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The Patient Experience of Cancer-Related Cachexia: Implications for Patient-Reported Outcomes Measures.
Magdalena Harrington1, Susan Martin2, Oyebimpe Olayinka-Amao2
1Pfizer Oncology, Pfizer Inc., New York, NY, USA.
Clinical Medicine Insights. Oncology
|April 28, 2026
Summary
Patient interviews revealed that lack of appetite, nausea, and fatigue are key symptoms of cancer-related cachexia. These symptoms significantly impact patients' quality of life, highlighting the need for relevant patient-reported outcome measures.
Area of Science:
- Oncology
- Patient-Reported Outcomes
- Qualitative Research
Background:
- Cancer-related cachexia significantly impacts patients' quality of life.
- Understanding the patient experience is crucial for developing effective treatments.
- Patient-reported outcome measures (PROMs) are essential for assessing cachexia.
Purpose of the Study:
- To understand the patient experience of cancer-related cachexia.
- To identify key symptoms and their impacts on patients.
- To evaluate the relevance of the Functional Assessment of Anorexia-Cachexia Therapy-5-item anorexia-related symptoms scale (FAACT-5IASS).
Main Methods:
- Concept elicitation interviews were conducted with patients diagnosed with cancer and cachexia.
- Interviews explored key symptoms and their associated impacts.
- The Functional Assessment of Anorexia-Cachexia Therapy-5-item anorexia-related symptoms scale (FAACT-5IASS) content validity was assessed.
Main Results:
- Twenty patients with non-small cell lung, pancreatic, or colorectal cancer participated.
- Key symptoms identified were lack of appetite, nausea, and fatigue.
- Symptoms negatively impacted appearance, physical function, social activities, and mood.
Conclusions:
- Qualitative research underscores the importance of patient-reported measures.
- Conceptually relevant PROMs are vital for assessing cachexia symptoms and impacts.
- Findings support the use of the FAACT-5IASS for cancer cachexia assessment.
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