Evidence mapPaperPMID 40751339Full record

Observational studyCancer medicine2025

Patient-Reported Outcomes for Patients With Metastatic NSCLC Treated at an Academic Medical Center, 2017-2021.

Loretta A Williams, Cai Xu, Darcy A Ponce, Qiuling Shi, Melissa L Santorelli, Thomas Burke, Mehmet Altan

Abstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Loretta A WilliamsDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-2788-657X
Cai XuDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Darcy A PonceDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Qiuling ShiDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-0660-3809
Melissa L SantorelliValue and Implementation Outcomes Research, Oncology, Merck & Co., Inc., Rahway, New Jersey, USA.
Thomas BurkeOutcomes Research, MRL, Merck & Co., Inc., Rahway, New Jersey, USA.
Mehmet AltanDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Funding

Merck Sharp & Dohme LLC, a subsidiary of Merck & Co. Inc., Rahway, NJ, USA
6 · The paper itself

Abstract

backgroundUnderstanding the symptom burden experienced by patients with cancer can enable appropriate supportive care. Our aim was to describe patient-reported outcomes (PROs) for patients with metastatic NSCLC initiating first-line (1L) systemic therapy under usual care at a large academic center.

methodsPatients eligible for this prospective observational study were ≥ 18 years old when initiating 1L systemic therapy for stage IV NSCLC from January 1, 2017 to December 31, 2020. Patients completed two PRO questionnaires before 1L therapy initiation (baseline) and every ~6 weeks at imaging visits thereafter: the MD Anderson Symptom Inventory for lung cancer (MDASI-LC) and EuroQol EQ-5D-5L. Study follow-up ended on June 30, 2021.

resultsThe 609 eligible patients (median age, 63 years; range, 24-87; 51% men) received 1L chemotherapy plus immunotherapy (38%), targeted therapy (29%), chemotherapy (19%), or immunotherapy (13%). The five most severe MDASI-LC symptoms among all assessments were fatigue, pain, shortness of breath, disturbed sleep, and dry mouth; 17%-32% of assessments were rated as moderate or severe. Of all assessments, 39% recorded moderate to severe symptom interference with physical aspects of daily life, and 22% reported moderate to severe interference with affective aspects. Symptom and interference subscale scores generally declined from baseline to 102 weeks overall and for the four 1L regimens.

conclusionOur findings confirm previous findings that patients with a new diagnosis of metastatic NSCLC experience a moderate symptom burden. More research is needed to identify predictors and causes of this symptom burden so that it can be effectively addressed.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPatient Reported Outcome MeasuresAcademic Medical CentersAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeYoung Adultadvanced lung cancerfirst‐line treatmentpatient‐reported outcomessymptom burdensymptom interferencesymptoms

Identifiers

PMID40751339
PMCPMC12317105

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.