Qualitative and quantitative assessment of taste and smell changes in patients undergoing chemotherapy for breast cancer or gynecologic malignancies
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Qualitative and quantitative assessment of taste and smell changes in patients undergoing chemotherapy for breast cancer or gynecologic malignancies. / Steinbach, Silke; Hummel, Thomas; Böhner, Christina; Berktold, Sabina; Hundt, Walter; Kriner, Monika; Heinrich, Petra; Sommer, Harald; Hanusch, Claus; Prechtl, Anita; Schmidt, Burghart; Bauerfeind, Ingo; Seck, Katharina; Jacobs, Volker R; Schmalfeldt, Barbara; Harbeck, Nadia.
In: J CLIN ONCOL, Vol. 27, No. 11, 10.04.2009, p. 1899-905.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Qualitative and quantitative assessment of taste and smell changes in patients undergoing chemotherapy for breast cancer or gynecologic malignancies
AU - Steinbach, Silke
AU - Hummel, Thomas
AU - Böhner, Christina
AU - Berktold, Sabina
AU - Hundt, Walter
AU - Kriner, Monika
AU - Heinrich, Petra
AU - Sommer, Harald
AU - Hanusch, Claus
AU - Prechtl, Anita
AU - Schmidt, Burghart
AU - Bauerfeind, Ingo
AU - Seck, Katharina
AU - Jacobs, Volker R
AU - Schmalfeldt, Barbara
AU - Harbeck, Nadia
PY - 2009/4/10
Y1 - 2009/4/10
N2 - PURPOSE: Smell and taste changes during chemotherapy are significant complaints of cancer patients. Loss of olfactory/gustatory function can lead to malnutrition, weight loss, and possibly a prolonged morbidity of chemotherapy-induced adverse effects, decreased quality of life, poor compliance, and even decreased therapy response. This prospective study comprehensively investigated, to our knowledge for the first time, smell and taste changes in a cohort of 87 patients undergoing chemotherapy for breast cancer or gynecologic malignancies.PATIENTS AND METHODS: Olfactory function was tested using Sniffin' Sticks (Burghart; Wedel, Germany) and gustatory function was tested using taste strips before, during, and immediately and 3 months after chemotherapy.RESULTS: Olfactory and gustatory function significantly decreased during chemotherapy and recovered almost completely 3 months after chemotherapy. Scores of odor thresholds were affected more than those of discrimination or identification. The olfactory function of older patients was affected more than that of younger patients. There was no difference in the olfactory function during chemotherapy with respect to the chemotherapeutic agent or initial diagnosis (breast or ovarian cancer). Regarding taste, scores of salty taste were affected more than scores of sweet, sour, or bitter taste. The gustatory function did not differ significantly during chemotherapy with respect to age or diagnosis but did differ with respect to the chemotherapeutic agent. Taxane-based chemotherapy caused the most severe disorders.CONCLUSION: Chemotherapy has a significant but transient effect on olfactory and gustatory function, possibly causing reduced appetite, a low energy intake, and weight loss. Additional spices and flavoring may compensate for this diminished chemosensory function, enhancing patient compliance and quality of life.
AB - PURPOSE: Smell and taste changes during chemotherapy are significant complaints of cancer patients. Loss of olfactory/gustatory function can lead to malnutrition, weight loss, and possibly a prolonged morbidity of chemotherapy-induced adverse effects, decreased quality of life, poor compliance, and even decreased therapy response. This prospective study comprehensively investigated, to our knowledge for the first time, smell and taste changes in a cohort of 87 patients undergoing chemotherapy for breast cancer or gynecologic malignancies.PATIENTS AND METHODS: Olfactory function was tested using Sniffin' Sticks (Burghart; Wedel, Germany) and gustatory function was tested using taste strips before, during, and immediately and 3 months after chemotherapy.RESULTS: Olfactory and gustatory function significantly decreased during chemotherapy and recovered almost completely 3 months after chemotherapy. Scores of odor thresholds were affected more than those of discrimination or identification. The olfactory function of older patients was affected more than that of younger patients. There was no difference in the olfactory function during chemotherapy with respect to the chemotherapeutic agent or initial diagnosis (breast or ovarian cancer). Regarding taste, scores of salty taste were affected more than scores of sweet, sour, or bitter taste. The gustatory function did not differ significantly during chemotherapy with respect to age or diagnosis but did differ with respect to the chemotherapeutic agent. Taxane-based chemotherapy caused the most severe disorders.CONCLUSION: Chemotherapy has a significant but transient effect on olfactory and gustatory function, possibly causing reduced appetite, a low energy intake, and weight loss. Additional spices and flavoring may compensate for this diminished chemosensory function, enhancing patient compliance and quality of life.
KW - Adult
KW - Aged
KW - Antineoplastic Agents
KW - Breast Neoplasms
KW - Female
KW - Genital Neoplasms, Female
KW - Humans
KW - Middle Aged
KW - Olfaction Disorders
KW - Prospective Studies
KW - Taste Disorders
KW - Young Adult
U2 - 10.1200/JCO.2008.19.2690
DO - 10.1200/JCO.2008.19.2690
M3 - SCORING: Journal article
C2 - 19289621
VL - 27
SP - 1899
EP - 1905
JO - J CLIN ONCOL
JF - J CLIN ONCOL
SN - 0732-183X
IS - 11
ER -