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

You-Wun Jheng; Ya-Ning Chan; Chih-Jung Wu; Ming-Wei Lin; Ling-Ming Tseng; Ya-Jung Wang

doi:10.1016/j.pmn.2023.12.013

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

Pain Manag Nurs. 2024 Jan 25:S1524-9042(23)00250-3. doi: 10.1016/j.pmn.2023.12.013. Online ahead of print.

Authors

You-Wun Jheng¹, Ya-Ning Chan², Chih-Jung Wu³, Ming-Wei Lin⁴, Ling-Ming Tseng⁵, Ya-Jung Wang⁶

Affiliations

¹ From the Department of Nursing, Taichung Veterans General Hospital Taichung, Taiwan.
² Department of Population Health Sciences, Duke University, 215 Morris Street, Durham, NC 27701, USA. Electronic address: ya-ning.chan@duke.edu.
³ Department of Nursing, China Medical University, Taichung, Taiwan.
⁴ Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.
⁵ Department of Surgery, Veterans General Hospital-Taipei, Taipei, Taiwan.
⁶ Department of Nursing, Da-Yeh University, Dacun, Changhua, Taiwan. Electronic address: wangyj@mail.dyu.edu.tw.

PMID: 38278750
DOI: 10.1016/j.pmn.2023.12.013

Abstract

Background: 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.

Aims: This study examined predictors of quality of life in breast cancer survivors with chemotherapy-induced peripheral neuropathy.

Design: A cross-sectional, correlational design.

Settings: This study was conducted at a medical center in northern Taiwan and a teaching hospital in northeastern Taiwan.

Participants/subjects: 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.

Methods: 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.

Results: 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.

Conclusions: 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.