Evidence map›Paper›PMID 41940734›Full record

ArticlePsycho-oncology2026

Identifying Longitudinal Trajectories of Quality of Life and Associated Risk and Protective Factors Among Cancer Patients.

Jiwon Kim, Karen Llave, Maja Kuharic, Nicola Lancki, Kathryn Jackson, Kimberly A Webster, David Cella

Abstract read
In one paragraph

Article in Psycho-oncology, 2026. 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
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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

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

7 authors.

Jiwon KimDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-4579-8098
Karen LlaveDepartment of Population Health & Disease Prevention, University of Calinfornia, Irvine, California, USA.ORCID https://orcid.org/0000-0002-9703-7218
Maja KuharicDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Nicola LanckiDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Kathryn JacksonDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Kimberly A WebsterDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
David CellaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Implementation and Evaluation of an Expanded Bilingual Electronic Symptom Management Program across a Multi-site, Fully-integrated Comprehensive Cancer CenterUM1CA233035 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2018 to 2021
$8.1M
NCATS NIH HHS UL1TR001422NCI NIH HHS UM1CA233035
6 · The paper itself

Abstract

objectiveThe 7-item Functional Assessment of Cancer Therapy-General (FACT-G7) is a validated, brief measure of health-related quality of life (QoL) used in oncology settings. While many conceptualize QoL as a static trial endpoint, growing evidence underscores its dynamic nature over time to inform point-of-care interventions. Grounded in the Wilson and Cleary model, this study aims to (1) identify distinct trajectories of QoL over a 12-month period using FACT-G7, and (2) incorporate clinical, mental health, sociodemographic, and healthcare system related factors to uncover risk and protective factors that shape patients' QoL trajectories.

methodsUsing FACT-G7 scores over a 12-month period from a sample of 4104 cancer patients (aged 19-92, M = 60.50, SD = 12.95) receiving cancer treatment, growth mixture modeling was fitted to identify subgroups of QoL trajectories. Multinomial logistic regression was conducted to examine the predictors of class membership.

resultsResults revealed a three-class model provided optimal fit: high QoL (40.1%), average QoL (40.3%), and low QoL (19.6%). Psychosocial factors - particularly loneliness (OR = 1.70, 95% CI:1.35-2.13) and financial difficulties (OR = 1.47, 95% CI:1.27-1.71) - strongly predicted membership in the low QoL trajectory. Clinical factors, including comorbidities (Charlson Comorbidity Index; CCI) and symptom burden severity (PRO-CTCAE), were associated with poorer QoL trajectories, with insomnia and nausea demonstrating the strongest negative effects. Conversely, higher satisfaction with cancer care and cancer-related self-efficacy were protective factors associated with higher QoL trajectories.

conclusionsThe findings identify modifiable risk and protective factors that can inform targeted early interventions to improve long-term QoL outcomes across the cancer care continuum.

Indexed as

NeoplasmsQuality of LifeAdultAgedAged, 80 and overFemaleHumansLonelinessLongitudinal StudiesMaleMiddle AgedProtective FactorsRisk FactorsSurveys and QuestionnairesYoung AdultcancerFACT‐G7longitudinal studiesoncologyprotective factorsquality of liferisk factors

Identifiers

PMID41940734
PMCPMC13051762

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LicenceCC BY
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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.