ALB and anemia: Of note, only 4% of participants presented with hypoalbuminemia in our study compared with 80% in the Vincenzi study, and with lower levels of diabetes and anemia, suggesting considerable differences in nutritional status and morbidity between cohorts.34 As albumin fluctuates postsurgery or with morbidity, it is difficult to determine its impact on CIPN in absence of other concomitant factors.