scholarly journals Efficacy of Contact Needle Therapy for Chemotherapy-Induced Peripheral Neuropathy

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Keiko Ogawa ◽  
Masao Ogawa ◽  
Koji Nishijima ◽  
Masaki Tsuda ◽  
Genichi Nishimura
Keyword(s):  
Quality Of Life ◽  
Clinical Trials ◽  
Peripheral Neuropathy ◽  
Breakthrough Pain ◽  
Chemotherapeutic Agents ◽  
Discontinuation Of Treatment ◽  
Before And After ◽  
The Common ◽  
Adequate Sample Size

Cancer chemotherapy-induced peripheral neuropathy (CIPN) often results in discontinuation of treatment with potentially useful anticancer drugs and may deteriorate the patient’s quality of life. This study investigated the effect of contact needle therapy (CNT) on CIPN caused by responsible chemotherapeutic agents as taxanes and oxaliplatin. Six patients with CIPN were treated with CNT. The severity of CIPN was evaluated using the Common Terminology Criteria for Adverse Events (CTCAE) version 4 and FACT/GOG-Ntx before and after CNT. After the treatment, all of the patients showed some improvement. Four patients showed apparent improvement in breakthrough pain. One of the cases had difficulty in walking because of CIPN in lower extremities, but after 2 times of CNT, he could walk without pain and could continue the chemotherapy. Although its putative mechanisms remain elusive, CNT has strong potential as an adjunctive therapy in CIPN. Well-designed clinical trials with adequate sample size and power are necessary to confirm the findings of this study.

scholarly journals Innovative Approach for the Prevention of Chemotherapy-Induced Peripheral Neuropathy in Cancer Patients: A Pilot Study With the Hilotherm Device, the Poliambulanza Hospital Experience

2020 ◽  
Vol 19 ◽  
pp. 153473542094328
Author(s):  
Ester Oneda ◽  
Fausto Meriggi ◽  
Laura Zanotti ◽  
Elisabetta Zaina ◽  
Sara Bighè ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peripheral Neuropathy ◽  
Adverse Events ◽  
Negative Impact ◽  
Life Questionnaire ◽  
European Organization ◽  
Effective Prevention ◽  
The Common ◽  
Hands And Feet

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is an adverse event of taxanes, with no effective prevention or treatment available and a highly negative impact on patient quality of life. The aim of this study is to asses that the constant application of cooled cuffs on the hands and feet prevent and mitigate CIPN. Methods: Patients with breast, gynecologic, and pancreatic cancer who received weekly paclitaxel (PTX), PTX/carboplatin, and nab-paclitaxel (nab-PTX)/gemcitabine for any indication at the therapeutic scheduled dosage were included in this prospective study. Hilotherm Chemo care device forms a closed-loop system with cuffs and tubes through which a coolant flows at a temperature of 10 °C. CIPN was monitored using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (edition 3.0), and the tolerability and side effects were scored by using the Common Terminology Criteria for Adverse Events (T4.03 2017). Results: To date, we have enrolled 64 patients. Of these, 54 (84%) completed all cooling cycles. Continuous cooling was well tolerated by all patients. No patients had grade >2 CIPN or had serious or lasting adverse events as a result of Hilotherapy. The median time to CIPN onset was 77 days for the entire population. Conclusion: Hilotherapy has good effectiveness and tolerability and seems to be able to prevent or reduce the symptoms of CIPN. We are still recruiting patients to obtain more data and to collect data at 3 months after the end of chemotherapy. Prospective studies seem to be warranted.

scholarly journals Peripheral Neuropathy and Pain Caused by Cancer Chemotherapy

2021 ◽  
Vol 39 (1) ◽  
pp. 1-9
Author(s):  
Kyomin Choi ◽  
Jeeyoung Oh
Keyword(s):  
Quality Of Life ◽  
Peripheral Neuropathy ◽  
Clinical Characteristics ◽  
Proteasome Inhibitors ◽  
Chemotherapeutic Agents ◽  
Vinca Alkaloids ◽  
Platinum Compounds ◽  
Medical Environment ◽  
Preventive Methods

Peripheral neuropathy and pain are common adverse effects of chemotherapy, which incidence are rising significantly commensurate with extension of survival period in cancer patients. Chemotherapy-induced peripheral neuropathy is caused by most commonly used chemotherapeutic agents including platinum compounds, taxenes, proteasome inhibitors, thalidomide, and vinca alkaloids. Management of neuropathy and pain caused by chemotherapy is still challenging due to there is no proven therapies and preventive methods. The pain and its impact are becoming a main deterioration factor in quality of life and economic burden in our society. We review the mechanism, clinical characteristics, updated evidence of possible management of neuropathy and pain caused by traditional chemotherapeutic agents for contributing to the application of clinicians in their actual medical environment.

