Evidence map›Paper›PMID 30865917›Full record

ArticleJournal of the National Comprehensive Cancer Network : JNCCN2019

Patient Experiences With Oral Chemotherapy: Adherence, Symptoms, and Quality of Life.

Jamie M Jacobs, Molly E Ream, Nicole Pensak, Lauren E Nisotel, Joel N Fishbein, James J MacDonald, Joanne Buzaglo, Inga T Lennes, Steven A Safren, William F Pirl and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06696521 (A Prospective Analysis of Medication Adherence Comparing Televideo and Telephonic Modes of Longitudinal Monitoring and Utilization of a Standardized Educational Protocol), which is not on this map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
13.0field-weighted citation impact, top 1% 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.

NCT06696521 nacompletednot on this mapstarted 2021, after this paper: background citation

A Prospective Analysis of Medication Adherence Comparing Televideo and Telephonic Modes of Longitudinal Monitoring and Utilization of a Standardized Educational Protocol

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2021 to 2025Enrolled76ConditionsAdherence, Medication, CancerArmsIntervention A- Telephone, Intervention B- Televideo
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Self-care behaviors in patients with cancer treated with oral anticancer agents: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Trial
  5. A sequential multiple assignment randomized trial of symptom management for cancer survivors during treatment and their informal caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Wearable-derived postdischarge mobility as a digital biomarker for 90-day readmission and mortality in metastatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Patient symptoms, confidence, and adherence during the first 8 weeks of targeted oral anticancer agent treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  16. Comorbidity, treatment toxicity and satisfaction with cancer care: an international cross-sectional study based on the EORTC PATSAT-C33 and OUT-PATSAT7.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Jamie M JacobsMassachusetts General Hospital Cancer Center, and.
Molly E ReamMassachusetts General Hospital Cancer Center, and.
Nicole PensakAnschutz Medical Campus, University of Colorado, Denver, Colorado.
Lauren E NisotelHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Joel N FishbeinUniversity of Colorado at Boulder, Boulder, Colorado.
James J MacDonaldUniversity of California, Los Angeles, Los Angeles, California.
Joanne BuzagloCancer Support Community, Washington, DC.
Inga T LennesMassachusetts General Hospital Cancer Center, and.
Steven A SafrenUniversity of Miami, Miami, Florida; and.
William F PirlDana-Farber Cancer Institute, Boston, Massachusetts.
Jennifer S TemelMassachusetts General Hospital Cancer Center, and.
Joseph A GreerMassachusetts General Hospital Cancer Center, and.
Harvard University · USMassachusetts General Hospital · USCancer Support Community · USUniversity of California, Los Angeles · USUniversity of Colorado Boulder · USUniversity of Colorado Denver · USUniversity of Miami · US

Funding

Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
NIDA NIH HHS K24 DA040489Patient-Centered Outcomes Research Institute IHS-1306-03616
6 · The paper itself

Abstract

backgroundOral therapies are increasingly common in oncology care. However, data are lacking regarding the physical and psychologic symptoms patients experience, or how these factors relate to medication adherence and quality of life (QoL). MATERIALS AND

methodsFrom December 2014 through August 2016, a total of 181 adult patients who were prescribed oral targeted therapy or chemotherapy enrolled in a randomized study of adherence and symptom management at Massachusetts General Hospital Cancer Center. Patients completed baseline assessments of adherence with electronic pill cap, QoL, symptom severity, mood, social support, fatigue, and satisfaction with clinicians and treatment. Relationships among these factors were examined using Pearson product-moment correlations and multivariable linear regression.

resultsAt baseline, the mean electronic pill cap adherence rate showed that patients took 85.57% of their oral therapy. The most commonly reported cancer-related symptoms were fatigue (88.60%), drowsiness (76.50%), disturbed sleep (68.20%), memory problems (63.10%), and emotional distress (60.80%). Patients who reported greater cancer-related symptom severity had lower adherence (r= -0.20). In a multivariable regression, greater depressive and anxiety symptoms, worse fatigue, less social support, lower satisfaction with clinicians and treatment, and higher symptom burden were associated with worse QoL (F[10, 146]=50.53; adjusted R2=0.77). Anxiety symptoms were most strongly associated with clinically meaningful decrements in QoL (β= -7.10; SE=0.22).

conclusionsPatients prescribed oral therapies struggle with adherence, and cancer-related symptom burden is high and related to worse adherence and QoL. Given perceptions that oral therapies are less impairing, these data underscore the strong need to address adherence issues, symptom burden, and QoL for these patients.

Indexed as

Medication AdherenceQuality of LifeAdministration, OralAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsElectronic Health RecordsFemaleHealth Care SurveysHumansMaleMiddle AgedNeoplasmsRandomized Controlled Trials as TopicSocioeconomic Factors

Identifiers

PMID30865917
PMCPMC6626621
OpenAlexW2924141612

What OpenQuestion holds

Textmetadata
LicenceTDM
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.