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Quality of Life of Cancer Patients in Routine Clinical Care Using the Example of Checkpoint Inhibition Therapy: A
Philipp Ivanyi1, Bernd Alt-Epping2, Lars Bullinger3
1Clinic for Haematology, Haemostaseology, Oncology and Stem Cell Transplantation, Interdisciplinary Working Group on Renal Cell Tumors IAGN-DKG, Claudia von Schelling-Comprehensive Cancer Center Hannover, Hannover Medical School, Hannover, Germany.
Quality of life (QoL) is crucial in cancer care, especially with immune checkpoint inhibitors (CPIs). This study provides consensus recommendations for assessing and integrating QoL into clinical decisions for better patient outcomes.
Area of Science:
- Oncology
- Clinical Practice
- Patient-Reported Outcomes
Background:
- Immune checkpoint inhibitors (CPIs) have improved cancer patient prognoses, highlighting the importance of quality of life (QoL) as a treatment factor.
- Standardized tools are needed for collecting and utilizing QoL data in clinical settings.
- This study establishes an interdisciplinary consensus on QoL in standard clinical practice.
Purpose of the Study:
- To develop interdisciplinary consensus recommendations for assessing and utilizing quality of life (QoL) in cancer patients undergoing immune checkpoint inhibitor (CPI) therapy.
- To provide guidance on integrating QoL assessment into routine clinical decision-making.
- To address the need for reliable QoL data collection in the context of modern cancer treatments.
Main Methods:
- An interdisciplinary expert panel (n=12) participated in structured interviews.
- Ten theses on QoL in CPI therapy were drafted based on initial interviews.
- A multi-stage, anonymous, qualitative Delphi process was conducted from May to December 2022 to reach consensus.
Main Results:
- Five consensus recommendations were agreed upon, organized into three key areas.
- Quality of life (QoL) is recognized as a complex, dynamic factor extending beyond treatment side effects.
- Mindful patient communication is foundational for QoL assessment and management.
- Structured, regular, and individualized QoL documentation is recommended to inform treatment decisions.
Conclusions:
- Individual quality of life (QoL) assessment is recommended before and during cancer therapy.
- QoL is particularly relevant for long-term responders to CPI therapy and in the adjuvant setting.
- The Delphi-derived recommendations offer practical guidance for clinicians.
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