학술논문

Incidence and risk factors associated with falls among women with breast cancer during taxane-based chemotherapy
Document Type
Academic Journal
Source
Supportive Care in Cancer. September, 2022, Vol. 30 Issue 9, p7499, 10 p.
Subject
Women
Oncology, Experimental
Chemotherapy
Cancer -- Chemotherapy -- Research
Breast cancer -- Risk factors
Language
English
ISSN
0941-4355
Abstract
Purpose This study aims to evaluate the falling incidence density and examine the potential risk factors associated with falling among women with breast cancer during taxane-based chemotherapy. Methods One hundred and twenty-three women with breast cancer participated in this study. The fall incidence density, taxane-induced peripheral neuropathy (TIPN) symptoms, and physical performance tests were evaluated at five time points throughout chemotherapy treatment. A fall diary was used to record fall incidence during treatment. The fall incidence density was calculated by dividing the number of first fall occurrences by person-time at risk. The risk factors associated with time to first fall were analyzed using the Cox proportional hazards model. The Kaplan-Meier curve illustrated the probability of survival from a fall during chemotherapy treatment. Results Over the course of treatment, 29 (23.58%) participants reported falls. The fall incidence density was 3 per 1000 person-day. This study discovered a significant link between age (adjusted HR (HR.sub.adj) = 1.07; 95% CI: 1.02-1.13) and BMI (HR.sub.adj = 1.11; 95% CI: 1.02-1.21) and falling. Conclusions Women with breast cancer could fall for the first time at any time after starting chemotherapy until the end of the follow-up period. Furthermore, time to first fall was associated with age and BMI. Early detection of falling in women with breast cancer, particularly among older persons and those with a high BMI, may be essential to preventing falls.
Author(s): Nida Rattanakrong [sup.1] [sup.2], Akkradate Siriphorn [sup.1], Sujitra Boonyong [sup.1] Author Affiliations: (1) grid.7922.e, 0000 0001 0244 7875, Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty [...]