Subjective and objective assessment of oxaliplatin-induced peripheral neuropathy.

Authors

null

Teppei Yamada

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

Teppei Yamada , Yoichiro Yoshida , Naoya Aisu , 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: Oxaliplatin-induced peripheral neuropathy (PN), for which no therapy has been firmly established, is a critical factor that makes the continuation of chemotherapy difficult. Numbness and pain are 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. Therefore, a method for objective assessment is also required to evaluate drugs designed to ameliorate PN. 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 its use for the assessment of oxaliplatin-induced PN. Methods: The present study examined the correlation of subjective and objective assessment results using VAS and PV, respectively, for cases of oxaliplatin-induced PN. Subjects comprised 58 patients with colorectal cancer who underwent chemotherapy at the Fukuoka University. Results: Both VAS and PV assessments of PN were performed 173 times in total, and partial correlation coefficient analysis adjusted by subject and gender. The VAS and PV mean values of PN were 20.5 (0–100) and 27.9 (0–416), respectively. The partial correlation coefficient was 0.258 (p=0.0053). 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 PN 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

Multidisciplinary Treatment

Citation

J Clin Oncol 33, 2015 (suppl 3; abstr 772)

DOI

10.1200/jco.2015.33.3_suppl.772

Abstract #

772

Poster Bd #

F10

Abstract Disclosures

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