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This research was conducted to evaluate the effect of electrostimulation and compression applications on the severity, number, and pain levels of neuropathy symptoms and the quality of life of patients with metastatic gastrointestinal cancer receiving oxaliplatin-based treatment in the management of chemotherapy-induced peripheral neuropathy.
The study population consisted of patients with gastrointestinal cancer between 2025-2026 . Data collection tools were administered to patients who met the inclusion criteria and developed chemotherapy-induced peripheral neuropathy. Patients were then stratified by age and gender and assigned to "control group, electrostimulation group, compression group, and electrostimulation+compression group" using block randomization. Statistical power analysis determined the total number of participants in the study as 140 patients, with 35 patients in each group. Patients in the control group benefited from the clinic's standard procedures and received no intervention
Data collection was carried out using the "Patient Demographic Form," the National Cancer Institute CTCAE v5.0 toxicity criteria, the EORTC QLQ-C30 General Quality of Life Scale, the EORTC QLQ-CIPN20 Chemotherapy-Induced Neuropathy Scale, and the Neuropathic Pain Assessment Scale (DN4). The measurement tools used in the study were administered a total of six times (in each cycle): "initial follow-up (2nd cycle, before intervention), 3rd cycle, 4th cycle, 5th cycle, 6th cycle, and 6th month." As a result of the interventions applied to the patients, statistically significant differences were found between the TENS, TENS+Compression, and Compression intervention groups compared to the Control group in terms of General Quality of Life, severity and number of symptoms due to peripheral neuropathy, and pain level (p<0.05). In conclusion, it can be said that TENS and Compression applications positively contribute to pain, symptom severity, and symptom number caused by peripheral neuropathy in gastrointestinal cancer patients who developed peripheral neuropathy due to oxaliplatin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| This study is a four-group study. The efficacy and severity of neuropathy will be compared in TENS, | Experimental | TENS |
|
| This study is a four-group study. The severity of neuropathy will be compared in Compression | Experimental | Compression |
|
| This study is a four-group study. The severity of neuropathy will be compared in TENS+Compression | Experimental | TENS+Compresion |
|
| This study is a four-group study. The severity of neuropathy will be compared in Control | Experimental | Control group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TENS | Device | This research was conducted to evaluate the effect of electrostimulation and compression applications on the severity, number, and pain levels of neuropathy symptoms and the quality of life of patients with metastatic gastrointestinal cancer receiving oxaliplatin-based treatment in the management of chemotherapy-induced peripheral neuropathy. |
| Measure | Description | Time Frame |
|---|---|---|
| EORTC QLQ-C30 Quality of Life Scale | EORTC QLQ-C30 Version 3.0 (European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 version 3.0) is a widely used scale for evaluating the quality of life of cancer patients, developed by Aaronson et al. (2017). The Cronbach's alpha coefficient of the scale was determined to be ≥ 0.70. EORTC QLQ-C30 consists of 3 sub-dimensions and a total of 30 questions. | 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| EORTC QLQ-CIPN20 | CIPN20, a patient self-report questionnaire aimed at supplementing the European Organisation for Cancer Research and Treatment (EORTC) quality of life questionnaire for cancer patients, was developed by Postma et al. (Postma et al., 2005). EORTC guidelines and issues related to CIPN were formulated after a literature review. EORTC CIPN20 (Appendix 3) provides information on CIPN-related symptoms and functional status of patients exposed to neurotoxic or neuroprotective agents. |
| Measure | Description | Time Frame |
|---|---|---|
| Toxicity Criteria CTCAE 5.0-NCI | Designed by the American National Cancer Institute (NCI), CTCAE 5.0 is used to identify and grade unwanted side effects in patients due to chemotherapy or other reasons. | 10 weeks |
Inclusion Criteria:
Exclusion Criteria:
Over 18 years of age
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| Name | Affiliation | Role |
|---|---|---|
| Şerife KARAGÖZOĞLU, Proff. | Cumhuriyet University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CumhuriyetU | Sivas | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38060077 | Result | Accordino MK, Lee S, Leu CS, Levin B, Trivedi MS, Crew KD, Kalinsky K, Raghunathan R, Faheem K, Harden E, Taboada A, de Oliveira BD, Larson E, Franks L, Honan E, Law C, Hershman DL. Randomized adaptive selection trial of cryotherapy, compression therapy, and placebo to prevent taxane-induced peripheral neuropathy in patients with breast cancer. Breast Cancer Res Treat. 2024 Feb;204(1):49-59. doi: 10.1007/s10549-023-07172-y. Epub 2023 Dec 7. |
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Personal information will not be shared. However, the study's measurement results will be shared.
February 2026 - January 2028
Study protocol, Clinical study report, Statistical Analysis
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| compression | Other | compression interventions |
|
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| TENS+Compression interventions | Device | In accordance with the glove size determination procedure and the TENS application procedure, TENS and compression applications were performed sequentially on both hands and both feet. Oxaliplatin treatment lasts a total of 120 minutes (2 hours). Accordingly, the study began with 60 minutes of TENS application, followed by 60 minutes of compression application. Applications continued from 30 minutes before the start of oxaliplatin treatment until 30 minutes after the end of treatment. This procedure was applied to participants with neuropathy grade >2 who were scheduled to receive a total of 6 chemotherapy cycles, repeated every 14 days, for each course of oxaliplatin treatment. |
|
| 10 weeks |
| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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