Volume 70, Issue 11 e30634
BRIEF REPORT

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

Rozalyn L. Rodwin

Corresponding Author

Rozalyn L. Rodwin

Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA

Yale Cancer Center, New Haven, Connecticut, USA

Correspondence

Rozalyn. L Rodwin, Section of Pediatric Hematology/Oncology, Deparatment of Pediatrics, Yale School of Medicine, 330 Cedar Street, LMP 2073, PO Box 208064, New Haven, CT, 06520.

Email: [email protected]

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Natalie J. DelRocco

Natalie J. DelRocco

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

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Emily Hibbitts

Emily Hibbitts

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

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Meenakshi Devidas

Meenakshi Devidas

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

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Moira K. Whitley

Moira K. Whitley

Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA

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Caroline E. Mohrmann

Caroline E. Mohrmann

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

Goldfarb School of Nursing, St. Louis, Missouri, USA

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Reuven J. Schore

Reuven J. Schore

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

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

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Elizabeth Raetz

Elizabeth Raetz

Department of Pediatrics, NYU Langone Health, New York, New York, USA

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Naomi J. Winick

Naomi J. Winick

Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA

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Stephen P. Hunger

Stephen P. Hunger

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

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Mignon L. Loh

Mignon L. Loh

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

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Marilyn J. Hockenberry

Marilyn J. Hockenberry

Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA

School of Nursing, Duke University, Durham, North Carolina, USA

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Xiaomei Ma

Xiaomei Ma

Yale Cancer Center, New Haven, Connecticut, USA

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

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

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Anne L. Angiolillo

Anne L. Angiolillo

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

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

Servier Pharmaceuticals, Boston, Massachusetts, USA

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Kirsten K. Ness

Kirsten K. Ness

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

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John A. Kairalla

John A. Kairalla

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

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Nina S. Kadan-Lottick

Nina S. Kadan-Lottick

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

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First published: 17 August 2023
Citations: 1

Abstract

Chemotherapy-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.

CONFLICT OF INTEREST STATEMENT

Stephen P. Hunger owns common stock in Amgen and has received honoraria from Amgen, Jazz, and Servier. Anne L. Angiolillo is employed by Servier Pharmaceuticals.

DATA AVAILABILITY STATEMENT

De-identified data would be shared with written request to corresponding author, and would require detailed analysis plan, approval by the Children's Oncology Group Acute Lymphoblastic Leukemia Committee Chair, and data usage agreement.

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