Cisplatin-Associated Ototoxicity: A Review for the Health Professional

Cisplatin is an effective drug used in the treatment of many cancers, yet its ototoxic potential places cancer patients, exposed to this drug, at risk of hearing loss, thus negatively impacting further on a patient’s quality of life. It is paramount for health care practitioners managing such patien...

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Main Authors: Jessica Paken, Cyril D. Govender, Mershen Pillay, Vikash Sewram
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Toxicology
Online Access:http://dx.doi.org/10.1155/2016/1809394
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author Jessica Paken
Cyril D. Govender
Mershen Pillay
Vikash Sewram
author_facet Jessica Paken
Cyril D. Govender
Mershen Pillay
Vikash Sewram
author_sort Jessica Paken
collection DOAJ
description Cisplatin is an effective drug used in the treatment of many cancers, yet its ototoxic potential places cancer patients, exposed to this drug, at risk of hearing loss, thus negatively impacting further on a patient’s quality of life. It is paramount for health care practitioners managing such patients to be aware of cisplatin’s ototoxic properties and the clinical signs to identify patients at risk of developing hearing loss. English peer-reviewed articles from January 1975 to July 2015 were assessed from PubMed, Science Direct, and Ebscohost. Seventy-nine articles and two books were identified for this review, using MeSH terms and keywords such as “ototoxicity”, “cisplatin”, “hearing loss”, and “ototoxicity monitoring”. This review provides an up-to-date overview of cisplatin-associated ototoxicity, namely, its clinical features, incidence rates, and molecular and cellular mechanisms and risk factors, to health care practitioners managing the patient with cancer, and highlights the need for a team-based approach to complement an audiological monitoring programme to mitigate any further loss in the quality of life of affected patients, as there is currently no otoprotective agent recommended routinely for the prevention of cisplatin-associated ototoxicity. It also sets the platform for effective dialogue towards policy formulation and strengthening of health systems in developing countries.
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spelling doaj-art-d729a5974e0242eca8531742632b01952025-02-03T01:01:12ZengWileyJournal of Toxicology1687-81911687-82052016-01-01201610.1155/2016/18093941809394Cisplatin-Associated Ototoxicity: A Review for the Health ProfessionalJessica Paken0Cyril D. Govender1Mershen Pillay2Vikash Sewram3Discipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, South AfricaDiscipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, South AfricaDiscipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, South AfricaDiscipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, South AfricaCisplatin is an effective drug used in the treatment of many cancers, yet its ototoxic potential places cancer patients, exposed to this drug, at risk of hearing loss, thus negatively impacting further on a patient’s quality of life. It is paramount for health care practitioners managing such patients to be aware of cisplatin’s ototoxic properties and the clinical signs to identify patients at risk of developing hearing loss. English peer-reviewed articles from January 1975 to July 2015 were assessed from PubMed, Science Direct, and Ebscohost. Seventy-nine articles and two books were identified for this review, using MeSH terms and keywords such as “ototoxicity”, “cisplatin”, “hearing loss”, and “ototoxicity monitoring”. This review provides an up-to-date overview of cisplatin-associated ototoxicity, namely, its clinical features, incidence rates, and molecular and cellular mechanisms and risk factors, to health care practitioners managing the patient with cancer, and highlights the need for a team-based approach to complement an audiological monitoring programme to mitigate any further loss in the quality of life of affected patients, as there is currently no otoprotective agent recommended routinely for the prevention of cisplatin-associated ototoxicity. It also sets the platform for effective dialogue towards policy formulation and strengthening of health systems in developing countries.http://dx.doi.org/10.1155/2016/1809394
spellingShingle Jessica Paken
Cyril D. Govender
Mershen Pillay
Vikash Sewram
Cisplatin-Associated Ototoxicity: A Review for the Health Professional
Journal of Toxicology
title Cisplatin-Associated Ototoxicity: A Review for the Health Professional
title_full Cisplatin-Associated Ototoxicity: A Review for the Health Professional
title_fullStr Cisplatin-Associated Ototoxicity: A Review for the Health Professional
title_full_unstemmed Cisplatin-Associated Ototoxicity: A Review for the Health Professional
title_short Cisplatin-Associated Ototoxicity: A Review for the Health Professional
title_sort cisplatin associated ototoxicity a review for the health professional
url http://dx.doi.org/10.1155/2016/1809394
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AT cyrildgovender cisplatinassociatedototoxicityareviewforthehealthprofessional
AT mershenpillay cisplatinassociatedototoxicityareviewforthehealthprofessional
AT vikashsewram cisplatinassociatedototoxicityareviewforthehealthprofessional