Table 2.
Prevalence and Severity of Numbness/Tingling and Neuropathic Pain in Patients with Colorectal Cancer Relative to Other Cancer Types (Breast, Lung or Prostate)
| Variable (based on patient or clinician report) | Colorec | Others | |||
|---|---|---|---|---|---|
| No. of patients |
% | No. of patients |
% | P-value | |
| Numbness/tingling at initial assessment - patient | <0.001 | ||||
| <5 | 526 | 74.2 | 1966 | 82.9 | |
| ≥5 | 183 | 25.8 | 405 | 17.1 | |
| Numbness/tingling is the most severe symptom at initial assessment - patient a | <0.001 | ||||
| No | 512 | 72.2 | 1963 | 82.8 | |
| Yes | 197 | 27.8 | 408 | 17.2 | |
| Numbness/tingling is one of the top 3 symptoms at initial assessment - patient b | <0.001 | ||||
| No | 317 | 44.7 | 1413 | 59.6 | |
| Yes | 392 | 55.3 | 958 | 40.4 | |
| Numbness/tingling at follow-up – patient | <0.001 | ||||
| <5 | 495 | 74.4 | 1744 | 82.3 | |
| ≥5 | 170 | 25.6 | 376 | 17.7 | |
| Numbness/tingling is one of top 3 symptoms at initial assessment-clinician | <0.001 | ||||
| No | 538 | 74.9 | 2137 | 89.5 | |
| Yes | 180 | 25.1 | 251 | 10.5 | |
| Pain is one of the top 3 symptoms at initial assessmen -clinician | <0.001 | ||||
| No | 507 | 70.6 | 1512 | 63.3 | |
| Yes | 211 | 29.4 | 876 | 36.7 | |
| Neuropathic pain at initial assessment – clinician | 0.654 | ||||
| No | 544 | 91.3 | 1651 | 90.7 | |
| Yes | 52 | 8.7 | 170 | 9.3 | |
Patients reported the severity of 19 symptoms using the MDASI (numbness/tingling, pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, problem with remembering, lack of appetite, drowsy, dry mouth, sad, vomiting, diarrhea, constipation, sore mouth, skin rash, hair loss and coughing). There were many ties in the symptom scores (range: 0–10) reported by patients. As long as the numbness/tingling score was no smaller than the score for any other symptom, numbness/tingling was considered as the most severe symptom for the patient.
Patient-reported numbness/tingling was considered as one of the top 3 symptoms if the difference between the score for the most severe symptom and that for numbness/tingling was ≤ 2 points regardless of the existence of ties among symptoms.