The difference between the subjective and objective evaluation of oxaliplatin-induced vascular pain due to administer chemotherapy via peripheral vein.

Authors

null

Naoya Aisu

Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan

Naoya Aisu , Yoichiro Yoshida , Teppei Yamada , Taisuke Matsuoka , Daibo Kojima , Syu Tanimura , Seiichiro Hoshino , Ai Mogi , Tomoko Koganemaru , Mayumi Oda , Mahiru Fukuda , Fumiaki Kiyomi , Keita Noda , Keiji Hirata , Kazuo Tamura , Yuichi Yamashita

Organizations

Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan, Division of Oncology, Hematology and Infectious Diseases, Department of Internal Medicine, Fukuoka University School of Medicine, Fukuoka, Japan, Nursing Department, Fukuoka University Hospital, Fukuoka, Japan, Academia, Industry and Government Collaborative Research Institute of Translational Medicine for Life Innovation, Fukuoka University, Fukuoka, Japan, Clinical Research Assist Center, Fukuoka University Hospital, Fukuoka, Japan, Department of Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan

Research Funding

No funding sources reported

Background: We have reported the safety and effectiveness of chemotherapy via median cubital vein for metastatic colorectal cancer without implantation of a central venous port. However, vascular pain (VP) occasionally requires switching of the drip infusion route during chemotherapy for the administration of oxaliplatin via the peripheral vein. VP and phlebitis induced by intravenous infusion of antineoplastic agents reduces the rate of completion or continuation of chemotherapy. We also reported that addition of dexamethasone to oxaliplatin drip infusion controlled the vascular pain caused by administration of oxaliplatin via the peripheral vein (ASCO-GI2012). Pain is currently evaluated using subjective methods such as the visual analog scale (VAS). However, because the assessment of pain can greatly vary depending on the mood and physical state of the patient at the time of assessment, it is best to objectively evaluate pain. Pain Vision PS-2100 (PV) is an analytical instrument that was designed to quantitatively and objectively assess sense perception and nociception in a patient. Although it is used in the field of anesthesiology, there have been no reports concerning it for the assessment of oxaliplatin-induced VP. Methods: The present study examined the correlation of subjective and objective assessment results using VAS and PV, respectively, for cases of oxaliplatin-induced VP. Subjects comprised 57 patients with colorectal cancer who underwent chemotherapy at the Fukuoka University. Results: Both VAS and PV assessments of PN were performed 162 times in total, and partial correlation coefficient analysis adjusted by subject and gender. The VAS and PV mean values of VP were 24.8 (0–100) and 44.5 (0–596), respectively. The partial correlation coefficient was 0.350 (p= 0.0002). Conclusions: Although both assessments evaluated the same events, no strong correlation was observed between the results and a weak correlation was observed between VAS and PV. These results suggest that because VAS and PV each measure different factors, both subjective and objective assessments of drugs designed to ameliorate oxaliplatin-induced VP are necessary.

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Abstract Details

Meeting

2015 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

General Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Translational Research

Citation

J Clin Oncol 33, 2015 (suppl 3; abstr 651)

DOI

10.1200/jco.2015.33.3_suppl.651

Abstract #

651

Poster Bd #

C43

Abstract Disclosures

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