Evidence map›Paper›PMID 30155568›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Desmoid fibromatosis through the patients' eyes: time to change the focus and organisation of care?

Olga Husson, Eugenie Younger, Alison Dunlop, Lucy Dean, Dirk C Strauss, Charlotte Benson, Andy J Hayes, Aisha Miah, Winan van Houdt, Shane Zaidi and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04289077 (The Evaluation of Health-related Quality of Life Issues Experienced by Patients With Desmoid-type Fibromatosis), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
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.

NCT04289077 completednot on this mapstarted 2020, after this paper: background citation

The Evaluation of Health-related Quality of Life Issues Experienced by Patients With Desmoid-type Fibromatosis

TypeobservationalSponsorErasmus Medical CenterRan2020 to 2021Enrolled156ConditionsDesmoid Tumor, Desmoid-type FibromatosisArmsQuestionnaires
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 48 citations in OpenAlex.

  1. GOunder/Desmoid Tumor Research Foundation DEsmoid Symptom/Impact Scale (GODDESSQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Trial
  2. Nirogacestat, a γ-Secretase Inhibitor for Desmoid Tumors.The New England journal of medicine · 2023
    Trial
  3. Trial
  4. Expert opinion document on the management of desmoid tumours in adult patients in Spain.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  5. Review
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  11. Review
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  15. Article
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  17. Review
  18. Desmoid Tumors: A Comprehensive Review.Advances in therapy · 2023
    Review
  19. Article
  20. Article
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

14 authors at 1 institution in 1 country.

Olga HussonSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK. Olga.Husson@icr.ac.uk.ORCID http://orcid.org/0000-0002-1387-8686
Eugenie YoungerSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Alison DunlopSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Lucy DeanSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Dirk C StraussSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Charlotte BensonSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Andy J HayesSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Aisha MiahSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Winan van HoudtSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Shane ZaidiSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Myles SmithSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
John WilliamsDepartment of Anaesthetics and Pain Management, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Robin L JonesSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Winette T A van der GraafSarcoma Unit, Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Royal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDesmoid fibromatosis (DF) is a rare, unpredictable disease with no established, evidence-based treatments. Individual management is based on consensus algorithms. This study aimed to examine the specific health-related quality of life challenges faced by DF patients, current experiences and expectations of care.

methodsTwenty-seven DF patients were purposively sampled from The Royal Marsden Hospital. Two focus groups and 13 interviews (males 12, females 15; mean age at study 39.5 years) explored health-related quality of life issues and experiences of healthcare. Thematic content was analysed.

resultsDiscussions revealed four key themes (diagnostic pathway; treatment pathway; living with DF; supportive care). Diagnostic delay resulted from lack of recognition by patients and healthcare professionals. Some patients received an initial diagnosis of cancer, causing significant distress. Treatment decisions were challenging, and patients experienced uncertainty among clinicians about optimal therapies. Side-effects of treatment were severe, including fatigue, nausea, anorexia, low libido and depression. Pain was the most debilitating symptom and dependency on painkillers was a significant concern. Functional limitation and restricted mobility frequently affected daily activities. Patients experienced difficulty accomplishing their role in society; relationship problems, caring for children, employment and financial difficulties. Social isolation and lack of understanding were common. The psychological impact of this "life-changing and life-long" condition was profound. All patients requested knowledgeable healthcare professionals, more information, continuity of care and peer support.

conclusionsDF patients face complex physical, psychological and practical challenges. Comprehensive care services are needed. Increasing awareness may help to improve diagnostic pathways and overall patient experience.

Indexed as

AdultAgedDecision MakingDelayed DiagnosisDelivery of Health CareDepressionDesmoid TumorsEmpathyFatigueFemaleFocus GroupsHumansMaleMiddle AgedPainQuality of LifeDesmoid-type fibromatosisFunctional limitationHealth-related quality of lifePainSupportive care

Identifiers

PMID30155568
PMCPMC6373240
OpenAlexW2888865283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.