Evidence map›Paper›PMID 41913063›Full record

ArticleThe oncologist2026

Patients' and healthcare providers' views regarding dose reduction of tyrosine kinase inhibitors in chronic myeloid leukemia: a qualitative study.

Dina N Lokhorst, Bart J F van den Bemt, Yolba Smit, Rosella P M G Hermens, Nicole M A Blijlevens, Charlotte L Bekker

Abstract read
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Article in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Dina N LokhorstDepartment of Hematology, Radboud University Medical Center, Nijmegen, 6525 GA, The Netherlands.ORCID 0009-0004-0741-8722
Bart J F van den BemtDepartment of Pharmacy, Sint Maartenskliniek, Nijmegen, 6574 NA, The Netherlands.ORCID 0000-0002-8560-9514
Yolba SmitDepartment of Hematology, Radboud University Medical Center, Nijmegen, 6525 GA, The Netherlands.ORCID 0000-0003-4799-4981
Rosella P M G HermensIQ Health, Radboud University Medical Center, Nijmegen, 6525 GA, The Netherlands.
Nicole M A BlijlevensDepartment of Hematology, Radboud University Medical Center, Nijmegen, 6525 GA, The Netherlands.ORCID 0000-0002-1801-2072
Charlotte L BekkerDepartment of Pharmacy, pharmacology and toxicology, Radboud University Medical Center, Nijmegen, 6525 GA, The Netherlands.ORCID 0000-0002-6018-4409

Funding

ZonMw 10140021910501
6 · The paper itself

Abstract

backgroundDose reduction of tyrosine kinase inhibitors (TKIs) in patients with chronic myeloid leukaemia (CML) can reduce side effects and improve quality of life while maintaining treatment effectiveness and reducing costs.

objectiveThis study evaluates the views of both patients with CML and healthcare providers involved in CML care on dose reduction of TKIs.

methodsA qualitative study with semi-structured interviews via phone or video call was conducted with Dutch adult patients with CML and their healthcare providers. The COM-B model served as a theoretical framework to guide data collection and analysis to understand participants' capability, opportunity, and motivation for dose reduction. An inductive coding approach was utilized to derive themes from the data.

resultsEighteen patients and twelve healthcare providers (haematologists, nurse specialists, and pharmacists) participated, who in general were supportive of dose reduction. Two main themes were identified: (1) willingness and acceptance of dose reduction, which was shaped by participants' beliefs about the use of TKIs, the impact of TKIs on patients' quality of life, and associated hopes, fears and concerns; and (2) needs and preferences regarding dose reduction such as timing, eligibility, practical aspects, and shared-decision making.

conclusionPatients and healthcare providers have positive views on TKI dose reduction to improve the burden of CML treatment. Acceptance is shaped by their beliefs and concerns, while successful implementation depends on addressing practical needs and shared-decision making.

Indexed as

Health PersonnelLeukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsAdultAgedFemaleHumansMaleMiddle AgedQualitative ResearchQuality of LifeProtein Kinase Inhibitorschronic myeloid leukemiaCOM-Bdose reductionqualitative studytyrosine kinase inhibitors

Identifiers

PMID41913063
PMCPMC13071400

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.