A systematic review of patient-reported outcome instruments of dermatologic adverse events associated with targeted cancer therapies

Chan, Alexandre, Cameron, Michael C., Garden, Benjamin, Boers-Doets, Christine B., Schindler, Katja, Epstein, Joel B., Choi, Jennifer, Beamer, Laura, Roeland, Eric, Russi, Elvio G., Bensadoun, René-Jean, Teo, Yi Ling, Chan, Raymond J., Shih, Vivianne, Bryce, Jane, Raber-Durlacher, Judith, Gerber, Peter Arne, Freytes, César O., Rapoport, Bernardo, LeBoeuf, Nicole, Sibaud, Vincent, & Lacouture, Mario E. (2015) A systematic review of patient-reported outcome instruments of dermatologic adverse events associated with targeted cancer therapies. Supportive Care in Cancer, 23(8), pp. 2231-2244.

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Abstract

Purpose

Dermatologic adverse events (dAEs) in cancer treatment are frequent with the use of targeted therapies. These dAEs have been shown to have significant impact on health-related quality of life (HRQoL). While standardized assessment tools have been developed for physicians to assess severity of dAEs, there is a discord between objective and subjective measures. The identification of patient-reported outcome (PRO) instruments useful in the context of targeted cancer therapies is therefore important in both the clinical and research settings for the overall evaluation of dAEs and their impact on HRQoL.

Methods

A comprehensive, systematic literature search of published articles was conducted by two independent reviewers in order to identify PRO instruments previously utilized in patient populations with dAEs from targeted cancer therapies. The identified PRO instruments were studied to determine which HRQoL issues relevant to dAEs were addressed, as well as the process of development and validation of these instruments.

Results

Thirteen articles identifying six PRO instruments met the inclusion criteria. Four instruments were general dermatology (Skindex-16©, Skindex-29©, Dermatology Life Quality Index (DLQI), and DIELH-24) and two were symptom-specific (functional assessment of cancer therapy-epidermal growth factor receptor inhibitor-18 (FACT-EGFRI-18) and hand-foot syndrome-14 (HFS-14)).

Conclusions

While there are several PRO instruments that have been tested in the context of targeted cancer therapy, additional work is needed to develop new instruments and to further validate the instruments identified in this study in patients receiving targeted therapies.

Impact and interest:

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ID Code: 80010
Item Type: Journal Article
Refereed: Yes
Keywords: dermatologic adverse events, targeted cancer therapies, patient-reported outcomes, instrument, systematic review, skin reactions
DOI: 10.1007/s00520-014-2564-x
ISSN: 0941-4355
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Cancer Therapy (excl. Chemotherapy and Radiation Therapy) (111204)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2015 Springer-Verlag Berlin Heidelberg
Deposited On: 14 Jan 2015 01:38
Last Modified: 29 Jul 2015 00:05

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