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Article . 2025 . Peer-reviewed
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Two Scoring Tools to Estimate the Risk of Taxane-induced Peripheral Sensory Neuropathy (PNP) in Patients Irradiated for Non-metastatic Breast Cancer

Authors: Rades, Dirk; Bartscht, Tobias; Rody, Achim; Ballegaard, Martin;

Two Scoring Tools to Estimate the Risk of Taxane-induced Peripheral Sensory Neuropathy (PNP) in Patients Irradiated for Non-metastatic Breast Cancer

Abstract

Many patients with non-metastatic breast cancer assigned to radiotherapy already received taxane-based chemotherapy, often associated with peripheral neuropathy (PNP). Since treatment options are limited, identification of high-risk patients is important. Therefore, we developed two risk scores.Previously, we identified risk factors for moderate to severe PNP. Now, risk scores were developed including four (Score A=performance score, cardiovascular disease, smoking history, beta blocker medication) or five (Score B=plus autoimmune disease) factors, respectively. For each existing factor, patients received 1 point; three risk groups were formed.PNP rates using Score A were 11.1% (0 points), 37.5% (1-2 points), and 100% (3 points). Positive (PPV) and negative (NPV) predictive values were 100% and 88.9%. PNP rates using Score B were 7.4% (0 points), 33.8% (1-2 points), and 90.9% (3-4 points). PPV and NPV were 90.9% and 92.6%, respectively.Both risk scores provided high accuracy with respect to identification of patients with low or high risk of moderate to severe PNP.

Keywords

Adult, Bridged-Ring Compounds, Peripheral Nervous System Diseases/chemically induced, Taxoids/adverse effects, Bridged-Ring Compounds/adverse effects, Peripheral Nervous System Diseases, Breast Neoplasms, Breast Neoplasms/radiotherapy, Middle Aged, Risk Assessment, Risk Factors, Humans, Female, Taxoids, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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