A systematic review of health-related quality of life in longitudinal studies of myeloma patients
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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A systematic review of health-related quality of life in longitudinal studies of myeloma patients. / Nielsen, Lene Kongsgaard; Jarden, Mary; Andersen, Christen Lykkegaard; Frederiksen, Henrik; Abildgaard, Niels.
I: European Journal of Haematology, Bind 99, Nr. 1, 2017, s. 3-17.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - A systematic review of health-related quality of life in longitudinal studies of myeloma patients
AU - Nielsen, Lene Kongsgaard
AU - Jarden, Mary
AU - Andersen, Christen Lykkegaard
AU - Frederiksen, Henrik
AU - Abildgaard, Niels
PY - 2017
Y1 - 2017
N2 - ObjectivesMultiple myeloma (MM) patients report high symptom burden and reduced health-related quality of life (HRQoL) compared to patients with other haematological malignancies. The aim of this review was to analyse published longitudinal studies including MM patients according to a change in HRQoL scores, which is perceived as beneficial to the patient according to two published guidelines.MethodsA literature search was performed May 2016. Publications with longitudinal follow-up using the EORTC QLQ-C30 instrument for HRQoL measurement of physical functioning, global quality of life, fatigue and/or pain were included. An analysis of mean change from baseline was carried out according to minimal important difference (MID).ResultsLarge and medium HRQoL improvements were reported during first-line treatments. No clinically beneficial change or deteriorations in scores of global QoL or fatigue were reported during relapse treatment. HRQoL data during maintenance therapy are sparse and inconclusive.ConclusionsGuidelines for interpreting changes in HRQoL including definitions of MID have been developed; however, consensus is missing. Improvements in HRQoL are far more likely to occur during first-line compared to relapsed treatment regimens. The background of these findings should be in focus in future studies, and HRQoL measurements should be integrated in maintenance studies.
AB - ObjectivesMultiple myeloma (MM) patients report high symptom burden and reduced health-related quality of life (HRQoL) compared to patients with other haematological malignancies. The aim of this review was to analyse published longitudinal studies including MM patients according to a change in HRQoL scores, which is perceived as beneficial to the patient according to two published guidelines.MethodsA literature search was performed May 2016. Publications with longitudinal follow-up using the EORTC QLQ-C30 instrument for HRQoL measurement of physical functioning, global quality of life, fatigue and/or pain were included. An analysis of mean change from baseline was carried out according to minimal important difference (MID).ResultsLarge and medium HRQoL improvements were reported during first-line treatments. No clinically beneficial change or deteriorations in scores of global QoL or fatigue were reported during relapse treatment. HRQoL data during maintenance therapy are sparse and inconclusive.ConclusionsGuidelines for interpreting changes in HRQoL including definitions of MID have been developed; however, consensus is missing. Improvements in HRQoL are far more likely to occur during first-line compared to relapsed treatment regimens. The background of these findings should be in focus in future studies, and HRQoL measurements should be integrated in maintenance studies.
KW - Health-related quality of life
KW - multiple myeloma
KW - longitudinal studies
KW - DIAGNOSED MULTIPLE-MYELOMA
KW - STEM-CELL TRANSPLANTATION
KW - LOW-DOSE DEXAMETHASONE
KW - RESPONSE SHIFT
KW - CLINICAL-TRIALS
KW - EUROPEAN-ORGANIZATION
KW - PHASE-II
KW - LENALIDOMIDE
KW - BORTEZOMIB
KW - MELPHALAN
U2 - 10.1111/ejh.12882
DO - 10.1111/ejh.12882
M3 - Review
VL - 99
SP - 3
EP - 17
JO - Scandinavian Journal of Haematology
JF - Scandinavian Journal of Haematology
SN - 0902-4441
IS - 1
ER -
ID: 332927061