Evidence map›Paper›PMID 36662394›Full record

ArticleBreast cancer research and treatment2023

International development of a patient-centered core outcome set for assessing health-related quality of life in metastatic breast cancer patients.

K M de Ligt, B H de Rooij, E Hedayati, M M Karsten, V R Smaardijk, M Velting, C Saunders, L Travado, F Cardoso, E Lopez and 10 more

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Article in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Exploring the lived experiences of women with metastatic breast cancer and their HRQoL questionnaire preferences: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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

20 authors.

K M de LigtDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, PO Box 90203, 1006 BE, Amsterdam, The Netherlands. k.d.ligt@nki.nl.
B H de RooijDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
E HedayatiDepartment of Oncology-Pathology, Bioclinicum, Karolinska Institutet, Solna, Stockholm, Sweden.
M M KarstenDepartment of Gynecology with Breast Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
V R SmaardijkDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
M VeltingDutch Breast Cancer Patient Association (Borstkankervereniging Nederland), Utrecht, The Netherlands.
C SaundersDepartment of Surgery, Melbourne Medical School, Melbourne, Australia.
L TravadoBreast Unit, Champalimaud Clinical Center/Champalimaud Foundation, Lisbon, Portugal.
F CardosoBreast Unit, Champalimaud Clinical Center/Champalimaud Foundation, Lisbon, Portugal.
E LopezDepartment of Radiation Oncology, Vithas Hospital La Milagrosa, GenesisCare, Madrid, Spain.
N CarneyF.Hoffmann-La Roche Ltd, Basel, Switzerland.
Y WengströmDepartment of Oncology-Pathology, Bioclinicum, Karolinska Institutet, Solna, Stockholm, Sweden.
A IvesCancer and Palliative Care Research and Evaluation Unit, University of Western Australia, Crawley, WA, Australia.
G VelikovaLeeds Institute of Medical Research at St James's, St James's University Hospital, University of Leeds, Leeds, UK.
M D L Sousa FialhoInternational Consortium for Health Outcomes Measurement UK, London, UK.
Y SeidlerSection for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
T A StammSection for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
L B KoppertDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
L V van de Poll-FranseDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, PO Box 90203, 1006 BE, Amsterdam, The Netherlands.
Innovative Medicines Initiative - Health Outcomes Observatory (H2O) consortium

Funding

Innovative Medicines Initiative 2 Joint Undertaking 945345-2
6 · The paper itself

Abstract

purposeFor patients living with metastatic breast cancer (MBC), achieving best possible health-related quality of life, along with maximizing survival, is vital. Yet, we have no systemic way to determine if we achieve these goals. A Core Outcome Set (COS) that allows standardized measurement of outcomes important to patients, but also promotes discussing these outcomes during clinical encounters, is long overdue.

methodsAn international expert group (EG) of patient advocates, researchers, medical specialists, nurse specialists, and pharmaceutical industry representatives (n = 17) reviewed a list of relevant outcomes retrieved from the literature. A broader group (n = 141: patients/patient advocates (n = 45), health care professionals/researchers (n = 64), pharmaceutical industry representatives (n = 28), and health authority representatives (n = 4)) participated in a modified Delphi procedure, scoring the relevance of outcomes in two survey rounds. The EG finalized the COS in a consensus meeting.

resultsThe final MBC COS includes 101 variables about: (1) health-related quality of life (HRQoL, n = 26) and adverse events (n = 24); (2) baseline patient characteristics (n = 9); and (3) clinical variables (n = 42). Many outcome that cover aspects of HRQoL relevant to MBC patients are included, e.g. daily functioning (including ability to work), psychosocial/emotional functioning, sexual functioning, and relationship with the medical team.

conclusionThe COS developed in this study contains important administrative data, clinical records, and clinician-reported measures that captures the impact of cancer. The COS is important for standardization of clinical research and implementation in daily practice and has received accreditation by the International Consortium for Health Outcomes Measurement (ICHOM).

Indexed as

Breast NeoplasmsDelphi TechniqueFemaleHumansOutcome Assessment, Health CarePatient-Centered CareQuality of LifeResearch DesignTreatment OutcomeHealth-related quality of lifeMetastatic breast cancerOutcome measures

Identifiers

PMID36662394
PMCPMC10020292

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LicenceCC BY
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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.