Evidence map›Paper›PMID 32859662›Full record

Trial reportBMJ open2020

Quality of life and added value of a tailored palliative care intervention in patients with soft tissue sarcoma undergoing treatment with trabectedin: a multicentre, cluster-randomised trial within the German Interdisciplinary Sarcoma Group (GISG).

Leopold Hentschel, Stephan Richter, Hans-Georg Kopp, Bernd Kasper, Annegret Kunitz, Viktor Grünwald, Torsten Kessler, Jens Marcus Chemnitz, Uwe Pelzer, Ulrich Schuler and 6 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02204111 (Patient Directed Intervention Towards a Multidimensional Recommendation Guideline to Improve the Quality of Life for Patients With Soft Tissue Sarcoma Under Palliative Treatment With Trabectedin), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT02204111 completednot on this map

Patient Directed Intervention Towards a Multidimensional Recommendation Guideline to Improve the Quality of Life for Patients With Soft Tissue Sarcoma Under Palliative Treatment With Trabectedin

TypeobservationalSponsorGWT-TUD GmbHRan2014 to 2017Enrolled77ConditionsSoft Tissue SarcomaArmsIntervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Effectiveness of ePRO-based symptom management for cancer patients: a systematic review and meta-analysis of randomized controlled studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Palliative care outpatient interventions to limit aggressive care at end-of-life for patients with advanced soft tissue sarcomas.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. 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

16 authors at 9 institutions in 1 country.

Leopold HentschelDepartment of Psychooncology of the University Cancer Center (NCT/UCC), University Hospital Carl Gustav Carus, Dresden, Germany Leopold.Hentschel@uniklinikum-dresden.de.ORCID 0000-0002-5792-2079
Stephan RichterDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Hans-Georg KoppInterdisciplinary Center for Soft-Tissue-Sarcoma, GIST and Bone-Tumor, Robert-Bosch-Center of Tumor Diseases, Stuttgart, Germany.
Bernd KasperSarcoma Unit, Interdisciplinary Tumor Center, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Annegret KunitzInternal Medicine, Vivantes Clinic Spandau, Berlin, Germany.
Viktor GrünwaldInterdisciplinary Genitourinary Oncology/West-German Cancer Center, University Hospital Essen, Essen, Germany.
Torsten KesslerHematology Oncology, University Hospital of Münster, Münster, Germany.
Jens Marcus ChemnitzInternal Medicine, ev. Stift St. Martin, Koblenz, Germany.
Uwe PelzerDivision of Hematology, Oncology and Tumor Immunology, Charité Medical University, Berlin, Germany.
Ulrich SchulerUniversity Palliative Center, University Hospital Carl Gustav Carus, Dresden, Sachsen, Germany.
Janet FreitagDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Andrea SchillingDepartment of Social Work, University Hospital Carl Gustav Carus, Dresden, Sachsen, Germany.
Beate HornemannDepartment of Psychooncology of the University Cancer Center (NCT/UCC), University Hospital Carl Gustav Carus, Dresden, Germany.
Karin ArndtPatient Advocacy, Das Lebenshaus e.V, Wölfersheim, Germany.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Markus Kajo SchulerDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
University Hospital Carl Gustav Carus · DECharité - Universitätsmedizin Berlin · DEEssen University Hospital · DEGerman Cancer Research Center · DEHeidelberg University · DEHelios Klinikum Emil von Behring · DERobert Bosch (Germany) · DEUniversity Hospital Münster · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe choice of drug treatment in advanced soft tissue sarcoma (STS) continues to be a challenge regarding efficacy, quality of life (QoL) and toxicity. Unlike other cancer types, where integrating patient-reported outcomes (PRO) has proven to be beneficial for QoL, there is no such evidence in patients with STS as of now. The YonLife trial aimed to explore the effect of a tailored multistep intervention on QoL, symptoms and survival in patients with advanced STS undergoing treatment with trabectedin as well as identifying predictors of QoL.

designYonLife is a cluster-randomised, open-label, proof-of-concept study. The intervention incorporates electronic PRO assessment, a case vignette and expert-consented treatment recommendations.

participantsSix hospitals were randomised to the control arm (CA) or interventional arm (IA). Seventy-nine patients were included of whom 40 were analysed as per-protocol analysis set. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary end point was the change of Functional Assessment for Cancer Therapy (FACT-G) total score after 9 weeks. Secondary outcomes included QoL (FACT-G subscales), anorexia and cachexia (Functional Assessment of Anorexia/Cachexia Therapy (FAACT)), symptoms (MD Anderson Symptom Inventory (MDASI)), anxiety and depression (HADS), pain intensity and interference (Brief Pain Inventory (BPI)) and survival assessment.

resultsAfter 9 weeks of treatment, QoL declined less in the IA (ΔFACT-G total score: -2.4, 95% CI: -9.2 to 4.5) as compared with CA (ΔFACT-G total score: -3.9; 95% CI:-11.3 to 3.5; p

conclusionOur data suggest a potentially favourable effect of an electronic patient-reported outcomes based intervention on QoL that needs to be reappraised in confirmatory studies. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Identifier (NCT02204111).

Indexed as

SarcomaSoft Tissue NeoplasmsHumansPalliative CareQuality of LifeTrabectedinTrabectedincancer painquality in healthcaresarcoma

Identifiers

PMID32859662
PMCPMC7454199
OpenAlexW3081906046

What OpenQuestion holds

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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.