Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: A systematic review and meta-analysis
Open accessAbstract
Chemotherapy-induced peripheral neuropathy (CIPN) is a disabling pain condition resulting from chemotherapy for cancer. Severe acute CIPN may require chemotherapy dose reduction or cessation. There is no effective CIPN prevention strategy; treatment of established chronic CIPN is limited, and the prevalence of CIPN is not known. Here we used a systematic review to identify studies reporting the prevalence of CIPN. We searched Embase, Medline, CAB Abstracts, CINAHL, PubMed central, Cochrane Library, and Web of Knowledge for relevant references and used random-effects meta-regression to estimate overall prevalence. We assessed study quality using the CONSORT and STROBE guidelines, and we report findings according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance. We provide a qualitative summary of factors reported to alter the risk of CIPN. We included 31 studies with data from 4179 patients in our analysis. CIPN prevalence was 68.1% (57.7-78.4) when measured in the first month after chemotherapy, 60.0% (36.4-81.6) at 3months and 30.0% (6.4-53.5) at 6months or more. Different chemotherapy drugs were associated with differences in CIPN prevalence, and there was some evidence of publication bias. Genetic risk factors were reported in 4 studies. Clinical risk factors, identified in 4 of 31 studies, included neuropathy at baseline, smoking, abnormal creatinine clearance, and specific sensory changes during chemotherapy. Although CIPN prevalence decreases with time, at 6months 30% of patients continue to suffer from CIPN. Routine CIPN surveillance during post-chemotherapy follow-up is needed. A number of genetic and clinical risk factors were identified that require further study.
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CIPN is a common cause for early cessation of cancer treatment and affects up to 70% of patients receiving chemotherapy.
“It is a common cause for early cessation of cancer treatment and affects up to 70% of patients receiving chemotherapy (Seretny et al, 2014).”
From The endogenous cannabinoid system: a budding source of targets for treating inflammatory and neuropathic pain (2018) · cites this paper as Seretny et al, 2014
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- Authors
- Seretny, M., Currie, G. L., Sena, E. S., Ramnarine, S., Grant, R., MacLeod, M. R., Colvin, L. A., & Fallon, M.
- Affiliations
- Western General Hospital (GB)
- University of Edinburgh (GB)
- Edinburgh Cancer Research (GB)
- Corresponding author
- Seretny, Marta
- ORCID
- Venue
- Pain
- Published
- 2014-12
- Volume
- 155
- Issue
- 12
- Pages
- 2461-2470
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2114458368
- Semantic Scholar
- 127f093e36189affa4d2efddcd0359fb0b4755c8
- Cited by
- 1,555
- References
- 69
- Citations by year
- 2026: 142 · 2025: 190 · 2024: 169 · 2023: 160 · 2022: 187 · 2021: 171 · 2020: 145 · 2019: 140 · 2018: 101 · 2017: 84 · 2016: 38 · 2015: 24 · 2014: 2
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- Wellcome Trust
- STMTI
- National Centre for the Replacement, Refinement and Reduction of Animals in Research
- Seventh Framework Programme
- Melville Trust
- Topics
- Health Sciences › Medicine › Oncology › Cancer Treatment and Pharmacology
- Health Sciences › Medicine › Dermatology › Chemotherapy-related skin toxicity
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chemotherapy-induced peripheral neuropathy, prevalence, incidence, risk factors, genetic risk factors, clinical risk factors, chemotherapy drugs, neuropathic pain, cancer chemotherapy
- MeSH terms
- Drug Therapy, Humans, Peripheral Nervous System Diseases, Predictive Value of Tests, Databases, Bibliographic, Drug-Related Side Effects and Adverse Reactions
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