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Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
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Chemotherapy-Induced Peripheral Neuropathy Detection via a Smartphone App: Cross-sectional Pilot Study.

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  • 1Department of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI, United States.

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Smartphone apps can feasibly assess chemotherapy-induced peripheral neuropathy (CIPN) using functional tests. Objective data from these apps may help monitor CIPN, improving patient care and quality of life.

Keywords:
9-Hole Peg Testbalancechemotherapy-induced peripheral neuropathygaitmobile healthsmartphone

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Area of Science:

  • Oncology
  • Neurology
  • Digital Health

Background:

  • Chemotherapy-induced peripheral neuropathy (CIPN) significantly impacts patients' quality of life and daily activities.
  • Current CIPN monitoring relies on subjective patient self-reports, lacking objective assessment.
  • Objective assessment is challenging due to specialized training and equipment requirements.

Purpose of the Study:

  • To evaluate the feasibility of using a smartphone application for objective functional assessment of CIPN.
  • To explore the potential of digital tools in monitoring neurotoxicity in cancer patients.

Main Methods:

  • A pilot study enrolled 26 cancer patients who received neurotoxic chemotherapy.
  • Participants completed subjective surveys (CIPN20, PRO-CTCAE) and objective functional tests (Gait and Balance, 9-Hole Peg Test) via the NeuroDetect smartphone app.
  • Data analysis involved partial least squares to identify distinguishing features between CIPN cases and controls.

Main Results:

  • CIPN cases exhibited significantly shorter step length and distinct gait patterns compared to controls.
  • Objective functional assessments revealed differences in manual dexterity in dominant hands.
  • Exploratory analysis indicated associations between functional features and specific symptom subtypes and patient-reported outcomes.

Conclusions:

  • Smartphone-based functional assessments are feasible for remote CIPN monitoring.
  • Objective data from apps can potentially identify CIPN manifestations in hands and feet.
  • Further research is needed to refine functional assessments for clinical CIPN monitoring.