Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
University of California San Francisco, San Francisco, CA, USA.
Eur Urol Focus. 2020 Jan 15;6(1):26-30. doi: 10.1016/j.euf.2019.02.020. Epub 2019 Mar 8.
Patient-reported outcome measures (PROMs) have widely been used to assess treatment-related symptoms in clinical trials and provide insight into the patients' perspective during treatment. This mini-review sought to outline the benefits of measuring patient-reported outcomes, describe the most common measures used in recent pivotal studies in metastatic urinary cancers, and summarize the main findings published in the last 2 yr. In general, European Organization for Research and Treatment Cancer QLQC30 and Functional Assessment of Cancer Therapy were the most common PROMs used in these trials. PROMs provided important information concerning patients' quality of life and symptom burden during treatment, including insight into how these drugs may be tolerated in real-world clinical circumstances; however, many still do not assess patients' social and emotional experiences. Based on this mini-review, the combination of a symptomatic toxicity scale and validated quality of life measure represents a reliable strategy to assess patient perspectives during treatment. PATIENT SUMMARY: In this mini-review on patient-reported outcomes measures (PROMs), we explored data from recent pivotal studies in metastatic urinary cancer. We found that all recent clinical trials in metastatic urinary cancers assessed patient-reported outcomes, primarily through the use of quality of life measures. We recommend the use of both a symptomatic toxicity scale and a quality of life scale to evaluate PROMs.
患者报告的结局测量(PROMs)已广泛用于临床试验中评估与治疗相关的症状,并深入了解患者在治疗过程中的看法。本篇迷你综述旨在概述测量患者报告结局的益处,描述转移性尿路上皮癌近期关键研究中最常用的措施,并总结过去 2 年发表的主要发现。一般来说,欧洲癌症研究和治疗组织生活质量核心 30 问卷(QLQC30)和癌症治疗功能评估量表是这些试验中最常用的 PROMs。PROMs 提供了有关患者在治疗期间生活质量和症状负担的重要信息,包括了解这些药物在真实临床环境中的耐受情况;然而,许多研究仍未评估患者的社会和情感体验。基于本篇迷你综述,症状毒性量表和经过验证的生活质量量表的结合代表了评估治疗期间患者观点的可靠策略。患者总结:在本篇关于患者报告的结局测量(PROMs)的迷你综述中,我们探讨了转移性尿路上皮癌近期关键研究的数据。我们发现,所有转移性尿路上皮癌的近期临床试验都评估了患者报告的结局,主要通过使用生活质量措施。我们建议同时使用症状毒性量表和生活质量量表来评估 PROMs。