Evidence map›Paper›PMID 25647455›Full record

Trial reportGynecologic oncology2015

Perioperative trajectory of patient reported symptoms: a pilot study in gynecologic oncology patients.

Larissa A Meyer, Alpa M Nick, Qiuling Shi, Xin Shelley Wang, Loretta Williams, Tremaine Brock, Maria D Iniesta, Kelly Rangel, Karen H Lu, Pedro T Ramirez

Abstract readClinical Trial
In one paragraph

Trial report in Gynecologic oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Feasibility and acceptability of C-PRIME: A health promotion intervention for family caregivers of patients with colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  7. Article
  8. Article
  9. Patient-reported symptoms at discharge and risk of complications after gynecologic surgery.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Larissa A MeyerThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1). Electronic address: lmeyer@mdanderson.org.
Alpa M NickThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
Qiuling ShiThe University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
Xin Shelley WangThe University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
Loretta WilliamsThe University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
Tremaine BrockThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
Maria D IniestaThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
Kelly RangelThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
Karen H LuThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
Pedro T RamirezThe University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
UNIVERSITY OF TEXAS MD ANDERSON SPORE IN OVARIAN CANCERP50CA083639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BAST, ROBERT C · 1999 to 2015
$33.0M
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA083639
6 · The paper itself

Abstract

objectiveWith the growing focus on patient-centered care, patient reported outcomes (PROs) are becoming an important component to clinical trials and quality metrics. The objective of this study was to pilot the collection of patient reported symptom burden in women undergoing surgery in a gynecologic oncology practice.

methodsPerioperative patient reported symptom burden was measured for women undergoing laparotomy on the gynecologic oncology service at the University of Texas MD Anderson Cancer Center. Symptoms were assessed using the M.D. Anderson Symptom Inventory (MDASI-OC), a 27 item tool validated for use in patients with ovarian cancer. The MDASI-OC was administered as a preoperative baseline, daily while admitted to the hospital after surgery, twice a week on the first week after discharge and then weekly until 8 weeks postoperatively.

results29 patients were evaluable. Seventy-five percent of patients had a diagnosis of ovarian cancer. Of those patients, half underwent a primary debulking surgery and the other half had neoadjuvant chemotherapy prior to interval cytoreductive surgery. In the postoperative inpatient setting, the five symptoms with the highest overall burden were fatigue, pain, abdominal pain, dry mouth and drowsiness. Longitudinal change of the top 5 symptoms during hospitalization did not show any significant difference between those who had neoadjuvant chemotherapy and those who did not.

conclusionThe collection of longitudinal PROs to assess symptom burden is feasible in patients undergoing gynecologic oncology surgery. Patient reported outcomes are a crucial component of patient-centered research and the longitudinal collection and analysis of symptom burden can allow for more meaningful comparisons of surgical technique and perioperative care.

Indexed as

Cost of IllnessHealth Status IndicatorsPatient Outcome AssessmentQuality of LifeSelf ReportAdolescentAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansHysterectomyLinear ModelsMiddle AgedOvarian NeoplasmsPatient reported outcomesSurgerySymptom burden

Identifiers

PMID25647455
PMCPMC4711289

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.