Evidence map›Paper›PMID 33739548›Full record

ArticlePsycho-oncology2021

Quality of life in caregivers of patients receiving chimeric antigen receptor T-cell therapy.

Anna Barata, Aasha I Hoogland, Kelly A Hyland, Amy K Otto, Anuhya Kommalapati, Reena V Jayani, Nathaly Irizarry-Arroyo, Aaron Collier, Yvelise Rodriguez, Taylor L Welniak and 7 more

Open access · greenAbstract read
In one paragraph

Article in Psycho-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-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.

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

14 citing papers in PubMed, 23 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Anna BarataDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0003-0297-5920
Aasha I HooglandDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0002-8691-8132
Kelly A HylandDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Amy K OttoDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Anuhya KommalapatiDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida, USA.
Reena V JayaniDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Nathaly Irizarry-ArroyoDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Aaron CollierDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Yvelise RodriguezDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Taylor L WelniakDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Margaret Booth-JonesDepartment of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA.
Jennifer LogueDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida, USA.
Brent J SmallSchool of Aging Studies, University of South Florida, Tampa, Florida, USA.
Michael D JainDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida, USA.
Maija ReblinDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0003-3108-465X
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida, USA.
Heather S L JimDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0001-7353-3711
Moffitt Cancer Center · USUniversity of South Florida · USVanderbilt University Medical Center · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentT32CA090314 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Vani N Simmons, SUSAN T VADAPARAMPIL · 2019 to 2026
$2.9M
Breaking immune tolerance to Survivin in Multiple MyelomaK23CA201594 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI LOCKE, FREDERICK · 2015 to 2019
$821k
NCI NIH HHS K23 CA201594NCI NIH HHS P30 CA076292NCI NIH HHS T32 CA090314
6 · The paper itself

Abstract

objectiveInformal family caregivers provide critical support for patients receiving chimeric antigen receptor (CAR) T-cell therapy. However, caregivers' experiences are largely unstudied. This study examined quality of life (QOL; physical functioning, pain, fatigue, anxiety, and depression), caregiving burden, and treatment-related distress in caregivers in the first 6 months after CAR T-cell therapy, when caregivers were expected to be most involved in providing care. Relationships between patients' clinical course and caregiver outcomes were also explored.

methodsCaregivers completed measures examining QOL and burden before patients' CAR T-cell therapy and at days 90 and 180. Treatment-related distress was assessed at days 90 and 180. Patients' clinical variables were extracted from medical charts. Change in outcomes was assessed using means and 99% confidence intervals. Association of change in outcomes with patient clinical variables was assessed with backward elimination analysis.

resultsA total of 99 caregivers (mean age 59, 73% female) provided data. Regarding QOL, pain was significantly higher than population norms at baseline but improved by day 180 (p < .01). Conversely, anxiety worsened over time (p < .01). Caregiver burden and treatment-related distress did not change over time. Worsening caregiver depression by day 180 was associated with lower patient baseline performance status (p < .01). Worse caregiver treatment-related distress at day 180 was associated with lower performance status, intensive care unit admission, and lack of disease response at day 90 (ps < 0.01).

conclusionsSome CAR T-cell therapy caregivers experience pain, anxiety, and burden, which may be associated patients' health status. Further research is warranted regarding the experience of CAR T-cell therapy caregivers.

Indexed as

Quality of LifeReceptors, Chimeric AntigenCaregiversCell- and Tissue-Based TherapyDepressionFemaleHumansImmunotherapy, AdoptiveMaleMiddle AgedReceptors, Chimeric Antigenadoptive immunotherapycancercaregiverschimeric antigen receptorspsycho-oncologyquality of life

Identifiers

PMID33739548
PMCPMC9828891
OpenAlexW3136045254

What OpenQuestion holds

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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.