Efficace, F, Jacobs, M, Pusic, A et al. (6 more authors) (2014) Patient-reported outcomes in randomised controlled trials of gynaecological cancers: Investigating methodological quality and impact on clinical decision-making. European journal of cancer, 50 (11). 1925 - 1941. ISSN 0959-8049
Abstract
Aim: The aim for this study is to investigate the methodological quality and potential impact on clinical decision making of patient reported outcome (PRO) assessment in randomised controlled trials (RCTs) in the gynecological cancer sites. Methods: A systematic review identified RCTs published between January 2004 and June 2012. Relevant studies were evaluated using a pre-determined extraction form which included: 1) Trial demographics and clinical and PRO characteristics; 2) level of PRO reporting; 3) Bias, assessed using the Cochrane Risk of Bias tool. All studies were additionally analysed in relation to their relevance in supporting clinical decision making. Results: Fifty RCTs enrolling 24991 patients were identified. In eight RCTs (16%) a PRO was the primary endpoint. Twenty-one studies (42%) were carried out in a multi-national context. Where statistically significant PRO differences between treatments were found, it related in most cases to both symptoms and domains other than symptoms (n=17, 57%). The majority of studies (n=42, 84%) did not mention the mode of administration nor the methods of collecting PRO data. Statistical approaches for dealing with missing data were only explicitly mentioned in 9 RCTs (18%). Sixteen RCTs (32%) were considered to be of high-quality and thus able to inform clinical decision making. Higher-quality PRO studies were generally associated with RCTs that were at a low risk of bias. Conclusion: This study showed that RCTs with PROs were generally well designed and conducted. In a third the information was very informative to fully understand the pros and cons of PROs treatment decision-making.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) 2014 Elsevier Ltd. All rights reserved. This is an author produced version of a paper published in European Journal of Cancer. Uploaded in accordance with the publisher's self-archiving policy |
Keywords: | Gynaecological cancer; Patient reported outcomes; Clinical trials; Quality of Life; Clinical decision making |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) |
Funding Information: | Funder Grant number National Inst for Health Research (NIHR) Not Known |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Oct 2015 13:17 |
Last Modified: | 03 Nov 2017 03:44 |
Published Version: | http://dx.doi.org/10.1016/j.ejca.2014.04.005 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.ejca.2014.04.005 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:88845 |