Evidence map›Paper›PMID 30972646›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Minimal clinically important difference of the EORTC QLQ-CIPN20 for worsening peripheral neuropathy in patients receiving neurotoxic chemotherapy.

Fiona Yeo, Chiu Chin Ng, Kiley W J Loh, Alex Molassiotis, Hui Lin Cheng, Joseph S K Au, Kwun To Leung, Yu Chung Li, Kam-Hung Wong, Lorna Suen and 8 more

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 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.

NCT05606068 narecruitingnot on this mapstarted 2022, after this paper: background citation

A Novel Limb Cryocompression System for Prevention of Chemotherapy Induced Peripheral Neuropathy - Expansion Study

TypeinterventionalSponsorNational University Hospital, SingaporeRan2022 to 2026Enrolled200ConditionsChemotherapy-induced Peripheral NeuropathyArmsPaxman Limb Cryocompression System (PLCS)
NCT07321236 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Hands and Feet Exercises on Severity of Taxane-Based Chemotherapy-Induced Peripheral Neuropathy in Patients With Solid Tumors: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Health Sciences LahoreRan2026 to 2026Enrolled58ConditionsPeripheral NeuropathyArmsStructured Hand and Foot Exercises
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Assessing chemotherapy-induced peripheral neuropathy with patient reported outcome measures: a systematic review of measurement properties and considerations for future use.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  5. Pilot trial testing the effects of exercise on chemotherapy-induced peripheral neurotoxicity (CIPN) and the interoceptive brain system.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  7. Validation and cutpoints of the treatment-induced neuropathy assessment scale (TNAS) in Chinese cancer patients: a prospective cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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

18 authors.

Fiona YeoDepartment of Pharmacy, National University of Singapore, Blk S4A Level 3, 18 Science Drive 4, Singapore, 117543, Singapore.
Chiu Chin NgDepartment of Pharmacy, National University of Singapore, Blk S4A Level 3, 18 Science Drive 4, Singapore, 117543, Singapore.
Kiley W J LohDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Alex MolassiotisSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Hui Lin ChengSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Joseph S K AuDepartment of Oncology, Queen Elizabeth Hospital, Hong Kong, SAR, China.
Kwun To LeungDepartment of Oncology, Queen Elizabeth Hospital, Hong Kong, SAR, China.
Yu Chung LiDepartment of Oncology, Queen Elizabeth Hospital, Hong Kong, SAR, China.
Kam-Hung WongDepartment of Oncology, Queen Elizabeth Hospital, Hong Kong, SAR, China.
Lorna SuenSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Choi Wan ChanSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Janelle YorkeDivision of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Carole FarrellDivision of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Aishwarya BandlaSingapore Institute for Neurotechnology (SINAPSE), Singapore, Singapore.
Emily AngAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
Violeta LopezAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
Raghav SundarDepartment of Haematology-Oncology, National University Health System, Singapore, Singapore. raghav_sundar@nuhs.edu.sg.
Alexandre ChanDepartment of Pharmacy, National University of Singapore, Blk S4A Level 3, 18 Science Drive 4, Singapore, 117543, Singapore. phaac@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT/

objectivesThis is the first study to determine the minimal clinically important difference (MCID) of the European Organisation of Research and Treatment of Cancer Quality of Life Questionnaire-CIPN twenty-item scale (EORTC QLQ-CIPN20), a validated instrument designed to elicit cancer patients' experience of symptoms and functional limitations related to chemotherapy-induced peripheral neuropathy.

methodsCancer patients receiving neurotoxic chemotherapy completed EORTC QLQ-CIPN20 and the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity [FACT/GOG-NTX] at baseline, second cycle of chemotherapy (T2, n = 287), and 12 months after chemotherapy (T3, n = 191). Anchor-based approach used the validated FACT/GOG-NTX neurotoxicity (Ntx) subscale to identify optimal MCID cutoff for deterioration. Distribution-based approach used one-third standard deviation (SD), half SD, and one standard error of measurement of the total EORTC QLQ-CIPN20 score.

resultsThere was a moderate correlation between the change scores of the Ntx subscale and sensory and motor subscales of QLQ-CIPN20 (T2: r = - 0.722, p < 0.001 and r = - 0.518, p < 0.001, respectively; T3: r = - 0.699; p < 0.001 and r = - 0.523, p < 0.001, respectively). The correlation between the change scores of the Ntx subscale and the QLQ-CIPN20 autonomic subscale was poor (T2: r = - 0.354, p < 0.001; T3: r = 0.286, p < 0.001). Based on the MCID derived using distribution-based method, the MCID for the QLQ-CIPN20 sensory subscale was 2.5-5.9 (6.9% to 16.4% of the subdomain score) and for motor subscale was 2.6-5.0 (8.1%-15.6% of the subdomain score).

conclusionThe MCID for the EORTC QLQ-CIPN20 established using distribution-based approaches was 2.5-5.9 for the sensory subscale and 2.6-5.0 for the motor subscale. When noted in assessments even with small change in scores, clinicians can be alerted for appropriate intervention.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedMinimal Clinically Important DifferenceNeoplasmsNeurotoxicity SyndromesOrganoplatinum CompoundsPeripheral Nervous System DiseasesQuality of LifeSurveys and QuestionnairesTaxoidsOrganoplatinum CompoundsTaxoidsCancerEORTC QLQ-CIPN20FACT/GOG-NTXMinimal clinically important differencePeripheral neuropathy

Identifiers

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Read underepoch 390

Registered trials

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.