Kanbayashi Yuko, Ishikawa Takeshi, Tabuchi Yusuke, Sugatani Kazuko, Taguchi Tetsuya, Takayama Koichi
Department of Outpatient Oncology Unit, University Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Education and Research Center for Clinical Pharmacy, Faculty of Pharmacy, Osaka Medical and Pharmaceutical University, 4-20-1 Nasahara, Takatsuki, Osaka, 569-1094, Japan.
Support Care Cancer. 2025 May 17;33(6):478. doi: 10.1007/s00520-025-09527-1.
Chemotherapy-induced peripheral neuropathy (CIPN) is a significant complication of taxane-based chemotherapies that limits their clinical utility. This study evaluated the effectiveness of compression therapy using surgical gloves in preventing CIPN in various cancer types, including, but not limited to, breast cancer.
Data from 603 patients who underwent taxane-based chemotherapy at a single institution between April 2018 and January 2024 were retrospectively analyzed. Variables associated with CIPN development were extracted and analyzed using uni- and multivariate ordered logistic regression models.
Compression therapy was significantly associated with a reduced incidence of CIPN. Significant predictors of CIPN included lung cancer (odds ratio [OR] = 0.342, P = 0.003), number of chemotherapy cycles (OR = 1.015, P = 0.033), and use of surgical gloves (OR = 0.559, P = 0.003).
Compression therapy using simple, cost-effective surgical gloves appeared effective for preventing CIPN in a diverse cancer population undergoing taxane-based chemotherapy. The risk of CIPN increases with the number of chemotherapy cycles, and a lower incidence was observed among patients with lung cancer. These findings provide a foundation for future research aimed at improving patient quality of life during taxane-based chemotherapy.
化疗引起的周围神经病变(CIPN)是紫杉烷类化疗的一种重要并发症,限制了其临床应用。本研究评估了使用手术手套进行压迫疗法在预防包括但不限于乳腺癌在内的各种癌症类型的CIPN中的有效性。
回顾性分析了2018年4月至2024年1月在单一机构接受紫杉烷类化疗的603例患者的数据。使用单因素和多因素有序逻辑回归模型提取并分析与CIPN发生相关的变量。
压迫疗法与CIPN发病率降低显著相关。CIPN的显著预测因素包括肺癌(比值比[OR]=0.342,P=0.003)、化疗周期数(OR=1.015,P=0.033)和使用手术手套(OR=0.559,P=0.003)。
使用简单、经济有效的手术手套进行压迫疗法似乎对预防接受紫杉烷类化疗的不同癌症人群的CIPN有效。CIPN的风险随着化疗周期数的增加而增加,肺癌患者的发病率较低。这些发现为未来旨在提高紫杉烷类化疗期间患者生活质量的研究奠定了基础。