Physician- and patient-reported symptom concordance and association with quality of life in hepatocellular carcinoma

To investigate the association of discordance in patient- and physician-reported symptoms on health-related quality of life (HRQoL) in hepatocellular carcinoma (HCC). Data were drawn from a point-in-time survey of physicians and patients conducted in Germany, Italy and Spain (October 2018 – January...

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Veröffentlicht in:Future oncology (London, England) England), 2022-10, Vol.18 (33), p.3727-3740
Hauptverfasser: Leith, Andrea, Kiiskinen, Urpo, Girvan, Allicia C, Jen, Min-Hua, Khela, Keerun, Rider, Alex, Massey, Lucy, Piercy, James
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container_end_page 3740
container_issue 33
container_start_page 3727
container_title Future oncology (London, England)
container_volume 18
creator Leith, Andrea
Kiiskinen, Urpo
Girvan, Allicia C
Jen, Min-Hua
Khela, Keerun
Rider, Alex
Massey, Lucy
Piercy, James
description To investigate the association of discordance in patient- and physician-reported symptoms on health-related quality of life (HRQoL) in hepatocellular carcinoma (HCC). Data were drawn from a point-in-time survey of physicians and patients conducted in Germany, Italy and Spain (October 2018 – January 2019). Physicians and their consulting patients independently reported baseline characteristics, symptoms, treatment history and satisfaction, and HRQoL derived using the Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) questionnaire. Of 486 patients analysed, tiredness (73.3%, 73.7%), pain/aches (67.7%, 66.9%) and weight/appetite loss (54.3%, 53.7%) were the most common and concordant patient and physician-reported symptom domains, respectively. The symptom domains showing the largest discordance were reflux/indigestion (14.6%, 5.1%), neurological (11.9%, 5.6%), dermatological (9.3%, 6.2%) symptoms and jaundice (4.7%, 10.3%). Reduced HRQoL was observed with increasing symptom-reporting discordance. Further studies should investigate how symptom-reporting discordance influences patient satisfaction and HRQoL.
doi_str_mv 10.2217/fon-2022-0202
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subjects Carcinoma, Hepatocellular - diagnosis
Carcinoma, Hepatocellular - epidemiology
Carcinoma, Hepatocellular - therapy
concordance
health-related quality of life
hepatocellular carcinoma
Humans
Liver Neoplasms - complications
Liver Neoplasms - diagnosis
Liver Neoplasms - therapy
Pain
Patient Reported Outcome Measures
Physicians
Quality of Life
real-world survey
Surveys and Questionnaires
symptoms
title Physician- and patient-reported symptom concordance and association with quality of life in hepatocellular carcinoma
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