Evidence map›Paper›PMID 33658769›Full record

ArticlePatient preference and adherence2021

Cancer Patients' Perspectives and Experiences of Chemotherapy-Induced Myelosuppression and Its Impact on Daily Life.

Robert S Epstein, Upal K Basu Roy, Matti Aapro, Tehseen Salimi, Donald Moran, JoAnn Krenitsky, Megan L Leone-Perkins, Cynthia Girman, Courtney Schlusser, Jeffrey Crawford

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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.

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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Review
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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

10 authors at 4 institutions in 2 countries.

Robert S EpsteinEpstein Health, LLC., Woodcliff Lake, NJ, USA.ORCID 0000-0001-5031-302X
Upal K Basu RoyLUNGevity Foundation, Bethesda, MD, USA.
Matti AaproClinique De Genolier, Genolier, Switzerland.
Tehseen SalimiG1 Therapeutics Ltd., Research Triangle Park, NC, USA.
Donald MoranG1 Therapeutics Ltd., Research Triangle Park, NC, USA.
JoAnn KrenitskyEpstein Health, LLC., Woodcliff Lake, NJ, USA.ORCID 0000-0002-9627-6727
Megan L Leone-PerkinsHealthiVibe, a Division of Corrona, LLC., Arlington, VA, USA.
Cynthia GirmanChapel Hill Consulting, LLC., Chapel Hill, NC, USA.
Courtney SchlusserUNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Jeffrey CrawfordDuke University Medical Center, Durham, NC, USA.
Triangle · USClinique de Genolier · CHDuke Medical Center · USLUNGevity Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate which side effects of chemotherapy are considered most burdensome by patients with cancer, identify which health care professionals pay most attention to symptoms associated with chemotherapy-induced myelosuppression (CIM) from the patient perspective, and capture the "patient voice" describing how CIM impacts their daily lives. PARTICIPANTS AND

methodsOnline survey of participants with breast, lung, or colorectal cancer who had received chemotherapy within the past 12 months and experienced ≥1 episode of CIM in the past year. Participants were asked to answer close-ended questions and provide qualitative responses to: "In your own words, please describe how side effects from myelosuppression have impacted your life."

resultsAmong 301 survey participants, fatigue was the most frequently reported side effect of chemotherapy; 55% of participants rated fatigue as highly bothersome (9 or 10 on a 1-10 scale of "bothersomeness"). Participants rated symptoms associated with CIM, including fatigue, weakened immune system (infections), bleeding and/or bruising, and shortness of breath, as being as bothersome as other side effects of chemotherapy, including alopecia, neuropathy, and nausea/vomiting. Overall, 24-43% of participants thought that CIM and its symptoms had a negative impact on their daily lives, including their ability to complete tasks at home and work, and to socialize. Qualitative responses supported these findings; participants highlighted that CIM-related symptoms, particularly fatigue and fear of infections, affected their ability to be physically active, complete work, or continue meaningful relationships with friends and family.

conclusionParticipants described a real-world impact of CIM that often isolates them from family and friends, and means that they are unable to work or perform tasks of daily living. Using measures that help patients to recognize and communicate the signs and symptoms of CIM might increase the likelihood of maintaining daily lives as close to normal as possible, during and after chemotherapy treatment.

Indexed as

cancerchemotherapymyelosuppressionpatient burdenquality of lifereal world

Identifiers

PMID33658769
PMCPMC7920579
OpenAlexW3132901969

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.