Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic
Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors’ PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and...
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| Veröffentlicht in: | Seminars in oncology nursing 2024-10, Vol.40 (5), p.151716, Article 151716 |
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| creator | Kang, Lixin Kadan-Lottick, Nina S. Rotatori, Jaime Kujawski, Sophia E. Messerschmidt, Emily Auerbach, Claudia Balsamo, Lyn M. Lustberg, Maryam B. Ma, Xiaomei Rodwin, Rozalyn L. |
| description | Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors’ PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and described characteristics of survivors who attended and did not attend PT.
Childhood cancer survivors |
| doi_str_mv | 10.1016/j.soncn.2024.151716 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3095174854</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0749208124001918</els_id><sourcerecordid>3095174854</sourcerecordid><originalsourceid>FETCH-LOGICAL-c239t-7893105fe60a164ebe06676fbf4376809a8f52c585d202d3668b54ac8f36d9863</originalsourceid><addsrcrecordid>eNp9UcuO0zAUtRCIKQNfgIS8ZJNi5-HYCxZVxWOkEVQwrC3Hvpm4SuxgO0X9Pn4MlwzsYHWlc89D9x6EXlKypYSyN8dt9E67bUnKeksb2lL2CG0ob3lR1bV4jDakrUVREk6v0LMYj4SUghHxFF1VgrKaMrJBPw8qJQguYt_jw3COVqsR3w0Q1HzGX6CHEDKgnMFfly7C9wVcwruscUY5DXg3eXeP94MdzeC9wfsLGjI5nOzJh4h_2DTkPUw-ra7FjTOLBoMPEOx8wUb8CZbgZ5WGM1YJqxx8b73Li38bD3bG-9E6q5-jJ70aI7x4mNfo2_t3d_uPxe3nDzf73W2hy0qkouWioqTpgRGVz4cOCGMt67u-rlrGiVC8b0rd8Mbkl5qKMd41tdK8r5gRnFXX6PXqOwef_xCTnGzUMI7KgV-irIjILdS8qTO1Wqk6-BgD9HIOdlLhLCmRl_bkUf5uT17ak2t7WfXqIWDpJjB_NX_qyoS3KwHymScLQUZtIf_F2AA6SePtfwN-AWxMsEs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3095174854</pqid></control><display><type>article</type><title>Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic</title><source>Elsevier ScienceDirect Journals</source><creator>Kang, Lixin ; Kadan-Lottick, Nina S. ; Rotatori, Jaime ; Kujawski, Sophia E. ; Messerschmidt, Emily ; Auerbach, Claudia ; Balsamo, Lyn M. ; Lustberg, Maryam B. ; Ma, Xiaomei ; Rodwin, Rozalyn L.</creator><creatorcontrib>Kang, Lixin ; Kadan-Lottick, Nina S. ; Rotatori, Jaime ; Kujawski, Sophia E. ; Messerschmidt, Emily ; Auerbach, Claudia ; Balsamo, Lyn M. ; Lustberg, Maryam B. ; Ma, Xiaomei ; Rodwin, Rozalyn L.</creatorcontrib><description>Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors’ PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and described characteristics of survivors who attended and did not attend PT.
Childhood cancer survivors <21 years old at cancer diagnosis and ≥2 years posttherapy, living in the United States, evaluated at a regional survivorship clinic were included in this retrospective analysis if they had motor CIPN. Symptomatic CIPN (≥grade 2 by Common Terminology Criteria for Adverse Events) and PT referral/attendance were tabulated. Patient characteristics from the medical record, and neighborhood characteristics (retrieved using survivors’ zip code from the National Neighborhood Data Archive) were described by group.
Among 91 survivors with CIPN (median 17.5 years old, 8.1 years postcancer diagnosis, 45.1% female), 35 (38.5%) had ≥ grade 2 CIPN. Survivors with ≥ grade 2 CIPN were 28.6% female, and 45.7% were <13 years old. Twenty-four (68.6%) survivors with ≥ grade 2 CIPN agreed to PT referral, and 15 (42.9%) attended PT. Among survivors who attended PT, 73.3% were <13 years old. Neighborhood characteristics of survivors included median percentage of adults without a high school diploma (6.7% PT attendees, 12.5% nonattendees), median percentage of adults who are foreign-born (11.5% PT attendees, 16.4% nonattendees), and median percentage of households with an annual income of <$15,000 (3.2% PT attendees, 6.5% nonattendees).
While 68.6% of survivors with ≥ grade 2 CIPN were referred to PT, only 42.9% attended. Studies to better understand barriers to PT attendance and interventions to improve attendance are needed, especially in older survivors.
