Evidence map›Paper›PMID 26749101›Full record

ArticleJournal of neuro-oncology2016

Quick, non-invasive and quantitative assessment of small fiber neuropathy in patients receiving chemotherapy.

Mehdi Saad, Dimitri Psimaras, Camille Tafani, Magali Sallansonnet-Froment, Jean-Henri Calvet, Alice Vilier, Jean-Marie Tigaud, Flavie Bompaire, Marie Lebouteux, Thierry de Greslan and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Sudomotor function testing by electrochemical skin conductance: does it really measure sudomotor function?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Pooled it
  2. Large fiber contribution to symptoms in chemotherapy-induced peripheral neuropathy in cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
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  5. Association of electrochemical skin conductance with neuropathy in chemotherapy-treated patients.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Mehdi SaadCognac-G UMR-MD4 8257, Service de Santé des Armées, Université Paris Descartes, 74, boulevard de Port-Royal, 75005, Paris, France. saad.med.mehdi@gmail.com.
Dimitri PsimarasAssistance Publique-Hôpitaux de Paris, La Pitié-Salpêtrière Hospital, Service de Neurologie Mazarin, Paris, France.
Camille TafaniNeurology Department, HIA du Val-de-Grâce, Paris, France.
Magali Sallansonnet-FromentNeurology Department, HIA du Val-de-Grâce, Paris, France.
Jean-Henri CalvetImpeto Medical, Paris, France.
Alice VilierImpeto Medical, Paris, France.
Jean-Marie TigaudAssistance Publique-Hôpitaux de Paris, Groupe Hospitalier Cochin-Port-Royal, Université Paris-Descartes, Service de Cancérologie, Paris, France.
Flavie BompaireNeurology Department, HIA du Val-de-Grâce, Paris, France.
Marie LebouteuxNeurology Department, HIA du Val-de-Grâce, Paris, France.
Thierry de GreslanNeurology Department, HIA du Val-de-Grâce, Paris, France.
Bernard CeccaldiOncology Department, HIA du Val-de-Grâce, Paris, France.
Jean-Michel PoirierOncology Department, HIA du Val-de-Grâce, Paris, France.
François-Régis FerrandOncology Department, HIA du Val-de-Grâce, Paris, France.
Sylvestre Le MoulecOncology Department, HIA du Val-de-Grâce, Paris, France.
Olivier HuillardAssistance Publique-Hôpitaux de Paris, Groupe Hospitalier Cochin-Port-Royal, Université Paris-Descartes, Service de Cancérologie, Paris, France.
François GoldwasserAssistance Publique-Hôpitaux de Paris, Groupe Hospitalier Cochin-Port-Royal, Université Paris-Descartes, Service de Cancérologie, Paris, France.
Hervé TailliaNeurology Department, HIA du Val-de-Grâce, Paris, France.
Thierry MaisonobeAssistance Publique-Hôpitaux de Paris, La Pitié-Salpêtrière Hospital, Unité de Neurophysiologie Clinique, Paris, France.
Damien RicardCognac-G UMR-MD4 8257, Service de Santé des Armées, Université Paris Descartes, 74, boulevard de Port-Royal, 75005, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemotherapy-induced peripheral neurotoxicity (CIPN) is a common, potentially severe and dose-limiting adverse effect; however, it is poorly investigated at an early stage due to the lack of a simple assessment tool. As sweat glands are innervated by small autonomic C-fibers, sudomotor function testing has been suggested for early screening of peripheral neuropathy. This study aimed to evaluate Sudoscan, a non-invasive and quantitative method to assess sudomotor function, in the detection and follow-up of CIPN. Eighty-eight patients receiving at least two infusions of Oxaliplatin only (45.4%), Paclitaxel only (14.8%), another drug only (28.4%) or two drugs (11.4%) were enrolled in the study. At each chemotherapy infusion the accumulated dose of chemotherapy was calculated and the Total Neuropathy Score clinical version (TNSc) was carried out. Small fiber neuropathy was assessed using Sudoscan (a 3-min test). The device measures the Electrochemical Skin Conductance (ESC) of the hands and feet expressed in microSiemens (µS). For patients receiving Oxaliplatin mean hands ESC changed from 73 ± 2 to 63 ± 2 and feet ESC from 77 ± 2 to 66 ± 3 µS (p < 0.001) while TNSc changed from 2.9 ± 0.5 to 4.3 ± 0.4. Similar results were observed in patients receiving Paclitaxel or another neurotoxic chemotherapy. During the follow-up, ESC values of both hands and feet with a corresponding TNSc < 2 were 70 ± 2 and 73 ± 2 µS respectively while they were 59 ± 1.4 and 64 ± 1.5 µS with a corresponding TNSc ≥ 6 (p < 0.0001 and p = 0.0003 respectively). This preliminary study suggests that small fiber neuropathy could be screened and followed using Sudoscan in patients receiving chemotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsFemaleFollow-Up StudiesGalvanic Skin ResponseHumansMaleMiddle AgedNeoplasmsNeoplasm StagingPredictive Value of TestsSeverity of Illness IndexSmall Fiber NeuropathySurvival RateAutonomic neuropathyChemotherapy-induced peripheral neuropathyNerve fiber impairment assessmentSudomotor function

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.