Indication for CTC Grading of Peripheral Neuropathy Questionnaire Sensory symptoms:

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Supplementary Table 2 - online only. Patient responses to all questions of the ICPNQ (n=156).
Indication for CTC Grading of Peripheral Neuropathy Questionnaire
Sensory symptoms:
Do you experience change in feeling during the
past week?
When touched
Numbness
Tingling
Changes in temperature sensation
Are you experiencing any pain (burning, stabbing, stinging
or cramping)?
The pain is intermittent
The pain is continuous
0
1
2
121 (77)
110 (71)
92 (59)
123 (79)
94 (60)
12 (8)
24 (15)
33 (21)
18 (12)
30 (19)
9 (6)
10 (6)
14 (9)
5 (3)
20 (13)
sum of places*
N (%)
3
4
4 (3)
8 (5)
8 (5)
6 (4)
7 (5)
5 (3)
0
5 (3)
0
2 (1)
5
6
3 (2)
3(2)
3 (2)
2 (1)
2 (2)
2 (1)
1 (1)
1 (1)
2 (1)
1 (1)
Yes
N(%)
48 (31)
20 (13)
Autonomic symptoms:
Are you experiencing changes in the
following function during the past week?
Yes
N(%)
Frequent urination
Difficulty holding urination or fully emptying
bladder
Sexual intercourse
Only for males: problems achieving an erection?
Only for females: Reduced lubrication during
arousal?
Constipation
Diarrhoea
Dizziness when standing up
Heart palpitations
Increased sweating
Reduced sweating
21 (14)
30 (19)
40 (36)
10 (22)
18 (12)
13 (8)
26 (17)
11 (7)
39 (25)
2 (1)
Motoric symptoms:
Are you experiencing a loss of muscle
strength during the past week?
No
N (%)
Lower or upper extremities
105 (67)
11 (7)
Lower and upper
extremities
23 (15)
sum of difficulties in activities*
N (%)
Are you experiencing any problems carrying
out the activities below during the past
week?
Self-care activities**
Instrumental activities***
0
1
2
3
4
5
6
126 (81)
124 (80)
16 (10)
17 (11)
5 (3)
3 (2)
5 (3)
6 (4)
0 (0)
5 (3)
1 (1)
1 (1)
3 (2)
Abbreviation: ICPNQ: Indication for Common Toxicity Criteria- grading of Peripheral Neuropathy Questionnaire.
*Sum of places ( toes, feet, lower legs, fingers, hands, lower forearms) were change in feeling is experienced during the past week, range 0-6.
** Sum of difficulties in Self-care activities: Dressing/undressing without assistance; washing unaided, washing and combining hair unaided; holding cutlery and eating unaided; walking
independently; opening/closing doors unaided; driving a car unaided.
***Count of difficulties in Instrumental activities: Using the telephone/computer keyboard; (un)buttoning a blouse; tie shoelaces; writing; preparing a meal
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