PMID- 30838883 OWN - NLM STAT- MEDLINE DCOM- 20200706 LR - 20200706 IS - 2042-6313 (Electronic) IS - 2042-6305 (Linking) VI - 8 IP - 5 DP - 2019 Apr TI - Clinician-reported symptomatic adverse events in cancer trials: are they concordant with patient-reported outcomes? PG - 279-288 LID - 10.2217/cer-2018-0092 [doi] AB - AIM: We investigate the concordance, in terms of favoring the same treatment arm, between clinician-reported symptomatic adverse events (AEs) and information obtained via patient-reported outcomes (PRO) measures in cancer randomized controlled trials (RCTs). METHODS: We conducted a systematic literature search to identify all RCTs conducted in breast, colorectal, lung and prostate cancer, published between 2004 and 2017. RESULTS: We identified 207 RCTs. In the majority of RCTs (n=133, 64.2%) a discordance between PROs and AEs was found. In 104 studies (50.2%), PRO data favored the experimental arm when AEs did not, while the opposite situation was found in 29 trials (14.0%). CONCLUSION: Frequently, information obtained via PRO measures and clinician-reported AEs do not favor the same treatment arm in RCT settings. FAU - Sparano, Francesco AU - Sparano F AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. FAU - Aaronson, Neil K AU - Aaronson NK AD - Department of Psychosocial Research, Division of Psychosocial Research & Epidemiology, The Netherlands Cancer Institute, The Netherlands. FAU - Cottone, Francesco AU - Cottone F AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. FAU - Piciocchi, Alfonso AU - Piciocchi A AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. FAU - La Sala, Edoardo AU - La Sala E AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. FAU - Anota, Amelie AU - Anota A AD - Quality of Life in Oncology French National Platform, Methodological & Quality of Life in Oncology Unit (INSERM UMR 1098), University Hospital of Besancon, Besancon, France. FAU - Deliu, Nina AU - Deliu N AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. FAU - Kieffer, Jacobien M AU - Kieffer JM AD - Department of Psychosocial Research, Division of Psychosocial Research & Epidemiology, The Netherlands Cancer Institute, The Netherlands. FAU - Efficace, Fabio AU - Efficace F AD - Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center & Health Outcomes Research Unit, Rome, Italy. LA - eng PT - Journal Article PT - Systematic Review DEP - 20190306 PL - England TA - J Comp Eff Res JT - Journal of comparative effectiveness research JID - 101577308 SB - IM MH - Humans MH - Male MH - Neoplasms/*therapy MH - *Patient Outcome Assessment MH - Randomized Controlled Trials as Topic/*statistics & numerical data MH - Treatment Outcome OTO - NOTNLM OT - adverse events OT - cancer OT - patient-reported outcomes OT - randomized controlled trials OT - symptoms EDAT- 2019/03/07 06:00 MHDA- 2020/07/07 06:00 CRDT- 2019/03/07 06:00 PHST- 2019/03/07 06:00 [pubmed] PHST- 2020/07/07 06:00 [medline] PHST- 2019/03/07 06:00 [entrez] AID - 10.2217/cer-2018-0092 [doi] PST - ppublish SO - J Comp Eff Res. 2019 Apr;8(5):279-288. doi: 10.2217/cer-2018-0092. Epub 2019 Mar 6.