PMID- 34334136 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210806 IS - 2055-0294 (Print) IS - 2055-0294 (Electronic) IS - 2055-0294 (Linking) VI - 7 IP - 1 DP - 2021 Aug 2 TI - Anorexia, pain and peripheral neuropathy are associated with a decrease in quality of life in patients with advanced pancreatic cancer receiving outpatient chemotherapy - a retrospective observational study. PG - 27 LID - 10.1186/s40780-021-00210-1 [doi] LID - 27 AB - BACKGROUND: Cancer chemotherapy usually improves clinical outcomes in patients with advanced pancreatic cancer (APC), but can also cause moderate-to-severe adverse events (AEs). We investigated the relationship between moderate-to-severe AEs and quality of life (QOL) in patients with APC who received outpatient chemotherapy. METHODS: We recruited APC patients who received outpatient chemotherapy in Gifu University Hospital between September 2017 and December 2018. Adverse events related to chemotherapy were assessed by a pharmacist collaborating with a physician using common terminology criteria for AEs (CTCAE) ver 4.0, and QOL of patients was self-assessed by patients using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L Japanese edition 2). Associations between the EQ-5D-5L utility value and serious AEs were assessed using proportional odds logistic regression. RESULTS: A total of 59 patients who received 475 chemotherapy cycles were included. The proportional odds logistic regression indicated that grade >/= 2 anorexia, pain and peripheral neuropathy were significantly correlated with a decreased EQ-5D-5L utility value. Pharmaceutical intervention for these AEs significantly improved the patients' EQ-5D-5L utility value. CONCLUSIONS: Anorexia, pain and peripheral neuropathy were significantly associated with a decrease in QOL. It is assumed that appropriate pharmaceutical intervention with particular emphasis on these AEs can improve the QOL of pancreatic cancer patients receiving outpatient chemotherapy. CI - (c) 2021. The Author(s). FAU - Fujii, Hironori AU - Fujii H AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. h_fujii@gifu-u.ac.jp. FAU - Koda, Maaya AU - Koda M AD - Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, 501-1196, Japan. FAU - Sadaka, Shiori AU - Sadaka S AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. FAU - Ohata, Koichi AU - Ohata K AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. FAU - Kato-Hayashi, Hiroko AU - Kato-Hayashi H AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. FAU - Iihara, Hirotoshi AU - Iihara H AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. FAU - Kobayashi, Ryo AU - Kobayashi R AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. FAU - Ishihara, Takuma AU - Ishihara T AD - Gifu University Hospital, Innovative and Clinical Research Promotion Center, Gifu University, Gifu, 501-1194, Japan. FAU - Uemura, Shinya AU - Uemura S AD - First Department of Internal Medicine, Gifu University Hospital, Gifu, 501-1194, Japan. FAU - Iwashita, Takuji AU - Iwashita T AD - First Department of Internal Medicine, Gifu University Hospital, Gifu, 501-1194, Japan. FAU - Hayashi, Hideki AU - Hayashi H AD - Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, 501-1196, Japan. FAU - Sugiyama, Tadashi AU - Sugiyama T AD - Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, 501-1196, Japan. FAU - Shimizu, Masahito AU - Shimizu M AD - First Department of Internal Medicine, Gifu University Hospital, Gifu, 501-1194, Japan. FAU - Suzuki, Akio AU - Suzuki A AD - Department of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. LA - eng PT - Journal Article DEP - 20210802 PL - England TA - J Pharm Health Care Sci JT - Journal of pharmaceutical health care and sciences JID - 101672177 PMC - PMC8327438 OTO - NOTNLM OT - Adverse events related outpatient cancer chemotherapy OT - Pancreatic cancer OT - Proportional odds logistic regression model OT - Quality of life OT - Retrospective observational study COIS- Not applicable. EDAT- 2021/08/03 06:00 MHDA- 2021/08/03 06:01 PMCR- 2021/08/02 CRDT- 2021/08/02 05:28 PHST- 2020/11/26 00:00 [received] PHST- 2021/05/18 00:00 [accepted] PHST- 2021/08/02 05:28 [entrez] PHST- 2021/08/03 06:00 [pubmed] PHST- 2021/08/03 06:01 [medline] PHST- 2021/08/02 00:00 [pmc-release] AID - 10.1186/s40780-021-00210-1 [pii] AID - 210 [pii] AID - 10.1186/s40780-021-00210-1 [doi] PST - epublish SO - J Pharm Health Care Sci. 2021 Aug 2;7(1):27. doi: 10.1186/s40780-021-00210-1.