Neuropathic Pain Affects Quality of Life in Breast Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy

• Published in: Pain management nursing Vol. 25; no. 3; pp. 308 - 315
• Main Authors: Jheng, You-Wun, Chan, Ya-Ning, Wu, Chih-Jung, Lin, Ming-Wei, Tseng, Ling-Ming, Wang, Ya-Jung
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2024
• Subjects: Adult; Aged; Antineoplastic Agents - adverse effects; Antineoplastic Agents - therapeutic use; Breast Neoplasms - complications; Breast Neoplasms - drug therapy; Breast Neoplasms - psychology; Cancer Survivors - psychology; Cancer Survivors - statistics & numerical data; Cross-Sectional Studies; Female; Humans; Middle Aged; Neuralgia - chemically induced; Neuralgia - psychology; Peripheral Nervous System Diseases - chemically induced; Peripheral Nervous System Diseases - complications; Peripheral Nervous System Diseases - psychology; Quality of Life - psychology; Surveys and Questionnaires; Taiwan; Taiwan
• ISSN: 1524-9042; 1532-8635; 1532-8635
• DOI: 10.1016/j.pmn.2023.12.013

Despite the significant impact of chemotherapy-induced peripheral neuropathy on the quality of life for breast cancer survivors, there is a notable lack of comprehensive research. Therefore, a crucial need exists for further systematic investigation and inquiry into this matter. This study examined predictors of quality of life in breast cancer survivors with chemotherapy-induced peripheral neuropathy. A cross-sectional, correlational design. This study was conducted at a medical center in northern Taiwan and a teaching hospital in northeastern Taiwan. One hundred and thirty adult women with breast cancer, who have undergone chemotherapy and obtained a Total Neuropathy Scale-Clinical Version score>0, were enrolled. Neuropathic pain, sleep disturbances, depression, and quality of life were evaluated using multiple regression analysis to identify quality of life predictors. Clinical importance was established using the minimally important difference of Functional Assessment of Cancer Therapy-Breast. The study indicated that improving depression (B = –10.87, p < .001) and neuropathic pain (B = –8.33, p = .004) may enhance the quality of life of breast cancer survivors with chemotherapy-induced peripheral neuropathy. Moreover, the individual's marital status and family history of breast cancer were identified as predictive factors. This study illuminates quality of life determinants for breast cancer survivors with chemotherapy-induced peripheral neuropathy, advocating comprehensive care and addressing depression and neuropathic pain for better outcomes.