儿童癌症幸存者面临化疗引起的周围神经病变（CIPN）的风险。物理治疗 (PT) 可改善 CIPN 症状，但人们对幸存者对 PT 的利用知之甚少。我们描述了 CIPN ≥ 2 级的幸存者的特征，调查了 PT 转诊和就诊情况，并描述了参加和未参加 PT 的幸存者的特征。癌症诊断时年龄 <21 岁且治疗后≥2 年、居住在美国的儿童癌症幸存者如果各州患有运动性 CIPN，则将在区域生存诊所进行评估的州纳入本回顾性分析。将有症状的 CIPN（不良事件通用术语标准≥2 级）和 PT 转诊/就诊情况制成表格。按组描述病历中的患者特征和社区特征（使用国家社区数据档案中幸存者的邮政编码检索）。在 91 名 CIPN 幸存者中（中位年龄 17.5 岁，癌症诊断后 8.1 年，45.1% 为女性）， 35 名 (38.5%) 的 CIPN ≥ 2 级。 CIPN ≥ 2 级的幸存者中有 28.6% 为女性，45.7% 年龄<13 岁。 24 名（68.6%）CIPN ≥ 2 级的幸存者同意接受 PT 转诊，15 名（42.9%）参加了 PT。在参加 PT 的幸存者中，73.3% 的年龄<13 岁。幸存者的社区特征包括没有高中文凭的成年人百分比中位数（参加 PT 的 6.7%，不参加 12.5%）、外国出生的成年人百分比中位数（参加 PT 的 11.5%，不参加 16.4%）以及家庭百分比中位数年收入低于 15,000 美元（3.2% 参加 PT，6.5% 未参加）。虽然 68.6% ≥ 2 CIPN 的幸存者被转介至 PT，但只有 42.9% 参加。需要进行研究，以更好地了解 PT 出勤率的障碍以及提高出勤率的干预措施，特别是对于老年幸存者。护士可以在幸存者教育和护理协调中发挥关键作用，以帮助优化 PT 出勤率。版权所有 © 2024 Elsevier Inc. 保留所有权利。

Childhood cancer survivors are at risk for chemotherapy-induced peripheral neuropathy (CIPN). Physical therapy (PT) improves CIPN symptoms, but little is known about survivors' PT utilization. We described characteristics of survivors with ≥ grade 2 CIPN, investigated PT referral and attendance, and described characteristics of survivors who attended and did not attend PT.Childhood cancer survivors <21 years old at cancer diagnosis and ≥2 years posttherapy, living in the United States, evaluated at a regional survivorship clinic were included in this retrospective analysis if they had motor CIPN. Symptomatic CIPN (≥grade 2 by Common Terminology Criteria for Adverse Events) and PT referral/attendance were tabulated. Patient characteristics from the medical record, and neighborhood characteristics (retrieved using survivors' zip code from the National Neighborhood Data Archive) were described by group.Among 91 survivors with CIPN (median 17.5 years old, 8.1 years postcancer diagnosis, 45.1% female), 35 (38.5%) had ≥ grade 2 CIPN. Survivors with ≥ grade 2 CIPN were 28.6% female, and 45.7% were <13 years old. Twenty-four (68.6%) survivors with ≥ grade 2 CIPN agreed to PT referral, and 15 (42.9%) attended PT. Among survivors who attended PT, 73.3% were <13 years old. Neighborhood characteristics of survivors included median percentage of adults without a high school diploma (6.7% PT attendees, 12.5% nonattendees), median percentage of adults who are foreign-born (11.5% PT attendees, 16.4% nonattendees), and median percentage of households with an annual income of <$15,000 (3.2% PT attendees, 6.5% nonattendees).While 68.6% of survivors with ≥ grade 2 CIPN were referred to PT, only 42.9% attended. Studies to better understand barriers to PT attendance and interventions to improve attendance are needed, especially in older survivors.Nurses can play a key role in survivor education and care coordination to help optimize PT attendance.Copyright © 2024 Elsevier Inc. All rights reserved.