PMID- 27260018 OWN - NLM STAT- MEDLINE DCOM- 20170922 LR - 20240325 IS - 1433-7339 (Electronic) IS - 0941-4355 (Print) IS - 0941-4355 (Linking) VI - 24 IP - 8 DP - 2016 Aug TI - The association between clinician-based common terminology criteria for adverse events (CTCAE) and patient-reported outcomes (PRO): a systematic review. PG - 3669-76 LID - 10.1007/s00520-016-3297-9 [doi] AB - PURPOSE: Symptomatic adverse events (AEs) are monitored by clinicians as part of all US-based clinical trials in cancer via the U.S. National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) for the purposes of ensuring patient safety. Recently, there has been a charge toward capturing the patient perspective for those AEs amenable to patient self-reporting via patient-reported outcomes (PRO). The aim of this review was to summarize the empirically reported association between analogous CTCAE and PRO ratings. METHODS: A systematic literature search was conducted using PubMed, EMBASE, Web of Science, and Cochrane databases through July 2015. From a total of 5658 articles retrieved, 28 studies met the inclusion criteria. RESULTS: Across studies, patients were of mixed cancer types, including anal, breast, cervical, chronic myeloid leukemia, endometrial, hematological, lung, ovarian, pelvic, pharyngeal, prostate, and rectal. Given this mixture, the AEs captured were variable, with many common across studies (e.g., dyspnea, fatigue, nausea, neuropathy, pain, vomiting), as well as several that were disease-specific (e.g., erectile dysfunction, hemoptysis). Overall, the quantified association between CTCAE and PRO ratings fell in the fair to moderate range and had a large variation across the majority of studies (n = 21). CONCLUSIONS: The range of measures used and symptoms captured varied greatly across the reviewed studies. Regardless of concordance metric employed, reported agreement between CTCAE and PRO ratings was moderate at best. To assist with reconciliation and interpretation of these differences toward ultimately improving patient care, an important next step is to explore approaches to integrate PROs with clinician reporting of AEs. FAU - Atkinson, Thomas M AU - Atkinson TM AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. atkinsot@mskcc.org. FAU - Ryan, Sean J AU - Ryan SJ AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. AD - City University of New York, New York, NY, USA. FAU - Bennett, Antonia V AU - Bennett AV AD - University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Stover, Angela M AU - Stover AM AD - University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Saracino, Rebecca M AU - Saracino RM AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. FAU - Rogak, Lauren J AU - Rogak LJ AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. FAU - Jewell, Sarah T AU - Jewell ST AD - Rutgers, The State University of New Jersey, Newark, NJ, USA. FAU - Matsoukas, Konstantina AU - Matsoukas K AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. FAU - Li, Yuelin AU - Li Y AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. FAU - Basch, Ethan AU - Basch E AD - Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA. AD - University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R25 CA116339/CA/NCI NIH HHS/United States GR - T32 CA009461/CA/NCI NIH HHS/United States PT - Journal Article PT - Review PT - Systematic Review DEP - 20160603 PL - Germany TA - Support Care Cancer JT - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JID - 9302957 RN - 0 (Antineoplastic Agents) SB - IM MH - Adverse Drug Reaction Reporting Systems/*standards MH - Antineoplastic Agents/*adverse effects MH - Drug Monitoring/*methods MH - Female MH - Humans MH - *Patient Reported Outcome Measures MH - Self Report PMC - PMC4919215 MID - NIHMS793130 OTO - NOTNLM OT - Drug monitoring OT - Drug-related side effects and adverse reactions OT - Literature review OT - Neoplasms OT - Self report OT - Toxicity COIS- All authors declare no conflicts of interest. EDAT- 2016/06/05 06:00 MHDA- 2017/09/25 06:00 PMCR- 2017/08/01 CRDT- 2016/06/05 06:00 PHST- 2016/01/20 00:00 [received] PHST- 2016/05/30 00:00 [accepted] PHST- 2016/06/05 06:00 [entrez] PHST- 2016/06/05 06:00 [pubmed] PHST- 2017/09/25 06:00 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 10.1007/s00520-016-3297-9 [pii] AID - 10.1007/s00520-016-3297-9 [doi] PST - ppublish SO - Support Care Cancer. 2016 Aug;24(8):3669-76. doi: 10.1007/s00520-016-3297-9. Epub 2016 Jun 3.