Toxicities and Quality of Life during Cancer Treatment in Advanced Solid Tumors

The purpose of the study was to identify subgroups of advanced cancer patients who experienced grade 3-4 toxicities as reported by their oncologists as well as identify the demographic, clinical, and treatment symptom characteristics as well as QoL outcomes associated with distinct profiles of each patient. A prospective, multicenter, observational study was conducted with advanced cancer patients of 15 different hospitals across Spain. After three months of systemic cancer treatment, participants completed questionnaires that evaluated psychological distress (BSI-18), quality of life (EORTC QLQ-C30) and fatigue (FAS). The most common tumor sites for the 557 cancer patients with a mean age of 65 years were bronchopulmonary, digestive, and pancreas. Overall, 19% of patients experienced high-grade toxicities (grade 3-4) during treatment. Patients with recurrent advanced cancer, with non-adenocarcinoma cancer, undergoing chemotherapy, and a showing deteriorated baseline status (ECOG > 1) were more likely to experience higher toxicity. Patients who experienced grade 3-4 toxicities during cancer treatment had their treatment suspended in 59% of the cases. Additionally, 87% of the patients had a dose adjustment or a cycle delayed in their treatment due to a high risk of dying during treatment. Future research should focus on identifying interventions to reduce high-grade toxicities and improve quality of life in cancer patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Current oncology (Toronto, Ont.) - 30(2023), 10 vom: 19. Okt., Seite 9205-9216

Sprache:

Englisch

Beteiligte Personen:

Lee, Eun Mi [VerfasserIn]
Jiménez-Fonseca, Paula [VerfasserIn]
Galán-Moral, Rocio [VerfasserIn]
Coca-Membribes, Sara [VerfasserIn]
Fernández-Montes, Ana [VerfasserIn]
Sorribes, Elena [VerfasserIn]
García-Torralba, Esmeralda [VerfasserIn]
Puntí-Brun, Laura [VerfasserIn]
Gil-Raga, Mireia [VerfasserIn]
Cano-Cano, Juana [VerfasserIn]
Calderon, Caterina [VerfasserIn]

Links:

Volltext

Themen:

Advanced cancer
Adverse effects
Journal Article
Multicenter Study
Observational Study
Quality of life
Research Support, Non-U.S. Gov't
Symptoms
Toxicities

Anmerkungen:

Date Completed 30.10.2023

Date Revised 01.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/curroncol30100665

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363796347