Evidence map›Paper›PMID 40302697›Full record

ArticleActa oncologica (Stockholm, Sweden)2025

Development and the need for implementation of a health-related quality of life measurement strategy for patients with soft tissue sarcoma undergoing preoperative radiotherapy.

Geraldien Florine Foppele, Lisette M Wiltink, Marta Fiocco, Jules Lansu, Astrid N Scholten, Winan J Van Houdt, Yvonne Schrage, Winette T A Van der Graaf, Rick L M Haas, Olga Husson

Abstract read
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2025. 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. 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

10 authors.

Geraldien Florine FoppeleDepartment of Radiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Radiotherapy, Leiden University Medical Centre, Leiden, The Netherlands. f.foppele@nki.nl.
Lisette M WiltinkDepartment of Radiotherapy, Leiden University Medical Centre, Leiden, The Netherlands.
Marta FioccoMathematical Institute, University of Leiden, Leiden, The Netherlands; Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, The Netherlands; Princess Máxima Centre for Paediatric Oncology, Utrecht, The Netherlands.
Jules LansuDepartment of Radiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Radiotherapy, Haga Hospital, The Hague, The Netherlands.
Astrid N ScholtenDepartment of Radiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Winan J Van HoudtDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Yvonne SchrageDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Winette T A Van der GraafDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Medical Oncology, Erasmus MC Cancer Institute, Erasmus Medical Centre, Rotterdam, The Netherlands.
Rick L M HaasDepartment of Radiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Radiotherapy, Leiden University Medical Centre, Leiden, The Netherlands.
Olga HussonDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Public Health & Surgical Oncology, Erasmus Medical University Centre, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSoft tissue sarcomas (STS) are a rare and heterogeneous group of tumours. Treatment strategies are based on histological subtype, patient performance status, tumour location, and size. Common treatment modalities include surgery, (neo)adjuvant chemotherapy, and (neo)adjuvant radiotherapy. While disease control and survival remain primary research focuses, health-related quality of life (HRQoL) is equally important. Accurately assessing HRQoL outcomes is particularly difficult due to the heterogeneity of STS, variations in treatment, tumour location and surgical interventions, and the prevalence of these rare cancers. PATIENTS AND

methodsTo address this gap, a sarcoma-specific tool was developed complementing the most used cancer-generic EORTC QLQ-C30 questionnaire, with additional items tailored to the specific challenges of radiotherapy and surgery in sarcoma patients. The final questionnaire consists of the EQ-5D-5L, EORTC QLQ-C30, and additional EORTC Item Library items addressing stiffness, pain in muscles and bones, scar pain, as well as items of the PRO-CTCAE. The selection was made with significant input from patients with STS who underwent radiotherapy previously and with input from clinicians who were present at the multidisciplinary consultation. RESULTS AND

interpretationThe newly developed HRQoL tool is currently undergoing validation within the SCOPES trial (NTC04425967), evaluating HRQoL outcomes in patients undergoing standard versus hypofractionated radiotherapy. This tool will lead to better understanding the full impact of treatment on sarcoma patients and hopefully, ultimately improve their HRQoL. Moreover, it provides a standardized framework that can be utilized across studies, facilitating the comparison of HRQoL data and enabling more consistent and comprehensive insights into patient outcomes.

Indexed as

Quality of LifeSarcomaSoft Tissue NeoplasmsAdultFemaleHumansMaleMiddle AgedNeoadjuvant TherapyRadiotherapy, AdjuvantSurveys and Questionnaires

Identifiers

PMID40302697
PMCPMC12053518

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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.