Nurses can play a key role in survivor education and care coordination to help optimize PT attendance.</description><identifier>ISSN: 0749-2081</identifier><identifier>ISSN: 1878-3449</identifier><identifier>EISSN: 1878-3449</identifier><identifier>DOI: 10.1016/j.soncn.2024.151716</identifier><identifier>PMID: 39164160</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Chemotherapy-induced peripheral neuropathy ; Childhood cancer survivor ; Motor neuropathy ; Physical therapy</subject><ispartof>Seminars in oncology nursing, 2024-10, Vol.40 (5), p.151716, Article 151716</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c239t-7893105fe60a164ebe06676fbf4376809a8f52c585d202d3668b54ac8f36d9863</cites><orcidid>0000-0002-5243-3284</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749208124001918$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39164160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Lixin</creatorcontrib><creatorcontrib>Kadan-Lottick, Nina S.</creatorcontrib><creatorcontrib>Rotatori, Jaime</creatorcontrib><creatorcontrib>Kujawski, Sophia E.</creatorcontrib><creatorcontrib>Messerschmidt, Emily</creatorcontrib><creatorcontrib>Auerbach, Claudia</creatorcontrib><creatorcontrib>Balsamo, Lyn M.</creatorcontrib><creatorcontrib>Lustberg, Maryam B.</creatorcontrib><creatorcontrib>Ma, Xiaomei</creatorcontrib><creatorcontrib>Rodwin, Rozalyn L.</creatorcontrib><title>Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic</title><title>Seminars in oncology nursing</title><addtitle>Semin Oncol Nurs</addtitle><description>Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors’ PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and described characteristics of survivors who attended and did not attend PT.
Childhood cancer survivors <21 years old at cancer diagnosis and ≥2 years posttherapy, living in the United States, evaluated at a regional survivorship clinic were included in this retrospective analysis if they had motor CIPN. Symptomatic CIPN (≥grade 2 by Common Terminology Criteria for Adverse Events) and PT referral/attendance were tabulated. Patient characteristics from the medical record, and neighborhood characteristics (retrieved using survivors’ zip code from the National Neighborhood Data Archive) were described by group.
Among 91 survivors with CIPN (median 17.5 years old, 8.1 years postcancer diagnosis, 45.1% female), 35 (38.5%) had ≥ grade 2 CIPN. Survivors with ≥ grade 2 CIPN were 28.6% female, and 45.7% were <13 years old. Twenty-four (68.6%) survivors with ≥ grade 2 CIPN agreed to PT referral, and 15 (42.9%) attended PT. Among survivors who attended PT, 73.3% were <13 years old. Neighborhood characteristics of survivors included median percentage of adults without a high school diploma (6.7% PT attendees, 12.5% nonattendees), median percentage of adults who are foreign-born (11.5% PT attendees, 16.4% nonattendees), and median percentage of households with an annual income of <$15,000 (3.2% PT attendees, 6.5% nonattendees).
While 68.6% of survivors with ≥ grade 2 CIPN were referred to PT, only 42.9% attended. Studies to better understand barriers to PT attendance and interventions to improve attendance are needed, especially in older survivors.
Nurses can play a key role in survivor education and care coordination to help optimize PT attendance.</description><subject>Chemotherapy-induced peripheral neuropathy</subject><subject>Childhood cancer survivor</subject><subject>Motor neuropathy</subject><subject>Physical therapy</subject><issn>0749-2081</issn><issn>1878-3449</issn><issn>1878-3449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UcuO0zAUtRCIKQNfgIS8ZJNi5-HYCxZVxWOkEVQwrC3Hvpm4SuxgO0X9Pn4MlwzsYHWlc89D9x6EXlKypYSyN8dt9E67bUnKeksb2lL2CG0ob3lR1bV4jDakrUVREk6v0LMYj4SUghHxFF1VgrKaMrJBPw8qJQguYt_jw3COVqsR3w0Q1HzGX6CHEDKgnMFfly7C9wVcwruscUY5DXg3eXeP94MdzeC9wfsLGjI5nOzJh4h_2DTkPUw-ra7FjTOLBoMPEOx8wUb8CZbgZ5WGM1YJqxx8b73Li38bD3bG-9E6q5-jJ70aI7x4mNfo2_t3d_uPxe3nDzf73W2hy0qkouWioqTpgRGVz4cOCGMt67u-rlrGiVC8b0rd8Mbkl5qKMd41tdK8r5gRnFXX6PXqOwef_xCTnGzUMI7KgV-irIjILdS8qTO1Wqk6-BgD9HIOdlLhLCmRl_bkUf5uT17ak2t7WfXqIWDpJjB_NX_qyoS3KwHymScLQUZtIf_F2AA6SePtfwN-AWxMsEs</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Kang, Lixin</creator><creator>Kadan-Lottick, Nina S.</creator><creator>Rotatori, Jaime</creator><creator>Kujawski, Sophia E.</creator><creator>Messerschmidt, Emily</creator><creator>Auerbach, Claudia</creator><creator>Balsamo, Lyn M.