Fatigue visual analogue scale score correlates with quality of life in cancer patients receiving epoetin alfa (Sandoz) for chemotherapy-induced anaemia: The CIROCO study

Cancer Treat Res Commun. 2023:37:100781. doi: 10.1016/j.ctarc.2023.100781. Epub 2023 Nov 23.

Abstract

Purpose: Available tools to measure fatigue and health-related quality of life (HRQoL) in cancer patients are often difficult to use in clinical practice. The fatigue visual analogue scale (VAS) provides a simple method to assess fatigue. This study evaluated the correlation between HRQoL and fatigue perceived by cancer patients undergoing chemotherapy.

Methods: This was a non-interventional prospective study of adult cancer patients in France presenting with chemotherapy-induced anaemia (CIA) treated with epoetin alfa (Sandoz). Data were collected using an electronic case report form at study inclusion (T0), after 2-3 chemotherapy cycles (T1) and after 4-6 cycles (T2).

Results: The study included 982 patients from September 2015 to October 2017. Overall, there was a negative correlation between fatigue VAS and HRQoL. The overall haemoglobin (Hb) change between T0 and T2 was +17.8 % (± 18.1 %). Fatigue assessed by both patients and physicians showed a clinically significant improvement during the study. Global HRQoL also increased.

Conclusion: Treatment of CIA with epoetin alfa (Sandoz) improved Hb levels, fatigue, and HRQoL, with a correlation observed between fatigue VAS score and HRQoL. Fatigue VAS could act as a simple alternative to more complex methods to measure HRQoL; however, further analyses are required to confirm this association.

Keywords: chemotherapy-induced anaemia; erythropoiesis-stimulating agents; fatigue; health-related quality of life; visual analogue scale.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anemia* / chemically induced
  • Antineoplastic Agents* / adverse effects
  • Epoetin Alfa / therapeutic use
  • Erythropoietin* / adverse effects
  • Erythropoietin* / therapeutic use
  • Fatigue / chemically induced
  • Hematinics* / adverse effects
  • Hematinics* / therapeutic use
  • Humans
  • Neoplasms* / chemically induced
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Prospective Studies
  • Quality of Life
  • Treatment Outcome
  • Visual Analog Scale

Substances

  • Epoetin Alfa
  • Erythropoietin
  • Hematinics
  • Antineoplastic Agents