Evidence map›Paper›PMID 39422824›Full record

ArticleJournal of cancer survivorship : research and practice2026

Concordance between late effects reported by physicians and patients in a cohort of long-term Hodgkin lymphoma survivors: an analysis of data from nine consecutive EORTC-LYSA trials.

Sidsel J Juul, Sára Rossetti, Berthe M P Aleman, Flora E van Leeuwen, Marleen A E van der Kaaij, Francesco Giusti, Paul Meijnders, John M M Raemaekers, Hanneke C Kluin-Nelemans, Michele Spina and 7 more

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Sidsel J JuulDepartment of Oncology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark. sidsel.jacobsen.juul@regionh.dk.
Sára RossettiDepartment of Haematology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Berthe M P AlemanDepartment of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Flora E van LeeuwenDepartment of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marleen A E van der KaaijDepartment of Internal Medicine, Amstelland Hospital, Amstelveen, The Netherlands.
Francesco GiustiEORTC Headquarters, Brussels, Belgium.
Paul MeijndersDepartment of Radiation Oncology, Iridium Network, University of Antwerp, Antwerp, Belgium.
John M M RaemaekersDepartment of Haematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Hanneke C Kluin-NelemansDepartment of Haematology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Michele SpinaDivision of Medical Oncology and Immune-Related Tumors, IRCCS Centro Di Riferimento Oncologico Di Aviano (CRO), IRCCS, Aviano, Italy.
Daphne KrzischAP-HP, Hôpital Saint-Louis, Hemato-Oncologie, DMU DHI, Université de Paris, F-75010, Paris, France.
Camille BigenwaldDepartment of Haematology, Institute Gustave Roussy, Villejuif, France.
Aspasia StamatoullasDepartment of Haematology, Centre Henri Becquerel, Rouen, France.
Marc AndréDepartment of Haematology, CHU UCL NAMUR, Yvoir, Belgium.
Wouter J PlattelDepartment of Haematology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Martin HutchingsDepartment of Haematology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Maja V MaraldoDepartment of Oncology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies looking into the concordance between late effects reported by physicians vs. those reported by Hodgkin lymphoma (HL) survivors are missing.

methodsA Life Situation Questionnaire focusing on late effects collected data from 1230 HL survivors (median follow-up 14.3 years). Twenty-six disease- and treatment-related late effects from various organ systems were matched with physician-recorded data. The concordance between physicians and survivors was systematically evaluated using percentage agreement and kappa statistics. Potential non-responder biases and associations with patient and disease characteristics were also investigated.

resultsAgreement levels (indicated by kappa statistics) varied from none to moderate agreement, with the highest Kappa values observed for myocardial infarction (kappa = 0.55, 95% CI 0.43-0.66) and pulmonary embolism (kappa = 0.55, 95% CI 0.35-0.75). HL survivors consistently reported a higher prevalence of late effects compared with physicians. Notably, the prevalence of subjective symptoms such as persistent fatigue and xerostomia was repeatedly underreported by physicians. A trend towards higher concordance was observed in survivors with higher clinical stage, higher education level, and treatment initiated at younger ages. Additionally, findings indicated that survivors who did not respond to the questionnaire experienced fewer late effects compared to those who did respond.

conclusionsSubstantial discrepancies were noted in the reported prevalence of late effects between survivors and physicians, especially for outcomes which are not easily quantified. IMPLICATIONS FOR CANCER SURVIVORS: It is therefore essential to integrate outcomes reported by both physicians and survivors to achieve a comprehensive assessment of the long-term consequences of HL treatment.

Indexed as

Cancer SurvivorsHodgkin DiseasePhysiciansAdolescentAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesYoung AdultConcordanceHodgkin lymphomaLate effectsPatient-reported outcomesSurvivorship

Identifiers

PMID39422824
PMCPMC13144188

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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.