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《中国化疗所致周围神经病变的诊断和治疗专家共识(2022年版)》

[Chinese expert consensus on the diagnosis and treatment of chemotherapy-induced peripheral neuropathy (2022 edition)].

出版信息

Zhonghua Zhong Liu Za Zhi. 2022 Sep 23;44(9):928-934. doi: 10.3760/cma.j.cn112152-20220213-00099.

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is a serious clinical problem and challenging for oncologists. CIPN is often a persistent adverse consequence of certain chemotherapeutic agents and more cancer survivors will experience CIPN leading to chronic pain and worsening quality of life. However, the available and effective strategies for clinical treatment of CIPN are very limited. Oncologists are frequently obliged to decrease or stop neurotoxic anticancer drugs, with a possible deleterious impact on the oncological prognostic. The challenges faced by CIPN include further study on the pathological mechanism, dose threshold, incidence, risk factors and clinical characteristics of CIPN; lack of diagnostic criteria and tools of CIPN; lack of effective and standardized CIPN prevention and treatment programs. The current update of research results on these challenging issues of CIPN will provide more decision-making evidence for oncologists to diagnose and treat CIPN. Therefore, Committee of Neoplastic Supportive-Care of China Anti-Cancer Association and Cancer Clinical Chemotherapy Committee of China Anti-Cancer Association convenes some experts to summarize the recent literatures and discuss to reach the consensus about recommendations for the definition, pathophysiological mechanism, assessment, prevention, and treatment of CIPN.

摘要

化疗引起的周围神经病变(CIPN)是一个严重的临床问题,对肿瘤学家来说具有挑战性。CIPN往往是某些化疗药物持续产生的不良后果,越来越多的癌症幸存者会经历CIPN,导致慢性疼痛和生活质量恶化。然而,目前用于CIPN临床治疗的有效策略非常有限。肿瘤学家常常不得不减少或停用具有神经毒性的抗癌药物,这可能会对肿瘤预后产生有害影响。CIPN面临的挑战包括对其病理机制、剂量阈值、发病率、危险因素和临床特征进行进一步研究;缺乏CIPN的诊断标准和工具;缺乏有效且标准化的CIPN预防和治疗方案。目前关于CIPN这些具有挑战性问题的研究结果更新,将为肿瘤学家诊断和治疗CIPN提供更多决策依据。因此,中国抗癌协会肿瘤支持治疗专业委员会和中国抗癌协会肿瘤临床化疗专业委员会召集了一些专家,总结近期文献并进行讨论,以就CIPN的定义、病理生理机制、评估、预防和治疗建议达成共识。

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