</creator><creator>Lustberg, Maryam B.</creator><creator>Ma, Xiaomei</creator><creator>Rodwin, Rozalyn L.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5243-3284</orcidid></search><sort><creationdate>20241001</creationdate><title>Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic</title><author>Kang, Lixin ; Kadan-Lottick, Nina S. ; Rotatori, Jaime ; Kujawski, Sophia E. ; Messerschmidt, Emily ; Auerbach, Claudia ; Balsamo, Lyn M. ; Lustberg, Maryam B. ; Ma, Xiaomei ; Rodwin, Rozalyn L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c239t-7893105fe60a164ebe06676fbf4376809a8f52c585d202d3668b54ac8f36d9863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Chemotherapy-induced peripheral neuropathy</topic><topic>Childhood cancer survivor</topic><topic>Motor neuropathy</topic><topic>Physical therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Lixin</creatorcontrib><creatorcontrib>Kadan-Lottick, Nina S.</creatorcontrib><creatorcontrib>Rotatori, Jaime</creatorcontrib><creatorcontrib>Kujawski, Sophia E.</creatorcontrib><creatorcontrib>Messerschmidt, Emily</creatorcontrib><creatorcontrib>Auerbach, Claudia</creatorcontrib><creatorcontrib>Balsamo, Lyn M.</creatorcontrib><creatorcontrib>Lustberg, Maryam B.</creatorcontrib><creatorcontrib>Ma, Xiaomei</creatorcontrib><creatorcontrib>Rodwin, Rozalyn L.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in oncology nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Lixin</au><au>Kadan-Lottick, Nina S.</au><au>Rotatori, Jaime</au><au>Kujawski, Sophia E.</au><au>Messerschmidt, Emily</au><au>Auerbach, Claudia</au><au>Balsamo, Lyn M.</au><au>Lustberg, Maryam B.</au><au>Ma, Xiaomei</au><au>Rodwin, Rozalyn L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic</atitle><jtitle>Seminars in oncology nursing</jtitle><addtitle>Semin Oncol Nurs</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>40</volume><issue>5</issue><spage>151716</spage><pages>151716-</pages><artnum>151716</artnum><issn>0749-2081</issn><issn>1878-3449</issn><eissn>1878-3449</eissn><abstract>Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors’ PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and described characteristics of survivors who attended and did not attend PT.
Childhood cancer survivors <21 years old at cancer diagnosis and ≥2 years posttherapy, living in the United States, evaluated at a regional survivorship clinic were included in this retrospective analysis if they had motor CIPN. Symptomatic CIPN (≥grade 2 by Common Terminology Criteria for Adverse Events) and PT referral/attendance were tabulated. Patient characteristics from the medical record, and neighborhood characteristics (retrieved using survivors’ zip code from the National Neighborhood Data Archive) were described by group.
Among 91 survivors with CIPN (median 17.5 years old, 8.1 years postcancer diagnosis, 45.1% female), 35 (38.5%) had ≥ grade 2 CIPN. Survivors with ≥ grade 2 CIPN were 28.6% female, and 45.7% were <13 years old. Twenty-four (68.6%) survivors with ≥ grade 2 CIPN agreed to PT referral, and 15 (42.9%) attended PT. Among survivors who attended PT, 73.3% were <13 years old. Neighborhood characteristics of survivors included median percentage of adults without a high school diploma (6.7% PT attendees, 12.5% nonattendees), median percentage of adults who are foreign-born (11.5% PT attendees, 16.4% nonattendees), and median percentage of households with an annual income of <$15,000 (3.2% PT attendees, 6.5% nonattendees).
While 68.6% of survivors with ≥ grade 2 CIPN were referred to PT, only 42.9% attended. Studies to better understand barriers to PT attendance and interventions to improve attendance are needed, especially in older survivors.
Nurses can play a key role in survivor education and care coordination to help optimize PT attendance.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39164160</pmid><doi>10.1016/j.soncn.2024.151716</doi><orcidid>https://orcid.org/0000-0002-5243-3284</orcidid></addata></record> |
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| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Chemotherapy-induced peripheral neuropathy Childhood cancer survivor Motor neuropathy Physical therapy |
| title | Patterns of Physical Therapy Referral and Subsequent Attendance Among Childhood Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy at a Regional Childhood Cancer Survivorship Clinic |
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