Evidence map›Paper›PMID 36995091›Full record

ArticleBlood advances2023

Longitudinal patient-reported outcomes in patients receiving chimeric antigen receptor T-cell therapy.

P Connor Johnson, Tejaswini Dhawale, Richard A Newcomb, Hermioni L Amonoo, Mitchell W Lavoie, Dagny Vaughn, Kyle Karpinski, Areej El-Jawahri

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Quality of Life in CAR-T Cell Therapy.Hematology reports · 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

8 authors at 5 institutions in 1 country.

P Connor JohnsonDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA.ORCID 0000-0002-3943-6608
Tejaswini DhawaleDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA.ORCID 0000-0003-0163-2061
Richard A NewcombDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA.
Hermioni L AmonooHarvard Medical School, Boston, MA.ORCID 0000-0001-9136-9644
Mitchell W LavoieUniversity of Massachusetts Chan Medical School, Worchester, MA.
Dagny VaughnDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.ORCID 0000-0002-6086-5626
Kyle KarpinskiDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.ORCID 0000-0003-3306-2622
Areej El-JawahriDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA.
Harvard University · USBrigham and Women's Hospital · USMassachusetts General Hospital · USUniversity of Massachusetts Chan Medical School · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T-cell therapy (CAR-T) has transformed the treatment for relapsed/refractory hematologic malignancies; however, data on patient-reported outcomes in CAR-T are limited. We conducted a longitudinal study of adults with hematologic malignancies receiving CAR-T. We assessed quality of life (QOL; functional assessment of cancer therapy-general), psychological distress (hospital anxiety and depression scale, patient health questionnaire-9, posttraumatic stress disorder [PTSD] checklist), and physical symptoms (Edmonton symptom assessment scale-revised) at baseline, 1 week, 1, 3, and 6 months after CAR-T. We used linear mixed models to identify factors associated with QOL trajectory. We enrolled 103 of 142 eligible patients (3 did not receive CAR-T). QOL (B = 1.96; P < .001) and depression (B = -0.32; P = .001) worsened by 1 week and improved by 6 months after CAR-T. At 6 months, 18%, 22%, and 22% reported clinically significant depression, anxiety, and PTSD symptoms, respectively. At 1 week, 52% reported severe physical symptoms, declining to 28% at 6 months after CAR-T. In unadjusted linear mixed models, worse Eastern Cooperative Oncology Group performance status (B = 1.24; P = .042), receipt of tocilizumab (B = 1.54; P = .042), and receipt of corticosteroids for cytokine release syndrome and/or neurotoxicity (B = 2.05; P = .006) were associated with higher QOL trajectory. After CAR-T, QOL declined, and depression increased early, followed by improvements in QOL, psychological distress, and physical symptoms by 6 months after infusion. A significant minority of patients reported substantial psychological distress and physical symptoms longitudinally.

Indexed as

Hematologic NeoplasmsReceptors, Chimeric AntigenAdultCell- and Tissue-Based TherapyHumansLongitudinal StudiesNeoplasm Recurrence, LocalPatient Reported Outcome MeasuresQuality of LifeReceptors, Chimeric Antigen

Identifiers

PMID36995091
PMCPMC10368828
OpenAlexW4361279352

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.