Evidence map›Paper›PMID 32677021›Full record

ArticleJournal of patient-reported outcomes2020

Patient-reported quality-of-life outcomes in relation to provider-assessed adverse events during head and neck radiotherapy.

Joshua R Niska, Cameron S Thorpe, Michele Y Halyard, Angelina D Tan, Pamela J Atherton, Amylou C Dueck, Samir H Patel, Jeff A Sloan

Abstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

8 authors.

Joshua R NiskaDepartment of Radiation Oncology, Mayo Clinic, Phoenix, Arizona, USA.
Cameron S ThorpeDepartment of Radiation Oncology, Mayo Clinic, Phoenix, Arizona, USA.
Michele Y HalyardDepartment of Radiation Oncology, Mayo Clinic, Phoenix, Arizona, USA. mhalyard@mayo.edu.ORCID http://orcid.org/0000-0003-0998-4600
Angelina D TanDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Pamela J AthertonDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Amylou C DueckDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, Arizona, USA.
Samir H PatelDepartment of Radiation Oncology, Mayo Clinic, Phoenix, Arizona, USA.
Jeff A SloanDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the relationship between patient-reported quality-of-life (QOL) outcomes and provider-assessed adverse events (AEs) during head-and-neck (H&N) radiotherapy (RT).

methodsSixty-five patients undergoing H&N RT prospectively completed 12-domain linear analogue self-assessments (LASA) at baseline, before biweekly appointments, and at last week of RT. At the same time points, provider-assessed AEs were graded using Common Terminology Criteria for Adverse Events v4.0. LASA scores were stratified by maximum-grade AE and analyzed using Kruskal-Wallis methodology. Agreement between LASA scores and maximum-grade AE was assessed using Bland-Altman analysis.

resultsPatient-reported QOL outcomes showed clinically meaningful decreases in most domains, predominantly fatigue (77.8% of patients), social activity (75.4%), and overall QOL (74.2%). Provider-assessed AEs showed 100% grade 2 AE, 35.4% grade 3 AE, and 3.1% grade 4 AE. At baseline, patients with higher grade AEs reported worse physical well-being (WB) (P = .04). At week 1, the following QOL domains were worse for patients with higher grade AEs: overall QOL (P = .03), mental WB (P = .02), and physical WB (P = .03). Bland-Altman analysis showed that QOL scores were relatively worse than AE burden at baseline and relatively better at RT completion.

conclusionsWorse QOL was associated with higher-grade AEs at baseline and early in RT. The impact of AEs on QOL appears to lessen with time. Patient-reported QOL outcomes and provider-assessed AEs provide complementary information.

Indexed as

CancerHead and neck neoplasmsPatient reported outcome measuresQOLQuality-of-lifeRadiation oncologyRadiation therapyRadiotherapyRT

Identifiers

PMID32677021
PMCPMC7364694

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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.