1. Quality of life of GIST patients with and without current tyrosine kinase inhibitor treatment: Cross‐sectional results of a German multicentre observational study (PROSa)
- Author
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Daniel Pink, Armin Tuchscherer, Diana I Dmytrow, Martin Eichler, Jens Jakob, Franka Menge, Stephan Richter, Peter Hohenberger, Leopold Hentschel, Markus K. Schuler, Johannes Mohm, Jochen Schmitt, Robert Grützmann, Annegret Kunitz, Karin Arndt, Bernd Kasper, Martin Bornhäuser, Susanne Singer, Dimosthenis Andreou, Marit Ahrens, and Peter Reichardt
- Subjects
Adult ,Oncology ,medicine.medical_specialty ,Gastrointestinal Stromal Tumors ,medicine.drug_class ,Group comparison ,Tyrosine-kinase inhibitor ,Quality of life ,Surveys and Questionnaires ,Bayesian multivariate linear regression ,Internal medicine ,Humans ,Medicine ,ddc:610 ,Protein Kinase Inhibitors ,GiST ,business.industry ,Cancer ,Gastrointestinal stromal tumours ,medicine.disease ,humanities ,Cross-Sectional Studies ,Quality of Life ,Observational study ,business - Abstract
Objective We investigated the health-related quality of life (HRQoL) of patients with gastrointestinal stromal tumours (GIST). Methods In the multicentre PROSa study, the HRQoL of adult GIST patients was assessed between 2017 and 2019 using the European Organisation for Research and Treatment of Cancer HRQoL questionnaire (EORTC QLQ-C30). We performed group comparisons and multivariate linear regressions. Results Among 130 patients from 13 centres, the mean global HRQoL was 63.3 out of 100 points. Higher sores indicate better HRQoL. The highest restrictions were in emotional, social, role functioning, insomnia, fatigue, and pain. In multivariate linear regression, we found no significant differences between patients receiving tyrosine kinase inhibitor (TKI) treatment and those without TKI treatment as well as between patients treated with curative or with palliative intent. Patients who received multiple lines of TKI treatment had the most restrictions, notably in physical (unstandardized regression coefficient [B] = -15.7), role (B = -25.7), social (B = -18.4), and cognitive functioning (B = -19.7); fatigue (B = 15.93); general health (B = -14.23); and EORTC-sum score (B = -13.82) compared to all other patients. Conclusion The highest HRQoL restrictions were in GIST patients receiving multiple lines of TKI therapy. Underlying causes need further investigation.
- Published
- 2021
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