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Preliminary Study to Develop an Instrument for Pattern Identification and Evaluation for Chemotherapy-induced Peripheral Neuropathy (CIPN)  

Park, Ji-hye (East West Cancer Center, Dunsan Korean Medicine Hospital of Dae-Jeon University)
Jung, In-chul (Dept. of Oriental Neuropsychiatry, College of Korean Medicine, Dae-Jeon University)
Lee, Suk-hoon (Dept. of Statistics, Chung-Nam National University)
Lee, Jin-sun (Dept. of Surgery, Chung-Nam National University Hospital)
Bae, Kyeo-re (East West Cancer Center, Dunsan Korean Medicine Hospital of Dae-Jeon University)
Cho, Chong-kwan (East West Cancer Center, Dunsan Korean Medicine Hospital of Dae-Jeon University)
Yoo, Hwa-seung (East West Cancer Center, Dunsan Korean Medicine Hospital of Dae-Jeon University)
Publication Information
The Journal of Internal Korean Medicine / v.37, no.1, 2016 , pp. 77-89 More about this Journal
Abstract
Objectives: The aim of this study was to develop a standard instrument of pattern identification and evaluation for chemotherapy-induced peripheral neuropathy (CIPN).Methods: The advisory committee for this study was organized by 12 professors of traditional Korean medicine from the Korean Association of Traditional Oncology. The items and structure of the instrument were designed based on a review of previous publications. We revised the instrument in consultation with the advisory committee and received additional advice via email.Results: We divided the symptoms and signs of CIPN into four pattern identifications: wind arthralgia (風痺), cold arthralgia (寒痺), dampness arthralgia (濕痺), and arthralgia of the deficiency type (虛痺). We obtained the mean weights to reflect the standard deviations from each symptom of the four pattern identifications, which were scored on a 5-point scale by the advisor committee. After we obtained the answers to discrimination between variable symptoms (變症) and ordinary symptoms (素症) from the 12 experts, we gained the final weight from the combination of the ratio of pattern identification to the number of total answers of the advisory committee and the mean weight.Conclusions: The Instrument on Pattern Identification and Evaluation for CIPN was developed through a discussion between 12 experts. There was a limitation that the validity and reliability of this instrument have not been proven. However, the significance of this study was that it is the first Instrument on Pattern Identification and Evaluation aimed at assessing CIPN in traditional Korean medicine.
Keywords
CIPN; instrument of pattern identification; instrument of evaluation; symptoms and signs;
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