Evidence map›Paper›PMID 31063261›Full record

Observational studyBrain and behavior2019

Risk factors for chemotherapy-induced peripheral neuropathy in patients receiving taxane- and platinum-based chemotherapy.

Alex Molassiotis, Hui Lin Cheng, Kwun To Leung, Yu Chung Li, Kam Hung Wong, Joseph Siu Kie Au, Raghav Sundar, Alexandre Chan, Terrence Rong De Ng, Lorna K P Suen and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% of its field
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

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Diabetes mellitus as a risk factor for chemotherapy-induced peripheral neuropathy: a meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  14. 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
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  19. Identification of risk factors related to problematic peripheral neuropathy development in gemcitabine and nab-paclitaxel treatment for pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

13 authors at 6 institutions in 4 countries.

Alex MolassiotisSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR.ORCID 0000-0001-6351-9991
Hui Lin ChengSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR.
Kwun To LeungDepartment of Clinical Oncology, Queen Elisabeth Hospital, Hong Kong, Hong Kong SAR.
Yu Chung LiDepartment of Clinical Oncology, Queen Elisabeth Hospital, Hong Kong, Hong Kong SAR.
Kam Hung WongDepartment of Clinical Oncology, Queen Elisabeth Hospital, Hong Kong, Hong Kong SAR.
Joseph Siu Kie AuDepartment of Oncology, Hong Kong Adventist Hospital, Hong Kong, Hong Kong SAR.
Raghav SundarDepartment of Haematology-Oncology, National University Health System, Singapore.
Alexandre ChanDepartment of Pharmacy, National University of Singapore, Singapore.
Terrence Rong De NgDepartment of Pharmacy, National University of Singapore, Singapore.
Lorna K P SuenSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR.
Choi Wan ChanSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR.
Janelle YorkeDivision of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK.
Violeta LopezAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
Hong Kong Polytechnic University · HKNational University of Singapore · SGQueen Elizabeth Hospital · CNHong Kong Adventist Hospital · CNNational University Health System · SGUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChemotherapy-induced peripheral neuropathy (CIPN) is a significant and difficult to manage side effect of neurotoxic chemotherapies. Several risk factors for CIPN have been identified to date, but inconsistencies and methodological limitations exist in past research. Also, a limited number of potential risk factors has been investigated in the past.

aimThe objective of this study was to assess the relative contribution of a wider range of risk factors in the development of CIPN.

methodsThis analysis used the 6-month data after starting chemotherapy from a larger prospective observational study on CIPN risk, prevalence, and quality of life. Patients were assessed at recruitment for possible CIPN risk factors, including prior history of neuropathies, current/past infectious diseases; neurotoxic medication history; personal and treatment characteristics; smoking history, alcohol use, and vegetable/fruit intake. Neuropathy was assessed at 6-months after starting chemotherapy with the neuropathy (motor/sensory) items of the NCI-CTCAE scale and the WHO criterion for neuropathy. Data on symptom burden were also collected.

resultsData were available from 255 patients from three cancer centers in Hong Kong, Singapore, and UK. The use of different scales did not always identify the same predictor variables. Key risk factors in multivariate regression models included older age (highest OR = 1.08, p < 0.01 with the WHO scale), chemotherapy (platinum-based chemotherapy had OR = 0.20-0.27 in developing CIPN compared to taxane-based chemotherapy), history of neuropathy (for motor CIPN only, OR = 8.36, p < 0.01), symptom burden (OR = 1.06, p < 0.05), number of chemotherapy cycles received (OR = 1.19-1.24, p < 0.01), and alcohol intake (OR = 0.32, p < 0.05). In univariate analysis, the use of statins was implicated with CIPN (p = 0.03-0.04 with different assessments) and diabetes showed a trend (p = 0.09) in the development of CIPN.

conclusionThis study confirmed the CIPN risk related to certain variables and identified new ones. This knowledge can assist with treatment decisions and patient education.

Indexed as

Antineoplastic AgentsBridged-Ring CompoundsCancer Care FacilitiesCisplatinDocetaxelFemaleHong KongHumansMaleMiddle AgedNeurotoxicity SyndromesPeripheral Nervous System DiseasesPlatinum CompoundsPrevalenceProspective StudiesQuality of LifeAntineoplastic AgentsBridged-Ring CompoundsCisplatinDocetaxelPlatinum CompoundstaxaneTaxoidscancerchemotherapy-induced peripheral neuropathyplatinum chemotherapyrisk factorstaxanes

Identifiers

PMID31063261
PMCPMC6576180
OpenAlexW2944676959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.