Assessment of proxy‐reported responses as predictors of motor and sensory peripheral neuropathy in children with B‐lymphoblastic leukemia

Author:

Rodwin Rozalyn L.12ORCID,DelRocco Natalie J.3,Hibbitts Emily3,Devidas Meenakshi4,Whitley Moira K.1,Mohrmann Caroline E.56ORCID,Schore Reuven J.78ORCID,Raetz Elizabeth9ORCID,Winick Naomi J.10ORCID,Hunger Stephen P.11,Loh Mignon L.12ORCID,Hockenberry Marilyn J.1314,Ma Xiaomei21516,Angiolillo Anne L.7817,Ness Kirsten K.18ORCID,Kairalla John A.3,Kadan‐Lottick Nina S.19

Affiliation:

1. Department of Pediatrics Yale School of Medicine New Haven Connecticut USA

2. Yale Cancer Center New Haven Connecticut USA

3. Department of Biostatistics, Colleges of Medicine and Public Health & Health Professions University of Florida Gainesville Florida USA

4. Department of Global Pediatric Medicine St. Jude Children's Research Hospital Memphis Tennessee USA

5. Department of Pediatrics Washington University School of Medicine St. Louis Children's Hospital St. Louis Missouri USA

6. Goldfarb School of Nursing St. Louis Missouri USA

7. Center of Cancer and Blood Disorders Children's National Health System Washington District of Columbia USA

8. George Washington University School of Medicine and Health Sciences Washington District of Columbia USA

9. Department of Pediatrics NYU Langone Health New York New York USA

10. Department of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USA

11. Department of Pediatrics and the Center for Childhood Cancer Research Children's Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA

12. Division of Pediatric Hematology Oncology Bone Marrow Transplant and Cellular Therapy, Seattle Children's Hospital and the Ben Towne Center for Childhood Cancer Research University of Washington Seattle Washington USA

13. Department of Pediatrics Baylor College of Medicine Houston Texas USA

14. School of Nursing Duke University Durham North Carolina USA

15. Department of Chronic Disease Epidemiology Yale School of Public Health New Haven Connecticut USA

16. Cancer Outcomes, Public Policy and Effectiveness Research (COPPER) Center Yale University New Haven Connecticut USA

17. Servier Pharmaceuticals Boston Massachusetts USA

18. Department of Epidemiology and Cancer Control St. Jude Children's Research Hospital Memphis Tennessee USA

19. Cancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USA

Abstract

AbstractChemotherapy‐induced peripheral neuropathy (CIPN), a common condition in children with acute lymphoblastic leukemia, can be challenging to diagnose. Using data from Children's Oncology Group AALL0932 physical function study, we sought to determine if parent/guardian proxy‐reported responses from the Pediatric Outcomes Data Collection Instrument could identify children with motor or sensory CIPN diagnosed by physical/occupational therapists (PT/OT). Four variables moderately discriminated between children with and without motor CIPN (c‐index 0.76, 95% confidence interval [CI]: 0.64–0.84), but sensory and optimism‐corrected models had weak discrimination (c‐index sensory models 0.65, 95% CI: 0.54–0.74). New proxy‐report measures are needed to identify children with PT/OT diagnosed CIPN.

Funder

National Institutes of Health

Robert E. Leet and Clara Guthrie Patterson Trust

Yale Center for Clinical Investigation, Yale School of Medicine

Doris Duke Charitable Foundation

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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