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Clinician-reported symptomatic adverse events in cancer trials: are they concordant with patient-reported outcomes?

Francesco Sparano ,
Neil K Aaronson ,
Francesco Cottone ,
Alfonso Piciocchi ,
Edoardo La Sala ,
Amelie Anota ,
Nina Deliu ,
Jacobien M Kieffer ,
Fabio Efficace

Abstract

METHODS

We conducted a systematic literature search to identify all RCTs conducted in breast, colorectal, lung and prostate cancer, published between 2004 and 2017.

CONCLUSION

Frequently, information obtained via PRO measures and clinician-reported AEs do not favor the same treatment arm in RCT settings.

RESULTS

We identified 207 RCTs. In the majority of RCTs (n=133, 64.2%) a discordance between PROs and AEs was found. In 104 studies (50.2%), PRO data favored the experimental arm when AEs did not, while the opposite situation was found in 29 trials (14.0%).

AIM

We investigate the concordance, in terms of favoring the same treatment arm, between clinician-reported symptomatic adverse events (AEs) and information obtained via patient-reported outcomes (PRO) measures in cancer randomized controlled trials (RCTs).

More about this publication

Journal of comparative effectiveness research

Volume 8
Issue nr. 5
Pages 279-288
Publication date 01-04-2019

Full text links

Publisher website (DOI) 10.2217/cer-2018-0092
Europe PubMed Central 30838883
Pubmed 30838883

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