Quality of life analysis in lung cancer: A systematic review of phase III trials published between 2012 and 2018

被引：32

作者：

Reale, Maria Lucia ^{[1
]}

De Luca, Emmanuele ^{[2
]}

Lombardi, Pasquale ^{[3
]}

Marandino, Laura ^{[3
]}

Zichi, Clizia ^{[2
]}

Pignataro, Daniele ^{[1
]}

Ghisoni, Eleonora ^{[3
]}

Di Stefano, Rosario F. ^{[1
]}

Mariniello, Annapaola ^{[1
]}

Trevisi, Elena ^{[1
]}

Leone, Gianmarco ^{[1
]}

Muratori, Leonardo ^{[1
]}

La Salvia, Anna ^{[1
,5
]}

Sonetto, Cristina ^{[1
,6
]}

Bironzo, Paolo ^{[1
]}

Aglietta, Massimo ^{[3
]}

Novello, Silvia ^{[1
]}

Scagliotti, Giorgio, V ^{[1
]}

Perrone, Francesco ^{[4
]}

Di Maio, Massimo ^{[2
]}

机构：

[1] Univ Turin, San Luigi Gonzaga Hosp, Dept Oncol, Orbassano, TO, Italy

[2] Univ Turin, Ordine Mauriziano Hosp, Dept Oncol, Turin, Italy

[3] Univ Turin, Candiolo Canc Inst, Dept Oncol, FPO,IRCCS, Candiolo, TO, Italy

[4] IRCCS, Clin Trials Unit, Ist Nazl Studio & Cura Tumori, Fdn Giovanni Pascale, Naples, Italy

[5] 12 Octubre Univ Hosp, Dept Oncol, Madrid, Spain

[6] IRCCS, Gynecol Oncol, Natl Canc Inst, Milan, Italy

来源：

LUNG CANCER | 2020年 / 139卷

关键词：

Lung cancer; Health-related quality of life; Patient-reported outcomes; Phase III trials; Endpoints; AMERICAN SOCIETY; CLINICAL BENEFIT; MAGNITUDE; FRAMEWORK;

D O I：

10.1016/j.lungcan.2019.10.022

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objectives: We previously reported that quality of life (QoL) is not included among trial endpoints and QoL results are underreported in a significant proportion of phase III oncology trials. Here we describe QoL adoption, reporting and methodology of QoL analysis in lung cancer trials. Materials and methods: We selected all primary publications of lung cancer phase III trials assessing anticancer drugs published between 2012 and 2018 by 11 major journals. Results: 122 publications were included. In 39 (32.0%) publications, QoL was not listed among endpoints: in 10/17 (58.8%) early stage/locally advanced NSCLC, in 15/54 (27.8%) first-line of advanced NSCLC; in 10/41 (24.4%) second and further lines of advanced NSCLC, in 4/10 (40.0%) SCLC. Proportion of trials not including QoL was similar over time: 32.9% publications in 2012-2015 vs. 30.6% in 2016-2018. Out of 83 trials including QoL among endpoints, QoL results were absent in 36 primary publications (43.4%). Proportion of trials without QoL results in primary publication increased over time (30.6% 2012-2015 vs. 61.8% 2016-2018, p = 0.005). Overall, QoL data were not available in 75/122 (61.5%) primary publications, due to the absent endpoint or unpublished results. QoL data were lacking in 48/68 (70.6%) publications of trials with overall survival as primary endpoint, 27/54 (50.0%) with other primary endpoints and 28/54 (51.9%) publications with a positive result. For trials including QoL among endpoints but lacking QoL results in primary publication, probability of secondary publication was 6.3%, 30.1% and 49.8% after 1, 2 and 3 years respectively, without evidence of improvement comparing 2012-2015 vs. 2016-2018. Conclusion: QoL is not assessed or published in many phase III lung cancer trials, a setting where QoL value should be highly considered, due to high symptom burden and generally limited life expectancy. Timely inclusion of results in primary publications is worsening in recent years.

引用

页码：47 / 54

页数：8

共 23 条

[1] THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY [J].