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基于阿帕替尼治疗的长期癌症幸存者的特征和患者报告结局:一项在线调查。

Characteristics and patient-reported outcomes of long-term cancer survivors after apatinib-based therapy: an online survey.

机构信息

Department of Oncology, Peking University International Hospital, 1 Life Park Road, Life Science Park of Zhongguancun, Changping District, Beijing, 102206, China.

Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

BMC Cancer. 2024 Aug 31;24(1):1077. doi: 10.1186/s12885-024-12832-3.

DOI:10.1186/s12885-024-12832-3
PMID:39217302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366127/
Abstract

BACKGROUND

Data on long-term cancer survivors treated with apatinib are lacking. This study aimed to describe the characteristics of long-term cancer survivors after apatinib-based therapy, and to know about their satisfaction degree with apatinib and severity of depression and insomnia.

METHODS

Patients with solid tumors who had received apatinib-based therapy for at least 5 years were invited to complete an online questionnaire. Characteristics of patients and treatment, knowledge of apatinib, satisfaction degree, and severity of depression and insomnia assessed by Patient Health Questionnaire-9 and Insomnia Severity Index were collected.

RESULTS

Between December 8, 2023 and March 1, 2024, a total of 436 patients completed the online questionnaire. Most patients were satisfied with the efficacy (96.6%) and safety (93.1%) of apatinib, were willing to continue apatinib treatment (99.5%), and would recommend apatinib to other patients (93.3%). Continuous apatinib treatment resulted in significant negative impact on daily life, work, or study in only two (0.5%) patients. Almost all patients currently had no or mild depression (97.0%) and insomnia (97.9%) problems. The most common patient-reported adverse events were hand-foot syndrome (21.3%) and hypertension (18.3%).

CONCLUSIONS

Our survey showed a high satisfaction degree with apatinib in long-term cancer survivors. Long-term apatinib treatment resulted in almost no negative impact on patient's quality of life.

摘要

背景

缺乏接受阿帕替尼治疗的长期癌症幸存者的数据。本研究旨在描述接受阿帕替尼治疗后的长期癌症幸存者的特征,并了解他们对阿帕替尼的满意度以及抑郁和失眠的严重程度。

方法

邀请接受阿帕替尼治疗至少 5 年的实体瘤患者完成在线问卷。收集患者和治疗的特征、对阿帕替尼的了解、满意度以及通过患者健康问卷-9 和失眠严重程度指数评估的抑郁和失眠严重程度。

结果

2023 年 12 月 8 日至 2024 年 3 月 1 日,共有 436 名患者完成了在线问卷。大多数患者对阿帕替尼的疗效(96.6%)和安全性(93.1%)满意,愿意继续接受阿帕替尼治疗(99.5%),并愿意将阿帕替尼推荐给其他患者(93.3%)。只有两名(0.5%)患者认为连续阿帕替尼治疗对日常生活、工作或学习有显著负面影响。几乎所有患者目前没有或仅有轻度抑郁(97.0%)和失眠(97.9%)问题。最常见的患者报告不良事件是手足综合征(21.3%)和高血压(18.3%)。

结论

我们的调查显示,长期癌症幸存者对阿帕替尼的满意度很高。长期阿帕替尼治疗几乎没有对患者的生活质量产生负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/11366127/8491882262a5/12885_2024_12832_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/11366127/8491882262a5/12885_2024_12832_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5863/11366127/8491882262a5/12885_2024_12832_Fig1_HTML.jpg

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Effect of Apatinib Plus Pegylated Liposomal Doxorubicin vs Pegylated Liposomal Doxorubicin Alone on Platinum-Resistant Recurrent Ovarian Cancer: The APPROVE Randomized Clinical Trial.阿帕替尼联合多柔比星脂质体与多柔比星脂质体单药治疗铂耐药复发性卵巢癌的效果:APPROVE 随机临床试验。
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Apatinib vs Placebo in Patients With Locally Advanced or Metastatic, Radioactive Iodine-Refractory Differentiated Thyroid Cancer: The REALITY Randomized Clinical Trial.阿帕替尼对比安慰剂治疗局部晚期或转移性、放射性碘难治性分化型甲状腺癌患者:REALITY 随机临床试验。
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Apatinib as second-line or later therapy in patients with advanced hepatocellular carcinoma (AHELP): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial.阿帕替尼二线或后线治疗晚期肝细胞癌(AHELP)的多中心、双盲、随机、安慰剂对照、III 期临床试验
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