The relationship between chemotherapy-induced peripheral neuropathy and heart rate variability.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 820-820
Author(s):  
Aelee Jang ◽  
Dong Uk Kim
Keyword(s):  
Quality Of Life ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Peripheral Neuropathy ◽  
Frequency Band ◽  
High Frequency ◽  
Chemotherapeutic Agents ◽  
High Frequency Band ◽  
The Relationship

820 Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a common complication related to chemotherapeutic agents and dose accumulation. Initial symptoms are known to be sensory including numbness and pain whereas autonomic symptoms are the latest. Autonomic dysfunction is related to heart rate variability (HRV) change which may precede the symptoms. But, the relationship between CIPN and heart rate variability is not fully evaluated. Therefore, we aimed to evaluate the HRV with CIPN-related questionnaires in patients underwent chemotherapy. Methods: Fifty-five patients with gastrointestinal cancers were enrolled in this cross-sectional cohort study. Patients have received chemotherapeutic agents such as paclitaxel, cisplatin, and oxaliplatin. CIPN was diagnosed using National Cancer Institute Common Toxicity Criteria for Adverse Event (NCI-CTCAE version 4.03). We evaluated the quality of life, CIPN symptom scale, and HRV. Results: Forty-two patients were male (76.4%) and mean age was 63.2 years old. Thirty-nine patients (71.0%) had CIPN of more than grade I according to NCI-CTCAE. Patients with CIPN represented lower physical and role functions. The standard deviation of all normal R-R intervals (SDNN) was decreased in the CIPN group. Parasympathetic tone (high frequency band) were decreased, but sympathetic activity (low frequency band/high frequency band) were increased in CIPN. Conclusions: CIPN affected the quality of life in gastrointestinal cancer patients underwent chemotherapy. HRV was related to CIPN. Further study may be needed to check the feasibility of HRV as early biomarkers for detecting CIPN. [Table: see text]

scholarly journals Chemotherapy-induced peripheral neuropathy and its association with quality of life among cancer patients

2019 ◽  
Vol 9 (10) ◽  
pp. 29
Author(s):  
Madiha Hassan Nabih Mohamed ◽  
Hanan Abo Bakr Mohamed
Keyword(s):  
Quality Of Life ◽  
Peripheral Neuropathy ◽  
Anticancer Agents ◽  
Sensory Neuropathy ◽  
Chemotherapeutic Agents ◽  
Common Complication ◽  
Global Quality ◽  
Global Quality Of Life ◽  
Cancer Intervention

Background and objective: Chemotherapy-induced peripheral neuropathy (CIPN) is a common incapacitating complication of various chemotherapeutic agents that severely impact the patient’s quality of life. Most of patients treated with anticancer agents develop CIPN early after treatment and may necessitate dose modification or termination, which can increase cancer-related morbidity and mortality. Aim: investigate the Chemotherapy-Induced Peripheral Neuropathy and its Association with Quality of Life among Cancer patients.Methods: A descriptive study design was applied in this study, on a purposeful sample of 250 adult patients diagnosed with chemotherapy induce peripheral nephropathy. The study instruments were the demographic and medical history questionnaire, PNQ, EORTC CIPN20 and EORTC30.Results: Symptoms severities mean score is 5.58 ± 2.97. Sensory neuropathy registered the highest mean at 21.23 points, followed by motor (17.33) and autonomic (5.11). About one quarter of participants reported poor global quality of life. Poor physical function was reported by 22.3% of all participants. Fatigue, pain and insomnia were the most common symptoms suffered by patients. There is a relation between CIPN and duration of cancer diagnosis, type of cancer, intervention, gender, and other condition.Conclusions: CIPN is the furthermost common complication of chemotherapy that affects patient’s QoL. Assessment of chemotherapy-related peripheral neuropathy helps clinicians to develop and evaluate much needed targeted therapies and to help improving QoL.

scholarly journals Effects of Meditation on Pain and Quality of Life in Multiple Sclerosis and Peripheral Neuropathy

2011 ◽  
Vol 13 (4) ◽  
pp. 163-168 ◽  
Author(s):  
Jinny Tavee ◽  
Mary Rensel ◽  
Sarah M. Planchon ◽  
Robert S. Butler ◽  
Lael Stone
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Peripheral Neuropathy ◽  
Short Form ◽  
Bodily Pain ◽  
Intervention Group ◽  
Secondary Outcome ◽  
Sf 36 ◽  
Before And After

The objective of this study was to determine whether meditation affects pain and quality of life in people with multiple sclerosis (MS) and peripheral neuropathy (PN). A total of 22 patients (10 with MS, 12 with PN) participated in a weekly meditation class over a 2-month period. A total of 18 controls (7 with MS, 11 with PN) received standard care. Primary outcome assessments were based on the 36-item Short Form Health Status Survey (SF-36) and a visual analogue scale (VAS) for pain at baseline and at 2 months. Secondary outcome measures included the Neuropathy Impairment Score (NIS) for PN patients and the Patient-Determined Disease Steps (PDDS) questionnaire and 5-item Modified Fatigue Impact Scale (MFIS-5) for MS patients. After 2 months, study participants who practiced meditation reported an improvement in pain on the VAS (P = .035 combined group), summed physical health scores on the SF-36 (P = .011 MS, P = .014 PN), summed mental health scores (P = .02 combined group), vitality (P = .005 combined group), and physical role (P = .003 combined group). A significant improvement was also observed for bodily pain (P = .031) in MS patients. In contrast, no significant differences before and after the intervention were observed for controls. Regarding the secondary measure of fatigue, improved scores for the cognitive and psychosocial components of the MFIS were noted in MS patients in the intervention group (P = .037, P = .032). No statistically significant changes were observed in the NIS for PN patients or in PDDS scores for MS patients. Meditation may be helpful in reducing pain and improving quality of life in patients with MS and PN. The lack of changes seen in mobility (MS) and sensorimotor deficits (PN) suggests that meditation may not affect the overall clinical course.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

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