Patterns of patient-reported outcomes (PROs) in a diverse group of gynecologic cancer survivors.

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Charlotte Gerrity, Abdulrahman Sinno, Akina Natori, Vandana Sookdeo, Jessica MacIntyre, Sophia George, Carmen Calfa, Tracy E Crane, Frank J Penedo, Matthew Schlumbrecht
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Abstract

Objectives: Racial and ethnic disparities in patient-reported outcomes (PROs) among gynecologic cancer survivors are not well studied. We evaluated whether individual-level characteristics were associated with PROs in diverse gynecologic cancer survivors.

Methods: Gynecologic cancer patients in an ambulatory oncology clinic completed a psychosocial and practical needs assessment before their appointments through the electronic medical record (EMR) patient portal. Assessments were available in English and Spanish. Fatigue, pain, physical function, depression, and anxiety were assessed with Patient-Reported Outcomes Measurement Information System (PROMIS®) computer adaptive tests, and health-related quality of life was assessed by FACT-G7. PROs were dichotomized based on severity (normal/mild vs moderate/severe). Demographic and clinical information was collected. Analyses were performed using Chi-square, t-tests, and Kruskal-Wallis tests.

Results: A total of 582 women completed the assessment; 20% (n = 116) were racial minorities, and 54.5% (n = 310) were Hispanic. A total of 192 (32.8%) completed the assessments in Spanish. Hispanic patients had lower mean fatigue scores (49.31 vs 51.74, p = 0.01), and patients whose preferred language was Spanish had lower mean depression (47.63 vs 48.97, p = 0.05) and fatigue scores (48.27 vs 51.27, p < 0.01). There were no significant differences in the severity of PROs by race, ethnicity, or preferred language. QOL scores were worse in patients with high symptom severity for anxiety (p = 0.04) and physical functioning (p < 0.01). Current smokers had worse physical functioning (13.4% vs 6.5%, p = 0.03).

Conclusions: We found no significant differences in severity of PROs by race, ethnicity, or preferred language. Quality of life scores were worse for patients with high symptom severity for physical functioning and anxiety.

不同妇科癌症幸存者群体的患者报告结果 (PRO) 模式。
目的:妇科癌症幸存者在患者报告结果(PROs)方面的种族和民族差异尚未得到充分研究。我们评估了个人层面的特征是否与不同妇科癌症幸存者的PROs相关:方法:一家非住院肿瘤诊所的妇科癌症患者在就诊前通过电子病历(EMR)患者门户网站完成了社会心理和实际需求评估。评估以英语和西班牙语进行。疲劳、疼痛、身体功能、抑郁和焦虑通过患者报告结果测量信息系统 (PROMIS®) 计算机自适应测试进行评估,健康相关生活质量通过 FACT-G7 进行评估。PROs根据严重程度(正常/轻度 vs 中度/重度)进行二分。此外,还收集了人口统计学和临床信息。采用卡方检验、t 检验和 Kruskal-Wallis 检验进行分析:共有 582 名妇女完成了评估;20%(n = 116)为少数民族,54.5%(n = 310)为西班牙裔。共有 192 人(32.8%)用西班牙语完成了评估。西班牙裔患者的平均疲劳得分较低(49.31 vs 51.74,p = 0.01),而首选语言为西班牙语的患者的平均抑郁得分较低(47.63 vs 48.97,p = 0.05),疲劳得分较低(48.27 vs 51.27,p 结论:我们发现,不同种族、族裔或首选语言的患者在 PROs 的严重程度上没有明显差异。身体功能和焦虑症状严重的患者生活质量评分较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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