Prevention And Management Of Chemotherapy-Induced Peripheral Neuropathy In Survivors Of Adult Cancers

Publication Date: July 14, 2020

Key Points

Key Points

  • Chemotherapy-induced neuropathy (CIPN) is a serious clinical problem caused by a substantial number of cytotoxic drugs, including taxanes, platinums, vinca alkaloids, epothilones, eribulin, and bortezomib.
  • No agents are recommended for the prevention of CIPN.
    • Duloxetine is the only agent that has appropriate evidence to support its use, but the amount of benefit from duloxetine is limited.
  • Therefore, prevention and minimizing risk are the primary objectives.
  • Because patients with CIPN can have balance troubles and a higher chance of falling, it is reasonable to consider physical and/or occupational therapy approaches for patients with such CIPN-related disabilities.

Prevention

...vention

...chemotherapy-induced peripheral neuropathy...

...endation 1.1Clinicians should assess the risks a...

...dation 1.2Clinicians should NOT offer, an...

...1.3Outside the context of a clinical trial, no re...

...dation 1.4Clinicians should NOT offer the follow...


Treatment

...reatmen...

...hemotherapy-induced peripheral neur...

...2.1Clinicians should assess, and disc...


...ent of chemotherapy-induced peripheral neuropathy...

...ion 3.1For cancer patients experiencing painful C...

Recommendation 3.2Outside the context of a clinica...


Summary of Recommendations

Summary of RecommendationsHaving trouble vi...