Evidence map›Paper›PMID 34091147›Full record

ArticleGait & posture2021

The detrimental association between fear of falling and motor performance in older cancer patients with chemotherapy-induced peripheral neuropathy.

Gu Eon Kang, Tamiko K Murphy, Mark E Kunik, Hoda J Badr, Biruh T Workeneh, Sarvari V Yellapragada, Yvonne H Sada, Bijan Najafi

Open access · greenAbstract read
In one paragraph

Article in Gait & posture, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Gait as a quantitative indicator of the severity of chemotherapy-induced peripheral neuropathy: a pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Incidence and associated factors of falls in patients with chemotherapy-induced peripheral neuropathy: a scoping review and evidence mapping.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Article
  7. Article
  8. Falls, fear of falling, and lower body strength in a cohort of community-dwelling older adults with cancer.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  9. Review
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

8 authors at 3 institutions in 1 country.

Gu Eon KangInterdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States.
Tamiko K MurphyInterdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States.
Mark E KunikMichael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States; Margaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, United States; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
Hoda J BadrMargaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Biruh T WorkenehDepartment of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Sarvari V YellapragadaMichael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States; Margaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Yvonne H SadaMichael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States; Margaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Bijan NajafiInterdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States. Electronic address: Bijan.Najafi@bcm.edu.
Michael E. DeBakey VA Medical Center · USBaylor College of Medicine · USThe University of Texas MD Anderson Cancer Center · US

Funding

An Innovative Platform for Objective Monitoring of Instrumental Activities of Daily LivingR42AG060853 · NIA · BIOSENSICS, LLC · PI NGUYEN, HUNG P., VAZIRI, ASHKAN · 2018 to 2020
$4.3M
Research Training Program in Cardiovascular SurgeryT32HL139430 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Todd K Rosengart · 2018 to 2026
$2.9M
Portable Device for Telecare Monitoring of Elderly PeopleSB1AG032748 · NIA · BIOSENSICS, LLC · PI VAZIRI, ASHKAN · 2018 to 2019
$2.4M
Managing chemotherapy induced neuropathy in Cancer patients using ExerGamingR21CA190933 · NCI · BAYLOR COLLEGE OF MEDICINE · PI GARLAND, LINDA LEE, NAJAFI, BIJAN · 2016 to 2017
$459k
NCI NIH HHS R21 CA190933NHLBI NIH HHS T32 HL139430NIA NIH HHS R42 AG060853NIA NIH HHS SB1 AG032748
6 · The paper itself

Abstract

backgroundCancer patients with chemotherapy-induced peripheral neuropathy (CIPN) are at increased risk of falls and developing fear of falling (FoF). Although FoF may continue to impair motor performance and increase the risk of falling even further, this association remains unexplored in CIPN. RESEARCH QUESTION: Does high FoF in patients with CIPN further deteriorate motor performance beyond the impairment from CIPN-related sensory deficits?

methodsIn this secondary analysis of data collected from two clinical trials, gait parameters during habitual walking condition and postural sway parameters during 30-second quiet standing (eye-open and eyes-closed) were compared among older participants (≥ 65 years) with CIPN and high FoF (CIPN FoF+; n=16), older participants with CIPN and low FoF (CIPN FoF-; n=19) and normal older controls (i.e., non-cancer, non-diabetic, non-neurologic, and non-orthopedic; n=16). We measured gait and postural sway parameters using wearable sensors (BioSensics, Newton, MA, USA), and FoF severity using the Falls Efficacy Scale-International.

resultsThe largest between-group differences were found in gait speed. The CIPN FoF + group had significantly slower gait speed (0.78 ± 0.21 m/s) than the CIPN FoF- (0.93 ± 0.17 m/s) and normal control groups (1.17 ± 0.13 m/s) (all p < .05; effect sizes = 0.79 and 2.23, respectively). We found a significant association between gait speed and FoF severity (R2 = 0.356; p < .001) across all participants with CIPN. Among participants with CIPN, no significant differences in postural sway parameters were found between the CIPN FoF+and CIPN FoF- groups. SIGNIFICANCE: Our results suggest that gait performance further deteriorates in patients with CIPN and high FoF beyond the impairment from CIPN-related sensory deficits. Our results also suggest further research is needed regarding FoF, and fall risk, as FoF is a simple tool that healthcare providers can use in clinical practice.

Indexed as

Antineoplastic AgentsNeoplasmsPeripheral Nervous System DiseasesAccidental FallsAgedFearGaitHumansAntineoplastic AgentsChemotherapy-induced peripheral neuropathyFear of fallingGait speedPostural swayWearable sensors

Identifiers

PMID34091147
PMCPMC8316411
OpenAlexW3166635971

What OpenQuestion holds

Textmetadata
LicenceTDM
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.