Evidence map›Paper›PMID 40691567›Full record

ArticleBMC cancer2025

Gender and age effects on the incidence and severity of chemotherapy-induced neuropathic pain: a propensity score matching analysis.

Andreas A Argyriou, Roser Velasco, Foteini Kalofonou, Pantelis Litsardopoulos, Montse Alemany, Dimitrios Rikos, Haralabos P Kalofonos, Jordi Bruna

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Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Andreas A ArgyriouNeurological Department, "Agios Andreas" General Hospital of Patras, Patras, 26335, Greece. andargyriou@yahoo.gr.
Roser VelascoHospital UnivNeuro-Oncology Unit, Hospital Universitari de Bellvitge-ICO L'Hospitalet, IDIBELLersitari de Bellvitge-ICO L'Hospitalet, IDIBELL, Barcelona, Spain.
Foteini KalofonouDepartment of Oncology, The Royal Marsden Hospital NHS Trust, London, UK.
Pantelis LitsardopoulosNeurological Department, "Agios Andreas" General Hospital of Patras, Patras, 26335, Greece.
Montse AlemanyHospital UnivNeuro-Oncology Unit, Hospital Universitari de Bellvitge-ICO L'Hospitalet, IDIBELLersitari de Bellvitge-ICO L'Hospitalet, IDIBELL, Barcelona, Spain.
Dimitrios RikosDepartment of Neurology, 404 Military Hospital of Larissa, Larissa, Greece.
Haralabos P KalofonosDepartment of Medicine, Division of Oncology, University Hospital of Patras, Patras, Greece.
Jordi BrunaHospital UnivNeuro-Oncology Unit, Hospital Universitari de Bellvitge-ICO L'Hospitalet, IDIBELLersitari de Bellvitge-ICO L'Hospitalet, IDIBELL, Barcelona, Spain.

Funding

Centres de Recerca de Catalunya Program CERCA ProgramPI24/01279 grant from the Instituto de Salud Carlos III of Spain, co-funded by European Union (ERDF/ESF, "Investing in your future") PI24/01279Spanish Foundation Research Group in Breast Cancer GEICAM
6 · The paper itself

Abstract

objectiveTo determine whether the clinical phenotype of chemotherapy-induced neuropathic pain (CINP) varies based on the gender and age of patients.

methodsRetrospective, file-based analysis of cancer patients who received any conventional standard of care chemotherapy and were referred to assess the extent of painful chemotherapy-induced peripheral neurotoxicity (CIPN). A Propensity Score Matching Analysis (PSMA) was conducted to create balanced cohorts; accounting for variables that could impact the incidence and severity of CINP in CIPN patients. A total of 205 males and 295 females were initially included, and after PSMA, 191 patients of each gender were equally matched; totaling 382 patients. These patients were divided according to their age to those aged ≤65 years (group I, n=216) and patients aged ≥66 years (group II, n=166). CINP was assessed using the pain intensity numerical rating scale (PI-NRS) and the Douleur Neuropathique-4 questionnaire (DN4). The severity of CIPN was graded with Total Neuropathy Score-clinical (TNSc®).

resultsThe incidence of CINP was similar between males and females (27.2% vs. 27.7%; p = 1). The same applied for the DN4 scorings at CINP onset (median 7; p = 0.9). The severity of CINP at the end of chemotherapy, according to PI-NRS, was 7 (range:6-9) for males vs. 7 (range: 5-8) for females (p = 0.09), while at 3 months post-chemotherapy the PI-NRS scorings were comparable (p = 0.56). However, males tended towards higher rates of severe CINP (PI-NRS ≥ 7) [males: 59.5%, females: 40.5%; p = 0.1], compared to female patients, despite having lower CIPN severities, according to TNSc

conclusionThere were no significant differences found between the occurrence and severity of CINP, based on gender or age. However, older men had more severe pain raters (PI-NRS), while scoring lower in TNSc® severities.

Indexed as

Antineoplastic AgentsNeoplasmsNeuralgiaAdultAgedAged, 80 and overAge FactorsFemaleHumansIncidenceMaleMiddle AgedPain MeasurementPropensity ScoreRetrospective StudiesSeverity of Illness IndexAntineoplastic AgentsAgeChemotherapy-induced neuropathic painChemotherapy-induced peripheral neurotoxicityGenderRisk factors

Identifiers

PMID40691567
PMCPMC12278531

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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.