Evidence map›Paper›PMID 41863285›Full record

Trial reportThe oncologist2026

Resilience in symptom response to cancer treatment: a new lens for examining variable symptom trajectories in older adults with advanced cancer.

Zhihong Zhang, Eva Culakova, Kah Poh Loh, Kathi L Heffner, Mostafa Mohamed, Rachael G Tylock, Megan Wells, Fiona A Stauffer, Supriya Mohile, Marie Flannery

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02054741 (A Geriatric Assessment Intervention for Patients Aged 70 and Over Receiving Chemotherapy or Similar Agents for Advanced Cancer), which is not on this 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.

NCT02054741 nacompletednot on this map

A Geriatric Assessment Intervention for Patients Aged 70 and Over Receiving Chemotherapy or Similar Agents for Advanced Cancer: Reducing Toxicity in Older Adults

TypeinterventionalSponsorSupriya MohileRan2014 to 2021Enrolled733ConditionsAdult Solid Neoplasm, Toxicity, LymphomaArmsComprehensive Geriatric Assessment, Quality-of-Life Assessment, Survey Administration
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Zhihong ZhangUniversity of Rochester, School of Nursing, Rochester, NY, 14642, United States.ORCID 0000-0002-9948-8936
Eva CulakovaUniversity of Rochester Medical Center, Department of Surgery, Rochester, NY, 14642, United States.
Kah Poh LohUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.ORCID 0000-0002-6978-0418
Kathi L HeffnerUniversity of Rochester, School of Nursing, Rochester, NY, 14642, United States.ORCID 0000-0003-1095-1873
Mostafa MohamedUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.
Rachael G TylockUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.
Megan WellsUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.
Fiona A StaufferUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.
Supriya MohileUniversity of Rochester Medical Center, Division of Hematology/Oncology, Department of Medicine and Wilmot Cancer Institute, Rochester, NY, 14642, United States.ORCID 0000-0003-0867-327X
Marie FlanneryUniversity of Rochester, School of Nursing, Rochester, NY, 14642, United States.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Understanding Treatment Tolerability in Older Patients with CancerU01CA233167 · NCI · UNIVERSITY OF ROCHESTER · PI MOHILE, SUPRIYA G. · 2018 to 2023
$3.5M
Reducing Chemotherapy Toxicity in Older AdultsR01CA177592 · NCI · UNIVERSITY OF ROCHESTER · PI MOHILE, SUPRIYA G. · 2013 to 2018
$3.0M
A Patient-Oriented Research Program in Geriatric OncologyK24AG056589 · NIA · UNIVERSITY OF ROCHESTER · PI Supriya G. Mohile · 2018 to 2026
$1.5M
Epsilon Xi Chapter of Sigma Theta Tau ResearchNational Cancer Institute NCORP R01CA177592National Cancer Institute NCORP U01CA233167NCI NIH HHS R01 CA177592NCI NIH HHS U01 CA233167NCI NIH HHS UG1 CA189961NIA NIH HHS K24 AG056589
6 · The paper itself

Abstract

backgroundSymptom trajectories vary among patients during cancer treatment. The National Institutes of Health resilience model, which defines resilience as the ability to resist, recover, or grow from stressors, may be useful in understanding these variations. This study examined variations in symptom trajectories through the lens of resilience among older adults with advanced cancer.

methodsThis longitudinal quantitative study included patients aged 70 and older with advanced cancer who were receiving treatment regimens associated with a high risk of treatment-related toxicities, using data from the GAP70+ study (NCT02054741). A summary severity score of 24 symptoms from the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events and functional status (measured by instrumental activities of daily living) were assessed prior to the treatment regimen initiation, at 4-6 weeks, 3 months, and 6 months later. Symptom trajectories were estimated using growth mixture models. Resilience was indicated by trajectories of resisting, recovering, or growing (ie, improving from moderate/severe to none/mild severity). Its association with functional status was examined using longitudinal linear mixed models.

resultsThe study included 710 patients (average age 77.2, 43.2% female, 88.0% receiving chemotherapy). Overall, 17.7% of patients showed resilience in symptom response, which was associated with higher baseline functional status (13.2 vs 12.0, P <.001) and stable functioning over 6 months. In contrast, non-resilience in symptom response was associated with a functional decline of 0.7-0.9 points without recovery by 6 months (P<.001).

conclusionResilience in symptom response provides a novel perspective on symptom trajectory variations. Future research should explore underlying contributing factors to inform interventions that promote resilient symptom responses.

Indexed as

NeoplasmsResilience, PsychologicalActivities of Daily LivingAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleSymptom Burdencancer treatmentfunctional statusolder adultsresilienceresilience concept modelsymptom

Identifiers

PMID41863285
PMCPMC13157340

What Socratic holds

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LicenceCC BY
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Registered trials

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.