Evidence map›Paper›PMID 36680643›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

High patient satisfaction and increased physical activity following a remote multidisciplinary team multiple myeloma clinic.

Catherine S Y Lecat, Abigail Fisher, Maria Atta, Marquita Camilleri, Orla McCourt, Joanne Land, Sarah Worthington, Alyse Hart, Angela Daniel, Inayah Uddin and 3 more

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Multiple myeloma.Nature reviews. Disease primers · 2024
    Review
  3. Article
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

13 authors.

Catherine S Y LecatUniversity College London Cancer Institute, 72 Huntley Street, London, WC1E 6DD, UK. Catherine.lecat@nhs.net.ORCID http://orcid.org/0000-0001-9233-6967
Abigail FisherUniversity College London Institute of Epidemiology & Health Care, 1-19 Torrington Place, London, WC1E 7HB, UK.
Maria AttaImperial College Healthcare NHS Trust, Hammersmith Hospital, 72 Du Cane Road, London, W12 0HS, UK.
Marquita CamilleriUniversity College London Cancer Institute, 72 Huntley Street, London, WC1E 6DD, UK.
Orla McCourtUniversity College London Cancer Institute, 72 Huntley Street, London, WC1E 6DD, UK.
Joanne LandUniversity College London Institute of Epidemiology & Health Care, 1-19 Torrington Place, London, WC1E 7HB, UK.
Sarah WorthingtonUniversity College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Alyse HartUniversity College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Angela DanielImperial College Healthcare NHS Trust, Hammersmith Hospital, 72 Du Cane Road, London, W12 0HS, UK.
Inayah UddinUniversity College London Institute of Epidemiology & Health Care, 1-19 Torrington Place, London, WC1E 7HB, UK.
Charlotte RocheUniversity College London Institute of Epidemiology & Health Care, 1-19 Torrington Place, London, WC1E 7HB, UK.
Holger W AunerThe Hugh and Josseline Langmuir Centre for Myeloma Research, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Kwee YongUniversity College London Cancer Institute, 72 Huntley Street, London, WC1E 6DD, UK.

Funding

RM Partners 177569Takeda 19045
6 · The paper itself

Abstract

purposePatients with multiple myeloma suffer from disease-related complications such as bone destruction, toxicities from repeated therapies and age-related co-morbidities. With improved treatment options, patients are living longer and have specific survivorship needs such as low exercise levels that need to be addressed. In this study, we designed, implemented and evaluated a multidisciplinary team (MDT) myeloma clinic that provided participants with tailored exercise and lifestyle advice.

methodsThe Promoting Individualised Self-Management and Survivorship (PrISMS) clinic was set up in two UK myeloma centres. This remote MDT clinic comprised of a doctor, a nurse specialist and a physiotherapist. Patients were required to complete blood tests and a questionnaire about their symptoms and concerns before each consultation. Patient-reported outcome measures were captured using validated questionnaires. Patient feedback was collected using a specially designed survey and structured telephone interviews.

resultsSixty-one patients were enrolled in the pilot clinic with 210 consultations held during the study period. Nine patients had disease progression and were referred safely back to face-to-face clinics. There was a significant improvement in patients' exercise score (p = 0.02) after PrISMS clinic. Patient satisfaction was high, with 83% feeling more confident in self-managing myeloma after PrISMS clinic.

conclusionPrISMS clinic is safe and feasible, with high patient compliant and acceptability. It empowers patients to self-manage their condition and encourages physical activity, which is associated with improved quality of life and fatigue level. Future randomised controlled trials will help to confirm its benefits on patient clinical outcomes and cost-effectiveness.

Indexed as

Multiple MyelomaPatient SatisfactionExerciseHumansPatient Care TeamQuality of LifeMultidisciplinary teamMultiple myelomaPrISMS clinic

Identifiers

PMID36680643
PMCPMC9860216

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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.