Symptoms and Health-Related Quality of Life in Patients Receiving Cancer Therapy Matched to Genomic Profiles

Oncol Nurs Forum. 2018 Nov 1;45(6):E125-E136. doi: 10.1188/18.ONF.E125-E136.

Abstract

Objectives: To examine symptom occurrence and severity and overall health-related quality of life (HRQOL) in patients receiving cancer therapy guided by genomic profiling (matched therapy) and patients receiving nonmatched therapy.

Sample & setting: A retrospective and secondary analysis of data from 129 individuals with breast or gynecologic cancer receiving care at a regional outpatient cancer center.

Methods & variables: Descriptive statistics and multiple linear regression analyses were performed. Study variables included symptom occurrence and severity, HRQOL, and person- and health-/illness-related factors. Symptom occurrence and severity were measured by the Therapy-Related Symptom Checklist (TRSC), and HRQOL was measured by the HRQOL-Linear Analogue Self-Assessment.

Results: Individuals receiving matched therapy had lower mean TRSC scores compared to individuals receiving nonmatched therapy, but the difference was not statistically significant. HRQOL scores among individuals receiving matched therapy were not significantly higher than those receiving nonmatched therapy. Individuals with higher TRSC scores had significantly lower HRQOL.

Implications for nursing: The effects of matched therapy on an individual should be examined. Study findings are an initial step in understanding the symptom occurrence and severity and HRQOL.

Keywords: cancer; genomic profiling; health-related quality of life; matched therapy; symptom severity.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / genetics*
  • Female
  • Genetic Profile
  • Genital Neoplasms, Female / drug therapy*
  • Genital Neoplasms, Female / genetics*
  • Genomics
  • Humans
  • Middle Aged
  • Molecular Targeted Therapy / methods
  • Oncology Nursing / methods
  • Quality of Life / psychology*
  • Retrospective Studies
  • Severity of Illness Index
  • Surveys and Questionnaires

Substances

  • Antineoplastic Agents