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- Title
Effect of general symptom level, specific adverse events, treatment patterns, and patient characteristics on health-related quality of life in patients with multiple myeloma: results of a European, multicenter cohort study.
- Authors
Jordan, Karin; Proskorovsky, Irina; Lewis, Philip; Ishak, Jack; Payne, Krista; Lordan, Noreen; Kyriakou, Charalampia; Williams, Cathy; Peters, Sarah; Davies, Faith
- Abstract
Purpose: Novel multiple myeloma (MM) therapies have increased patient longevity but are often associated with notable symptom burden. This study quantified the effect of general symptom level, specific symptoms, and treatment-related adverse events (AEs) on MM patients' health-related quality of life (HRQoL). Methods: The European Organization for Research and Treatment of Cancer (EORTC) generic cancer questionnaire (Quality of Life Questionnaire Core 30) and MM-specific questionnaire (QLQ-MY20) were used in this study to assess patients' HRQoL. Data were collected on sociodemographics, disease and treatment history, and the presence/severity of MM-related symptoms or treatment-related AEs from patients with MM in 11 UK and German centers. Multiple regression analyses were conducted. Results: Of 154 patients (63 % male; mean age, 66.4 years; mean time since diagnosis, 3.7 years; 52 % currently on treatment; and 43 % with ≥1 prior MM therapy), 25, 32, 31, and 11 % were severely symptomatic, moderately symptomatic, mildly symptomatic, and asymptomatic, respectively. Fatigue (59 %), bone pain (51 %), sleepiness (36 %), hypoesthesia or paresthesia (33 %), and muscle cramps (31 %) were most commonly reported. Moderate and severe general symptom levels, bone symptoms, depression, and mental status changes were identified as strong determinants of HRQoL. Conclusions: Severity, type of disease symptoms, and treatment-related AEs are important HRQoL determinants in patients with MM, allowing for targeted treatment.
- Subjects
QUALITY of life; MULTIPLE myeloma; MULTIPLE myeloma treatment; COHORT analysis; QUESTIONNAIRES; REGRESSION analysis; PATIENTS
- Publication
Supportive Care in Cancer, 2014, Vol 22, Issue 2, p417
- ISSN
0941-4355
- Publication type
Article
- DOI
10.1007/s00520-013-1991-4