Evidence map›Paper›PMID 32281034›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Real-world data of the association between quality of life using the EuroQol 5 Dimension 5 Level utility value and adverse events for outpatient cancer chemotherapy.

Chiemi Hirose, Hironori Fujii, Hirotoshi Iihara, Masashi Ishihara, Minako Nawa-Nishigaki, Hiroko Kato-Hayashi, Koichi Ohata, Kumiko Sekiya, Mika Kitahora, Nobuhisa Matsuhashi and 7 more

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Health utility book: A systematic review and meta-analysis of health utilities in gastric cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

17 authors.

Chiemi HiroseDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Hironori FujiiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan. h_fujii@gifu-u.ac.jp.
Hirotoshi IiharaDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Masashi IshiharaDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Minako Nawa-NishigakiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Hiroko Kato-HayashiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Koichi OhataDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Kumiko SekiyaDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Mika KitahoraDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Nobuhisa MatsuhashiDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Takao TakahashiDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Kumiko OkudaDivision of Nursing, Gifu University Hospital, Gifu, Japan.
Masayo NaruseDivision of Nursing, Gifu University Hospital, Gifu, Japan.
Takuma IshiharaGifu University Hospital Innovative and Clinical Research Promotion Center, Gifu University, Gifu, Japan.
Tadashi SugiyamaLaboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, Japan.
Kazuhiro YoshidaDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Akio SuzukiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutpatient cancer chemotherapy may lead to improved quality of life (QOL) by allowing treatment to continue without impairing the social lives of patients compared with hospitalization. However, the occurrence of serious adverse events may cause a decline in QOL. We investigated the relationship between outpatient chemotherapy-induced adverse events and QOL.

methodsA single-center retrospective descriptive study was conducted in patients who received outpatient chemotherapy at Gifu University Hospital (Gifu, Japan) between September 2017 and December 2018. The utility values of QOL, type and severity of adverse events, type of cancer, chemotherapy regimen, and other patient demographics were analyzed. Adverse events were graded according to the Common Terminology Criteria for Adverse Events, version 4.0. QOL was evaluated using the Japanese version of the EuroQol 5 Dimension 5 Level (EQ-5D-5L). Associations between the EQ-5D-5L utility value and serious adverse events were assessed using adjusted (age and sex) odds ratios obtained with a proportional odds logistic regression model.

resultsData from 1008 patients who received 4695 chemotherapy cycles were analyzed. According to proportional odds logistic regression, the adverse events that significantly correlated with a decreased EQ-5D-5L utility value were malaise, edema of the limbs, peripheral neuropathy, pruritus, and dry skin. Based on the proportional odds logistic analysis, neither cancer type nor anticancer drugs were significantly correlated with the EQ-5D-5L utility value in patients who received chemotherapy. Pharmaceutical care for peripheral neuropathy significantly improved patients' EQ-5D-5L utility value from 0.747 to 0.776 (P < 0.01).

conclusionsAdverse events (i.e., peripheral neuropathy, malaise, and edema of the limbs) are significantly correlated with a decrease in QOL, regardless of the type of cancer or anticancer drugs used. Pharmaceutical care provided by pharmacists in collaboration with physicians may improve QOL.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic AgentsFemaleHealth StatusHumansJapanMaleMiddle AgedNeoplasmsOutpatientsQuality of LifeRetrospective StudiesSurveys and QuestionnairesAntineoplastic AgentsChemotherapy-induced adverse eventsOutpatient cancer chemotherapyProportional odds logistic regression modelQuality of lifeRetrospective descriptive study

Identifiers

PMID32281034
PMCPMC7686000

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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.