Validity of the Chemotherapy-induced Peripheral Neuropathy Self-Check Sheet
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- Miyoshi Yumiko
- Department of Nursing, Shimane University Hospital, Japan
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- Onishi Chie
- Department of Oncology/Hematology, Shimane University Hospital, Japan
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- Fujie Mifumi
- Department of Nursing, Shimane University Hospital, Japan
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- Senoo Naomi
- Department of Nursing, Shimane University Hospital, Japan
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- Wakatsuki Ritsuko
- Department of Nursing, Shimane University Hospital, Japan
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- Suzumiya Junji
- Department of Oncology/Hematology, Shimane University Hospital, Japan
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抄録
Objective Chemotherapy-induced peripheral neuropathy (CIPN) is a major dose-limiting side effect of some anti-cancer drugs. However, medical staff frequently encounter difficulties in ascertaining the severity of CIPN. We sought to develop a questionnaire in order to accurately assess CIPN. The validity of this questionnaire was compared with that of free-style interviews.<br> Methods We developed the CIPN self-check sheet by analyzing existing self-assessment tools for CIPN and matching the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) grades. From August to December 2011, 77 cancer patients participated in this study. In order to evaluate the validity of the CIPN self-check sheet compared with a free-style interview assessment, the cross-classification and κ coefficients between the CTCAE grades from each assessment and those from a comprehensive assessment were analyzed. The comprehensive assessment utilized information obtained from the medical examination, free-style interview and CIPN self-check sheet.<br> Results Upon completion of the study, 248 CIPN self-check sheets were collected (median number of sheets per patient, 3; range, 1-14). The cross-classification analysis illustrated that the CIPN self-check sheet successfully identified all grade 3 cases. The coefficient of the CIPN self-check sheet was significantly higher than that of the free-style interviews [κ values: 0.988 (p<0.01) and 0.501 (p<0.01) for the self-check sheet and interviews, respectively].<br> Conclusion The CIPN self-check sheet can be used to assess the severity of CIPN based on the CTCAE grade more accurately than free-style interviews.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (7), 737-742, 2015
一般社団法人 日本内科学会