{
  "abstract": "Background and Purpose:: Chemotherapy-induced peripheral neuropathy (CIPN) affects up to 60% of cancer patients undergoing chemotherapy, yet current single-modality therapies yield limited efficacy. This project aimed to implement an evidence-based, interdisciplinary CIPN clinical pathway to increase advanced practice providers' (APPs') role understanding of the interdisciplinary team and referrals to the appropriate services.\n\nMethods:: An interdisciplinary CIPN clinical pathway was implemented using a prospective pre-test and post-test quality improvement design over 12 weeks. The project included 53 outpatient APPs who care for adult patients with CIPN. Pre- and post-education surveys, as well as electronic health record data abstraction, assessed APPs' role understanding, referral behavior, and the feasibility of the intervention.\n\nResults:: Post-intervention survey analysis yielded a statistically significant difference in APPs' role understanding median summary scores, from pre-test (19.00) to post-test (25.00) (Z = –4.228, p < .001). Electronic health record data revealed a clinically significant 43.48% increase in total patient referrals, with a statistically significant association between APP participation and the entry of one or more referrals to the appropriate services (X2(1, n = 31) = 7.86, p = .006). Lastly, the post-test Feasibility of Intervention Measure (FIM) mean summary score was 17.13.\n\nConclusion:: Implementing an evidence-based, interdisciplinary CIPN clinical pathway improved APPs' role understanding and referral behavior within an ambulatory oncology setting.\n\nImplications:: This intervention appears feasible and adaptable for similar clinical settings. Additional tailoring may be required based on organizational resources and workflows. Future work should evaluate patient-centered outcomes and long-term provider adherence.",
  "abstract_shown": true,
  "affiliations": [
    "From Memorial Sloan Kettering Cancer Center, New York, New York",
    "Johns Hopkins University School of Nursing, Baltimore, Maryland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kelly Preti"
    },
    {
      "affs": [
        1
      ],
      "name": "Rita D'aoust"
    },
    {
      "affs": [
        1
      ],
      "name": "Deborah Baker"
    },
    {
      "affs": [
        0
      ],
      "name": "Shila Pandey"
    },
    {
      "affs": [
        0
      ],
      "name": "Vivek Malhotra"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bgb658883b0z4.bib",
  "cited_by": 0,
  "doi": "10.6004/jadpro.2026.17.7.24",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13738195/",
  "id": "bgb658883b0z4",
  "issns": [
    "2150-0878",
    "2150-0886"
  ],
  "landing_url": "https://doi.org/10.6004/jadpro.2026.17.7.24",
  "language": "en",
  "licence": "CC-BY-NC-ND-3.0",
  "licence_label": "CC BY-NC-ND 3.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/3.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Quality Improvement"
    ],
    [
      "heading",
      "Research & Scholarship"
    ],
    [
      "openalex",
      "2730|Cancer Treatment and Pharmacology"
    ]
  ],
  "openalex": "W7211914095",
  "pdf_url": "https://jadpro.com/media/w3zodzpt/implementation-of-an-interdisciplinary-clinical-pathway-to-treat-cipn.pdf",
  "pmcid": "PMC13738195",
  "pmid": "42992145",
  "published": "2026-09-01",
  "publisher": "BroadcastMed LLC",
  "ris": "https://research.draconitic.com/paper/bgb658883b0z4.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:23:13Z",
      "native_id": "PMC13738195",
      "source": "pmc",
      "url": "https://doi.org/10.6004/jadpro.2026.17.7.24"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer Treatment and Pharmacology",
      "subfield": "oncology"
    }
  ],
  "title": "Implementation of an Interdisciplinary Clinical Pathway to Treat Chemotherapy-Induced Peripheral Neuropathy",
  "title_text": "Implementation of an Interdisciplinary Clinical Pathway to Treat Chemotherapy-Induced Peripheral Neuropathy",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:23:13Z",
  "url": "https://research.draconitic.com/paper/bgb658883b0z4",
  "venue": "Journal of the Advanced Practitioner in Oncology",
  "versions": []
}