PMID- 37697734 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231216 IS - 2752-7549 (Electronic) IS - 2752-7530 (Linking) VI - 41 IP - 1 DP - 2024 Jan-Feb TI - Symptom Adverse Events and Quality of Life of Children With Advanced Cancer: Results From a Longitudinal Study Using the Pediatric Patient-Reported Outcomes-Common Terminology Criteria for Adverse Events. PG - 5-15 LID - 10.1177/27527530231168588 [doi] AB - Background: The presence of poorly controlled symptoms negatively impacts the quality of life (QoL) throughout cancer treatment. The purpose of this multisite study was to explore the relationship between QoL and symptom adverse events (AEs) in children with advanced cancer over 6 months. Method: A prospective and longitudinal descriptive study design was used to collect QoL and symptom AE data from children aged 2 to 18 with advanced cancer. QoL was measured using the Pediatric Quality of Life Inventory (PedsQL(TM)) Cancer Module 3.0 and symptom AEs were measured using the Pediatric Patient-Reported Outcome-Common Terminology Criteria for AEs (PRO-CTCAEs((R))). Descriptive statistics were used to describe QoL and symptom AE data. Correlational analyses and generalized linear mixed models were used to examine the relationship between symptom AEs and QoL. Results: Forty-nine children participated in the study. The mean total PedsQL(TM) score was 73.86 for the sample across all time points. Children diagnosed with a central nervous system (CNS) tumor reported poorer QoL compared to children diagnosed with a hematologic malignancy or non-CNS solid tumor. Symptom frequency AEs of anxiety, pain, nausea, insomnia, hot flashes, and fatigue severity demonstrated the strongest and most significant negative correlation with total QoL scores. Analyses of the relationship between QoL and symptom AEs over time revealed time-specific significant differences with children who experienced frequency AEs of nausea, and anxiety reporting poorer QoL at time point 4 (week 8). Discussion: The Ped PRO-CTCAE((R)) and PedsQL(TM) can be used to evaluate the relationship between symptom AEs and QoL in practice and in future research. FAU - Grinde, Krista AU - Grinde K AD - University of Wisconsin-Madison School of Medicine and Public Health, WI, USA. FAU - Raybin, Jennifer L AU - Raybin JL AUID- ORCID: 0000-0002-2361-2558 AD - Schools of Medicine and Nursing, Doernbecher Children's Hospital, Oregon Health & Sciences University, Portland, OR, USA. RINGGOLD: 20240 FAU - Ward, Jessica AU - Ward J AUID- ORCID: 0000-0001-5262-3056 AD - Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, CA, USA. FAU - Smith, Corey AU - Smith C AD - University of Wisconsin-Madison School of Nursing, Madison, WI, USA. FAU - Brown, Roger AU - Brown R AD - University of Wisconsin-Madison School of Nursing, Madison, WI, USA. FAU - Montgomery, Kathleen E AU - Montgomery KE AUID- ORCID: 0000-0001-7662-0247 AD - University of Wisconsin-Madison School of Nursing, Madison, WI, USA. LA - eng PT - Journal Article DEP - 20230911 PL - United States TA - J Pediatr Hematol Oncol Nurs JT - Journal of pediatric hematology/oncology nursing JID - 9918282681506676 SB - IM MH - Humans MH - Child MH - *Quality of Life MH - Longitudinal Studies MH - Prospective Studies MH - *Neoplasms/complications MH - Patient Reported Outcome Measures MH - Nausea/etiology OTO - NOTNLM OT - pediatric cancer OT - quality of life OT - symptom experience OT - symptoms COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/09/12 06:41 MHDA- 2023/12/17 09:44 CRDT- 2023/09/12 02:43 PHST- 2023/12/17 09:44 [medline] PHST- 2023/09/12 06:41 [pubmed] PHST- 2023/09/12 02:43 [entrez] AID - 10.1177/27527530231168588 [doi] PST - ppublish SO - J Pediatr Hematol Oncol Nurs. 2024 Jan-Feb;41(1):5-15. doi: 10.1177/27527530231168588. Epub 2023 Sep 11.