PMID- 29705017 OWN - NLM STAT- MEDLINE DCOM- 20190307 LR - 20220419 IS - 1938-0690 (Electronic) IS - 1525-7304 (Linking) VI - 19 IP - 4 DP - 2018 Jul TI - Treatment Satisfaction of Patients With Advanced Non-Small-cell Lung Cancer Receiving Platinum-based Chemotherapy: Results From a Prospective Cohort Study (PERSONAL). PG - e503-e516 LID - S1525-7304(18)30045-7 [pii] LID - 10.1016/j.cllc.2018.03.003 [doi] AB - INTRODUCTION: In patients with advanced non-small-cell lung cancer, the treatment benefits and risks need to be constantly weighed. We explored patient-reported satisfaction with therapy (SWT) and assessed its value in addition to quality of life (QoL) and adverse events (AEs). PATIENTS AND METHODS: In a prospective multicenter cohort study, patients with stage IIIB/IV non-small-cell lung cancer received platinum-pemetrexed chemotherapy. They completed the World Health Organization Quality of Life-BREF (WHOQoL-BREF) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) before and during chemotherapy. After the last cycle, patients reported on SWT, expectations of therapy, and feelings about side effects (FSE) using the Cancer Therapy Satisfaction Questionnaire. The explained variance (R(2)) of QoL after treatment by SWT was calculated. Using multivariable linear regression, we examined the association of SWT with patient- and treatment-related variables, FSE, and AEs. RESULTS: Eighty-nine patients finished 4 cycles of chemotherapy, 65 of whom completed the Cancer Therapy Satisfaction Questionnaire. Fifty-six patients (86.2%) would probably or definitely decide to undergo the same treatment again, regardless of deterioration or improvement in QoL or a high or low frequency of AEs during chemotherapy. The explained variance of QoL by SWT was greatest for the EORTC QLQ C-30 global health status/QoL scale (R(2) = 0.170). Patient age (beta = 0.43; 95% confidence interval [CI], 0.05-0.82), FSE (beta = 0.17; 95% CI, 0.06-0.29), and tumor response (beta = 7.93; 95% CI (1.64 to 14.22)) were independently associated with SWT. CONCLUSION: SWT could provide important supplementary information in addition to QoL assessments and treatment toxicities. Tumor response, older age, and FSE score were associated with better SWT. These insights could affect decision-making during palliative chemotherapy. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Visser, Sabine AU - Visser S AD - Department of Pulmonary Medicine, Amphia Hospital Breda, Breda, The Netherlands; Department of Pulmonary Medicine, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands; Department of Epidemiology, Erasmus Medical Center University Medical Center, Rotterdam, The Netherlands. FAU - de Mol, Mark AU - de Mol M AD - Department of Pulmonary Medicine, Amphia Hospital Breda, Breda, The Netherlands; Department of Pulmonary Medicine, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands. FAU - Cheung, Kiki AU - Cheung K AD - Department of Epidemiology, Erasmus Medical Center University Medical Center, Rotterdam, The Netherlands; Inspectorate of Health Care, Utrecht, The Netherlands. FAU - van Toor, Jermo J AU - van Toor JJ AD - Department of Pulmonary Medicine, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands. FAU - van Walree, Nico C AU - van Walree NC AD - Department of Pulmonary Medicine, Amphia Hospital Breda, Breda, The Netherlands. FAU - Stricker, Bruno H AU - Stricker BH AD - Department of Epidemiology, Erasmus Medical Center University Medical Center, Rotterdam, The Netherlands; Inspectorate of Health Care, Utrecht, The Netherlands. Electronic address: b.stricker@erasmusmc.nl. FAU - Den Oudsten, Brenda L AU - Den Oudsten BL AD - Department of Medical and Clinical Psychology, Centre of Research on Psychological and Somatic Disorders, Tilburg University, Tilburg, The Netherlands. FAU - Aerts, Joachim G J V AU - Aerts JGJV AD - Department of Pulmonary Medicine, Amphia Hospital Breda, Breda, The Netherlands; Department of Pulmonary Medicine, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20180317 PL - United States TA - Clin Lung Cancer JT - Clinical lung cancer JID - 100893225 RN - 04Q9AIZ7NO (Pemetrexed) RN - BG3F62OND5 (Carboplatin) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/*adverse effects MH - Carboplatin/administration & dosage/adverse effects MH - Carcinoma, Non-Small-Cell Lung/*drug therapy MH - Cisplatin/administration & dosage/adverse effects MH - Cohort Studies MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy MH - Male MH - Middle Aged MH - Palliative Care/methods MH - *Patient Satisfaction MH - Pemetrexed/administration & dosage/adverse effects MH - Prospective Studies MH - *Quality of Life OTO - NOTNLM OT - CTSQ OT - NSCLC OT - Palliative chemotherapy OT - Quality of life OT - Satisfaction with therapy EDAT- 2018/05/01 06:00 MHDA- 2019/03/08 06:00 CRDT- 2018/04/30 06:00 PHST- 2017/09/11 00:00 [received] PHST- 2018/02/05 00:00 [revised] PHST- 2018/03/10 00:00 [accepted] PHST- 2018/05/01 06:00 [pubmed] PHST- 2019/03/08 06:00 [medline] PHST- 2018/04/30 06:00 [entrez] AID - S1525-7304(18)30045-7 [pii] AID - 10.1016/j.cllc.2018.03.003 [doi] PST - ppublish SO - Clin Lung Cancer. 2018 Jul;19(4):e503-e516. doi: 10.1016/j.cllc.2018.03.003. Epub 2018 Mar 17.