Recommended patient-reported core set of symptoms and quality-of-life domains to measure in ovarian cancer treatment trials

J Natl Cancer Inst. 2014 Jul 8;106(7):dju128. doi: 10.1093/jnci/dju128. Print 2014 Jul.

Abstract

There is no consensus as to what symptoms or quality-of-life (QOL) domains should be measured as patient-reported outcomes (PROs) in ovarian cancer clinical trials. A panel of experts convened by the National Cancer Institute reviewed studies published between January 2000 and August 2011. The results were included in and combined with an expert consensus-building process to identify the most salient PROs for ovarian cancer clinical trials. We identified a set of PROs specific to ovarian cancer: abdominal pain, bloating, cramping, fear of recurrence/disease progression, indigestion, sexual dysfunction, vomiting, weight gain, and weight loss. Additional PROs identified in parallel with a group charged with identifying the most important PROs across cancer types were anorexia, cognitive problems, constipation, diarrhea, dyspnea, fatigue, nausea, neuropathy, pain, and insomnia. Physical and emotional domains were considered to be the most salient domains of QOL. Findings of the review and consensus process provide good support for use of these ovarian cancer-specific PROs in ovarian cancer clinical trials.

Publication types

  • Consensus Development Conference, NIH
  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anorexia / etiology
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects
  • Clinical Trials as Topic / methods*
  • Clinical Trials as Topic / standards
  • Clinical Trials as Topic / trends
  • Constipation / etiology
  • Diarrhea / etiology
  • Fatigue / etiology
  • Female
  • Health Status
  • Humans
  • National Cancer Institute (U.S.)
  • Nausea / etiology
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / epidemiology
  • Ovarian Neoplasms / physiopathology
  • Ovarian Neoplasms / psychology
  • Ovarian Neoplasms / therapy*
  • Quality of Life*
  • Self Report*
  • Surveys and Questionnaires
  • Treatment Outcome
  • United States / epidemiology
  • Visceral Pain / etiology
  • Vomiting / etiology

Substances

  • Antineoplastic Agents