Evidence map›Paper›PMID 34567289›Full record

ArticleCurrent therapeutic research, clinical and experimental2021

Non-Small Cell Lung Cancer Symptom Assessment Questionnaire: Psychometric Performance and Regulatory Qualification of a Novel Patient-Reported Symptom Measure.

Donald M Bushnell, Thomas M Atkinson, Kelly P McCarrier, Astra M Liepa, Kendra P DeBusk, Stephen Joel Coons, Patient-Reported Outcome Consortium's NSCLC Working Group

Registry-linked trialAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07631299 (Nebulized AER101 to Inhibit Glycolysis for Pre-Operative Non-small Cell Lung Cancer), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT07631299 early_phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Nebulized AER101 to Inhibit Glycolysis for Pre-Operative Non-small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorUniversity of OklahomaRan2026 to 2027Enrolled5ConditionsNon-small Cell Lung Cancer Stage I, Non-small Cell Lung Cancer Stage IIArmsAER101
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Meaningful change threshold estimation for the non-small cell lung cancer symptom assessment questionnaire (NSCLC-SAQ): psychometric analysis from a phase 3 trial (LIBRETTO-431).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial
  2. Patient-reported outcomes in non-small cell lung cancer: psychometric evaluation of the PROMIS PF-SF 8c and NSCLC-SAQ in two phase 3 clinical trials.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial
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  9. Osimertinib-chemotherapy synergy inTranslational cancer research · 2025
    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

7 authors.

Donald M BushnellPatient-Centered Research, Evidera, Seattle, Washington.
Thomas M AtkinsonMemorial Sloan Kettering Cancer Center, Patient-Reported Outcomes, Community-Engagement, and Language Core Facility, New York, New York.
Kelly P McCarrierPharmerit International, Patient-Centered Outcomes, Bethesda, Maryland.
Astra M LiepaEli Lilly and Company, Global Patient Outcomes and Real World Evidence, Indianapolis, Indiana.
Kendra P DeBuskSeattle Genetics, Global HEOR, Bothell, Washington.
Stephen Joel CoonsCritical Path Institute, Patient-Reported Outcome Consortium, Tucson, Arizona.
Patient-Reported Outcome Consortium's NSCLC Working Group

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) was developed to incorporate the patient's perspective into evaluation of clinical benefit in advanced non-small cell lung cancer trials and meet regulatory expectations for doing so. Qualitative evidence supported 7 items covering 5 symptom concepts.

objectiveThis study evaluated measurement properties of the NSCLC-SAQ's items, overall scale, and total score.

methodsIn this observational cross-sectional study, a purposive sample of patients with clinician-diagnosed advanced non-small cell lung cancer, initiating or undergoing treatment, provided sociodemographic information and completed the NSCLC-SAQ, National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lung Symptom Index (FLSI-17), and a Patient Global Impression of Severity item. Rasch analyses, factor analyses, and assessments of construct validity and reliability were completed.

resultsThe 152 participants had a mean age of 64 years, 57% were women, and 87% where White. The majority were Stage IV (83%), 51% had an Eastern Cooperative Oncology Group performance status of 1 (32% performance status 0 and 17% performance status 2), and 33% were treatment naïve. Rasch analyses showed ordered thresholds for response options. Factor analyses demonstrated that items could be combined for a total score. Internal consistency (Cronbach  α = 0.78) and test-retest reliability (intraclass correlation coefficient = 0.87) were quite satisfactory. NSCLC-SAQ total score correlation was 0.83 with the National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lung Symptom Index-17. The NSCLC-SAQ was able to differentiate between symptom severity levels and performance status (both

conclusionsThe NSCLC-SAQ generated highly reliable scores with substantial evidence of construct validity. The Food and Drug Administration's qualification supports the NSCLC-SAQ as a measure of symptoms in drug development. Further evaluation is needed on its longitudinal measurement properties and interepretation of meaningful within-patient score change. (Curr Ther Res Clin Exp. 2021; 82:XXX-XXX).

Indexed as

non–small-cell lung carcinomapatient reported outcome measurespsychometricssymptom assessment

Identifiers

PMID34567289
PMCPMC8449168

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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.