Physical function patient-reported outcomes among adolescent and young adult cancer survivors : A systematic review

© 2024 The Authors. Cancer Medicine published by John Wiley & Sons Ltd..

BACKGROUND: The physical challenges faced by adolescents and young adults (AYA) after a cancer diagnosis may be different from those experienced by paediatric and older adult cancer patients. Patient-reported outcome measures (PROMs) are valuable tools that can be useful in exploring the experiences of AYAs and identifying important issues, recurrent themes and areas to potentially improve quality of life.

OBJECTIVE: We compared patient-reported physical function outcomes between AYAs diagnosed with cancer and non-cancer controls.

METHOD: This paper builds on a scoping review published in early 2023 and focuses on PROMs related to physical function.

RESULTS: This systematic review includes 16 studies that measured and reported on physical function PROMs in AYA cancer survivors compared with their cancer-free peers. Of these studies, 14 found that physical function in AYA survivors was significantly worse. This paper also includes a meta-analysis conducted on 5 studies using the EORTC-QLQ-C30 to measure physical function, which found that physical function score was an average of 7.03 (95% CI: -10.21, -3.86) points lower in the AYA cancer group, compared to their cancer free-peers, a difference that is clinically meaningful.

CONCLUSIONS: The results overwhelmingly demonstrate that AYAs post a cancer diagnosis have worse health-related quality of life from a physical function perspective than their cancer-free peers, providing a compelling argument for the need to address this issue. All but one of the studies were cross-sectional, which highlights the need for further assessment of this group longitudinally throughout their cancer journey.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Cancer medicine - 13(2024), 6 vom: 12. März, Seite e7046

Sprache:

Englisch

Beteiligte Personen:

Tanner, Sarah [VerfasserIn]
Engstrom, Teyl [VerfasserIn]
Forbes, Cheryl [VerfasserIn]
Patel, Dhaval [VerfasserIn]
Lee, Wen Ray [VerfasserIn]
Walker, Rick [VerfasserIn]
Bradford, Natalie [VerfasserIn]
Pole, Jason D [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Cancer
Cancer survivors
Journal Article
Meta-Analysis
Patient‐reported outcome measures
Physical function
Review
Routinely collected health data
Systematic Review
Young adult

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1002/cam4.7046

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370097254