Evidence map›Paper›PMID 41282220›Full record

ArticleResearch square2025

Trajectories of Patient-Reported Outcomes among Diverse Cancer Patients in Ambulatory Oncology Clinics.

Akina Natori, Blanca Silvia Noriega Esquives, Vandana D Sookdeo, Rui Gong, Jessica MacIntyre, Patricia I Moreno, Carmen Calfa, Tracy E Crane, Matthew Schlumbrecht, Frank J Penedo

Abstract readPreprint
In one paragraph

Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Akina NatoriUniversity of Miami.
Blanca Silvia Noriega EsquivesSylvester Comprehensive Cancer Center.
Vandana D SookdeoSylvester Comprehensive Cancer Center.
Rui GongUniversity of Miami.
Jessica MacIntyreSylvester Comprehensive Cancer Center.
Patricia I MorenoUniversity of Miami.
Carmen CalfaUniversity of Miami.
Tracy E CraneUniversity of Miami.
Matthew SchlumbrechtUniversity of Miami.
Frank J PenedoUniversity of Miami.

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Stephen D. Nimer · 2019 to 2026
$24.1M
Training to Reduce Burden across the Cancer Control Continuum (TRACC)T32CA251064 · NCI · UNIVERSITY OF MIAMI CORAL GABLES · PI ERIN N KOBETZ, Frank J Penedo · 2020 to 2026
$3.2M
NCI NIH HHS P30 CA240139NCI NIH HHS T32 CA251064
6 · The paper itself

Abstract

Purpose: Patient-reported outcomes (PROs) offer critical insights into cancer survivors' symptoms and health-related quality of life (HRQOL). This study evaluated longitudinal trajectories of PROs among cancer survivors across diverse cancer types and identified factors associated with symptom burden and HRQOL. Methods: We conducted a retrospective longitudinal observational study of 3,809 cancer survivors in ambulatory oncology clinics who completed electronic health record-integrated PRO assessments measuring anxiety, depression, pain interference, fatigue, and physical function, and HRQOL. Linear mixed-effect models evaluated PRO trajectories over time across seven common cancer types. Results: Survivors with gynecological cancers reported the highest symptom burden across multiple domains, particularly anxiety, pain interference, physical function, and fatigue. Male genital system cancer survivors consistently showed lower symptom burden and better HRQOL. Head and neck cancer survivors improved in pain interference, fatigue, physical function, and HRQOL over time compared to other cancer types, while gastrointestinal cancer survivors exhibited worsening HRQOL than hematologic and head and neck cancer survivors. Marital status and comorbidity burden were independent predictors for all PRO scores. Conclusions: PRO trajectories varied substantially by cancer types, underscoring the need for personalized, cancer-specific survivorship care strategies. Implications for Cancer Survivors: While standard follow-up may suffice for male genital system and head and neck cancer survivors, more intensive interventions may be required for gynecological and gastrointestinal cancer survivors to address persistent symptom burden. Routine, EHR-integrated PRO monitoring can identify cancer survivors at risk for persistent symptom burden, guiding timely, tailored interventions to improve long-term HRQOL.

Indexed as

Cancer SurvivorsHealth-Related Quality of LifeLongitudinal StudiesPatient-Reported Outcome Measures

Identifiers

PMID41282220
PMCPMC12633488

What OpenQuestion holds

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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.