Patient-Reported Outcomes of Adverse Events After Perioperative Chemotherapy for Breast Cancer: A Prospective Observational Study

    October 2025
    Takaaki Fujii, Kei Ichiba, Mayu Aoki, Keiko Tanabe, Misato Ogino, Sayaka Obayashi, H Takei
    TLDR Some side effects of breast cancer chemotherapy last longer than others, and patient feedback can help improve care.
    This study evaluated patient-reported outcomes (PROs) of adverse events (AEs) in 116 breast cancer patients undergoing perioperative chemotherapy. Using a structured questionnaire, the study found that while gastrointestinal symptoms decreased 6 months post-chemotherapy, other AEs like peripheral sensory neuropathy, insomnia, and nail changes persisted. The anthracycline- and taxane-based regimen (A + T) was associated with higher rates of oral mucositis, neuropathy, and nail loss compared to the docetaxel/cyclophosphamide regimen (TC). The findings emphasize the importance of PROs in capturing persistent symptoms often underestimated in clinical practice and suggest that incorporating PRO-based questionnaires into follow-up care could enhance supportive management.
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