压迫疗法预防紫杉烷类化疗引起的周围神经病变的疗效:一项单中心回顾性观察性研究。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Yuko Kanbayashi, Takeshi Ishikawa, Yusuke Tabuchi, Kazuko Sugatani, Tetsuya Taguchi, Koichi Takayama
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引用次数: 0

摘要

化疗引起的周围神经病变(CIPN)是紫杉烷类化疗的一个重要并发症,限制了其临床应用。本研究评估了使用手术手套进行压迫治疗在各种癌症类型中预防CIPN的有效性,包括但不限于乳腺癌。患者和方法:回顾性分析2018年4月至2024年1月在同一机构接受紫杉烷化疗的603例患者的数据。提取与CIPN发展相关的变量,并使用单变量和多变量有序逻辑回归模型进行分析。结果:压迫治疗与降低CIPN发生率显著相关。CIPN的显著预测因子包括肺癌(比值比[OR] = 0.342, P = 0.003)、化疗周期数(OR = 1.015, P = 0.033)和手术手套的使用(OR = 0.559, P = 0.003)。结论:在接受紫杉烷类化疗的不同癌症人群中,使用简单、经济有效的手术手套进行压迫治疗对预防CIPN有效。CIPN的发生风险随着化疗周期的增加而增加,肺癌患者的发生率较低。这些发现为未来旨在改善紫杉烷化疗期间患者生活质量的研究提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of compression therapy for prevention of peripheral neuropathy caused by taxane-based chemotherapy: a single-center retrospective observational study.

Introduction: Chemotherapy-induced peripheral neuropathy (CIPN) is a significant complication of taxane-based chemotherapies that limits their clinical utility. This study evaluated the effectiveness of compression therapy using surgical gloves in preventing CIPN in various cancer types, including, but not limited to, breast cancer.

Patients and methods: Data from 603 patients who underwent taxane-based chemotherapy at a single institution between April 2018 and January 2024 were retrospectively analyzed. Variables associated with CIPN development were extracted and analyzed using uni- and multivariate ordered logistic regression models.

Result: Compression therapy was significantly associated with a reduced incidence of CIPN. Significant predictors of CIPN included lung cancer (odds ratio [OR] = 0.342, P = 0.003), number of chemotherapy cycles (OR = 1.015, P = 0.033), and use of surgical gloves (OR = 0.559, P = 0.003).

Conclusion: Compression therapy using simple, cost-effective surgical gloves appeared effective for preventing CIPN in a diverse cancer population undergoing taxane-based chemotherapy. The risk of CIPN increases with the number of chemotherapy cycles, and a lower incidence was observed among patients with lung cancer. These findings provide a foundation for future research aimed at improving patient quality of life during taxane-based chemotherapy.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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