TY - JOUR
T1 - Health-related quality of life in locally advanced and metastatic breast cancer: methodological and clinical issues in randomised controlled trials
AU - Ghislain, Irina
AU - Zikos, Efstathios
AU - Coens, Corneel
AU - Quinten, Chantal
AU - Balta, Vasiliki
AU - Tryfonidis, Konstantinos
AU - Piccart, Martine
AU - Zardavas, Dimitrios
AU - Nagele, Eva
AU - Bjelic-Radisic, Vesna
AU - Cardoso, Fatima
AU - Sprangers, Mirjam A. G.
AU - Velikova, Galina
AU - Bottomley, Andrew
PY - 2016
Y1 - 2016
N2 - Breast cancer is the leading cause of cancer death among women worldwide, and increasingly, randomised controlled trials of this disease are measuring the health-related quality of life of these patients. In this systematic Review, we assess the adequacy of methods used to report health-related quality of life (HRQOL) from 49 eligible randomised controlled trials of advanced breast cancer. We compare our findings with those from the literature to investigate whether the standard of HRQOL reporting in this field has changed. We conclude that the overall reporting of HRQOL has improved, but some crucial aspects remain problematic, such as the absence of HRQOL research hypotheses and the overemphasis on statistical rather than clinical significance. Additionally, new challenges are arising with the emergence of novel treatments and the advent of personalised medicine, and improved HRQOL tools are required to cover the range of side-effects of newer therapies
AB - Breast cancer is the leading cause of cancer death among women worldwide, and increasingly, randomised controlled trials of this disease are measuring the health-related quality of life of these patients. In this systematic Review, we assess the adequacy of methods used to report health-related quality of life (HRQOL) from 49 eligible randomised controlled trials of advanced breast cancer. We compare our findings with those from the literature to investigate whether the standard of HRQOL reporting in this field has changed. We conclude that the overall reporting of HRQOL has improved, but some crucial aspects remain problematic, such as the absence of HRQOL research hypotheses and the overemphasis on statistical rather than clinical significance. Additionally, new challenges are arising with the emergence of novel treatments and the advent of personalised medicine, and improved HRQOL tools are required to cover the range of side-effects of newer therapies
U2 - https://doi.org/10.1016/S1470-2045(16)30099-7
DO - https://doi.org/10.1016/S1470-2045(16)30099-7
M3 - Review article
C2 - 27396647
SN - 1470-2045
VL - 17
SP - e294-e304
JO - lancet oncology
JF - lancet oncology
IS - 7
ER -