Evidence map›Paper›PMID 40640629›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Regional limb cooling for the prevention of chemotherapy-induced toxicities: a narrative review.

Teja Mallela, Lily Kaufman, Brittany Dulmage

Abstract readReview
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. TAR-0520, a new candidate in oncodermatology: Results of a phase 1 program in healthy volunteers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  3. Article
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

3 authors.

Teja MallelaThe Ohio State University College of Medicine, 540 Officenter Place, Suite 240, Gahanna, Columbus, OH, 43230, USA. Teja.Mallela@osumc.edu.
Lily KaufmanThe Ohio State University College of Medicine, 540 Officenter Place, Suite 240, Gahanna, Columbus, OH, 43230, USA.
Brittany DulmageDepartment of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChemotherapy-induced peripheral neuropathy (CIPN), hand-foot syndrome (HFS), and nail changes are common adverse effects associated with chemotherapy, significantly impacting the quality of life of cancer patients, and effective interventions remain an unmet need in oncologic care. Regional limb cooling is an emerging non-pharmacological approach used to prevent or reduce the severity of these adverse side effects. Although the awareness of regional limb cooling is rather prevalent, the overall use and efficacy of this non-pharmacological therapy in preventing chemotoxicities is not universally agreed upon. This paper reviews the current evidence regarding the use, efficacy, limitations, and safety of regional limb cooling in preventing or reducing CIPN, HFS, and nail changes in clinical settings.

methodsA literature review was conducted using the PubMed database to identify the most recent English articles published between 2004 and 2024 regarding the use of regional limb cooling to prevent CIPN, HFS, and nail changes.

resultsBased on the reviewed studies, regional limb cooling can potentially be a low-risk, non-pharmacological intervention that can prevent and reduce common and debilitating chemotherapy-induced toxicities. Although the studies described in this paper demonstrate encouraging results, there is still notable variability in efficacy.

conclusionThis underscores the need for randomized controlled trials, device innovation, and standardized protocols in regional limb cooling to properly demonstrate its potential for alleviating these common, debilitating conditions and enabling patients to adhere to their chemotherapy regimens more comfortably. This would thereby enhance overall cancer treatment tolerability and lead to safer, more patient-centered chemotherapy management.

Indexed as

Antineoplastic AgentsCryotherapyHand-Foot SyndromeHypothermia, InducedNeoplasmsPeripheral Nervous System DiseasesHumansNail DiseasesQuality of LifeAntineoplastic AgentsChemotherapy-induced peripheral neuropathyCryotherapyHand-foot syndromeNail changesOncodermatologyRegional limb cooling

Identifiers

PMID40640629
PMCPMC12246026

What OpenQuestion holds

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LicenceCC BY
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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.