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Developing Symptom Lists for People with Cancer Treated with Targeted Therapies
Samantha C Sodergren1, Sally J Wheelwright1, Deborah Fitzsimmons2
1School of Health Sciences, University of Southampton, Southampton, UK.
Background:
Targeted therapies (TTs) have revolutionised cancer treatment with their enhanced specificity of action. Compared with conventional therapies, TTs are delivered over a longer period and often have unusual symptom profiles. Patient-reported outcome measures such as symptom side-effect lists need to be developed in a time-efficient manner to enable a rapid and full evaluation of new treatments and effective clinical management OBJECTIVE: The aim of this study was to develop a set of TT-related symptoms and identify the optimal method for developing symptom lists.
Patients And Methods:
Symptoms from TT treatment in the context of Chronic Myeloid Leukaemia (CML), HER2-positive breast cancer, or Gastrointestinal Stromal Tumours (GIST) were identified through literature reviews, interviews with healthcare professionals (HCPs) and patients, and patient focus groups. The symptom set was then pilot tested in patients across the three cancer diagnoses: The number of items derived from each source (literature, patients, or HCPs) were compared.
Results:
A total of 316 patients and 86 HCPs from 16 countries participated. An initial set of 209 symptoms was reduced to 61 covering 12 symptom categories. Patient interviews made the greatest contribution to the item set.
Conclusions:
Symptom lists should be created based on input from patients. The item set described will be applicable to the assessment of new TTs, and in monitoring treatment.
Insights
Patient input is crucial for developing effective symptom lists for targeted cancer therapies (TTs). This research identified key symptoms to improve patient monitoring and treatment evaluation.
Area of Science:
- Oncology
- Pharmacology
- Patient-Reported Outcomes
Background:
- Targeted therapies (TTs) offer specific cancer treatment but require efficient methods for evaluating their unique symptom profiles.
- Patient-reported outcome measures are essential for timely assessment and management of TTs.
- Developing comprehensive symptom lists is vital for effective clinical management of patients on TTs.
Purpose of the Study:
- To develop a validated set of symptoms associated with targeted therapies (TTs).
- To identify the most effective method for creating patient-reported symptom lists for TTs.
Main Methods:
- Symptoms were identified through literature reviews, healthcare professional (HCP) interviews, and patient focus groups across Chronic Myeloid Leukaemia (CML), HER2-positive breast cancer, and Gastrointestinal Stromal Tumours (GIST).
- A pilot test of the symptom set was conducted with patients undergoing TT treatment.
- The contribution of items from literature, patients, and HCPs was compared.
Main Results:
- The study involved 316 patients and 86 HCPs from 16 countries.
- An initial list of 209 symptoms was refined to 61 symptoms across 12 categories.
- Patient interviews provided the most significant contribution to the final symptom item set.
Conclusions:
- Symptom lists for targeted therapies should prioritize patient-reported input for accurate assessment.
- The developed symptom item set is suitable for evaluating new TTs and monitoring ongoing treatment.
- This approach enhances the clinical management of patients receiving targeted cancer therapies.
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