Peripheral neuropathy associated with novel therapies in patients with multiple myeloma: consensus statement of the IMF Nurse Leadership Board.
The novel therapies thalidomide and bortezomib can cause peripheral neuropathy, a challenging adverse event that can affect quality of life and compromise optimal treatment for patients with multiple myeloma. At baseline, patients should be evaluated for signs and symptoms of peripheral neuropathy with a neurotoxicity assessment tool and educated about the symptoms and the importance of reporting them. Signs, symptoms, and the ability to perform activities of daily living should be evaluated regularly so that appropriate interventions can be employed if necessary. Specific management strategies for peripheral neuropathy are based on the grade of severity and on signs and symptoms; strategies include dose and schedule modifications, pharmacologic interventions, nonpharmacologic approaches, and patient education.
Tariman
Joseph D
JD
Biobehavioral Nursing and Health Systems Department, University of Washington, Seattle, USA. jtariman@u.washington.edu
Love
Ginger
G
McCullagh
Emily
E
Sandifer
Stacey
S
D000970:Antineoplastic Agents / Q000633:toxicity*; D032921:Consensus; D006801:Humans; D007857:Leadership; D009101:Multiple Myeloma / Q000188:drug therapy*; D010523:Peripheral Nervous System Diseases / Q000139:chemically induced* / Q000451:nursing; D012956:Societies, Nursing
D000970:Antineoplastic Agents