Serv Oncol, Lille, France
[8] Univ Reims, Serv Oncol Digest, CHU Reims, Reims, France
[9] Univ Reims, Serv Pharm, SFR CAP Sante, BioSpect,CHU Reims, Reims, France
[10] Ctr Hosp Boulogne Sur Mer, Serv Oncol Digest, Boulogne Sur Mer, France
[11] CHU Limoges, Serv Oncol, Limoges, France
[12] Univ Montpellier, INSERM, IRCM, ICM, Montpellier, France
[13] Infirmerie Protestante Lyon, Serv Gastroenterol, Caluire Et Cuire, France
[14] Ctr Hosp Emile Roux, Serv Oncol, Le Puy En Velay, France
[15] Ctr Hosp Beziers, Serv Gastroenterol, Beziers, France
[16] Ctr Hosp St Joseph St Luc, Serv Hepatogastroenterol, Lyon, France
[17] Ctr Hosp Alpes Leman, Serv Gastro Enterol, Contamine Sur Arve, France
[18] Ctr Hosp Intercommunal Hop Leman, Serv Gastroenterol, Thonon Les Bains, France
[19] Ctr Hosp Vichy, Serv Chirurg Digest & Viscerale, Vichy, France
[20] Grp Hosp Mutualiste Grenoble, Serv Oncol, Grenoble, France
[21] CHU Clermont Ferrand, Serv Pharm, Clermont Ferrand, France
[22] Univ Clermont Auvergne, CHU Clermont Ferrand, USC INRA 2018, INSERM,M2iSH, Clermont Ferrand, France
关键词
chemotherapy-induced peripheral neuropathy; neuropathic pain; colorectal cancer; oxaliplatin; cluster analysis; NEUROTOXICITY; QUESTIONNAIRE; PREVENTION; GUIDELINES; RISK;
D O I
10.3389/fphar.2021.744085
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Oxaliplatin, a pivotal drug in the management of colorectal cancer, causes chemotherapy-induced peripheral neuropathy (CIPN) in a third of cancer survivors. Based on a previous cross-sectional study assessing oxaliplatin-related sensory CIPN in colorectal cancer survivors, a secondary analysis was designed to explore the possibility that different clusters of patients may co-exist among a cohort of patients with oxaliplatin-related CIPN. Other objectives were to characterize these clusters considering CIPN severity, anxiety, depression, health-related quality of life (HRQOL), patients' characteristics and oxaliplatin treatments. Among the 96 patients analyzed, three clusters were identified (cluster 1: 52, cluster 2: 34, and cluster 3: 10 patients). Clusters were significantly different according to CIPN severity and the proportion of neuropathic pain (cluster 1: low, cluster 2: intermediate, and cluster 3: high). Anxiety, depressive disorders and HRQOL alteration were lower in cluster 1 in comparison to clusters 2 and 3, but not different between clusters 2 and 3. This study underlines that patients with CIPN are not a homogenous group, and that CIPN severity is associated with psychological distress and a decline of HRQOL. Further studies are needed to explore the relation between clusters and CIPN management.
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页数:10
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