Evidence map›Paper›PMID 30920642›Full record

ArticleThe British journal of dermatology2020

Health-related quality of life and economic implications of cutaneous T-cell lymphoma.

Y R Semenov, A R Rosenberg, C Herbosa, N Mehta-Shah, A C Musiek

Abstract read
In one paragraph

Article in The British journal of dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Quality of life in patients with Mycosis Fungoides and Sézary Syndrome: a systematic review of the literature.Journal of the European Academy of Dermatology and Venereology : JEADV · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Y R SemenovWashington University School of Medicine, Division of Dermatology, St. Louis, MO, U.S.A.ORCID 0000-0002-7387-3094
A R RosenbergWashington University School of Medicine, Division of Dermatology, St. Louis, MO, U.S.A.ORCID 0000-0003-0785-5661
C HerbosaWashington University School of Medicine, Division of Dermatology, St. Louis, MO, U.S.A.ORCID 0000-0002-6859-5472
N Mehta-ShahWashington University School of Medicine, Siteman Cancer Center, St. Louis, MO, U.S.A.ORCID 0000-0001-5744-0670
A C MusiekWashington University School of Medicine, Division of Dermatology, St. Louis, MO, U.S.A.

Funding

Washington University Paul Calabresi K12 Career Development Award for Clinical OncologyK12CA167540 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio, Ramaswamy Govindan · 2012 to 2026
$11.7M
NCI NIH HHS K12 CA167540
6 · The paper itself

Abstract

backgroundCutaneous T-cell lymphoma (CTCL) has been associated with considerable physical, psychological and financial burden. However, its impact on health-related quality of life (QoL) and economic costs are not well studied.

objectivesTo measure the QoL impact and financial burden of CTCL.

methodsA cross-sectional survey of 67 patients with CTCL was conducted using the Ontario Health Utilities Index Mark 3 (HUI3) questionnaire. Normative population data (n = 3310) were obtained from the 2002-2003 Joint Canada/United States Survey of Health. Economic cost was estimated using quality-adjusted life-year (QALY) loss derived from HUI3 scores.

resultsPatients with CTCL had significantly lower aggregate HUI3 scores than the general population (0·68 vs. 0·87, P < 0·001). Multivariable regression analysis adjusting for demographics and comorbidities showed CTCL was associated with significantly poorer performance overall (-0·13, 95% CI -0·21 to -0·06, P < 0·001) and in domains of speech (-0·03, 95% CI -0·05 to -0·01, P = 0·01), ambulation (-0·04, 95% CI -0·08 to 0·00, P = 0·03), emotion (-0·07, 95% CI -0·12 to -0·02, P = 0·01), and pain (-0·07, 95% CI -0·13 to -0·01, P = 0·03). These health utility decrements yielded an average loss of 1·48 QALYs per patient. Using a $50 000 per QALY willingness-to-pay threshold, CTCL was associated with an individual lifetime burden of $73 889 and U.S. societal burden of $2·86 billion.

conclusionsThese findings suggest CTCL has a pervasive impact on QoL, comparable with debilitating conditions such as end-stage renal disease. The substantial economic burden of CTCL underscores the potential societal benefit of prompt diagnosis and effective management. What's already known about this topic? Cutaneous T-cell lymphoma is associated with physical, psychological and financial burden. What does this study add? The overall quality-of-life impact of cutaneous T-cell lymphoma has not previously been measured using a generic health utility instrument. In this study, we compare the overall quality-of-life burden of patients with cutaneous T-cell lymphoma with that of other populations and calculate the economic burden of the disease.

Indexed as

Lymphoma, T-Cell, CutaneousSkin NeoplasmsCanadaCross-Sectional StudiesHumansQuality-Adjusted Life YearsQuality of LifeUnited States

Identifiers

PMID30920642
PMCPMC7024588

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.