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Table 2 Identified literature overview

From: Health-related quality of life questionnaires in lung cancer trials: a systematic literature review

Author (Year)

Study, Phase tumor type stadium

Treatment outline

HRQoL endpoints

QoL outcome

QoL instruments

Agteresch HJ et al. (2002) [7]

Clinical trial NSCLC IIIB/IV

Adenosine 5'-Triphosphate (ATP) vs. non

secondary

No change in appetite and body comparison in the ATP group. Control group lost weight and appetite.

Rotterdam Symptom Checklist (RSCL)

Baka S et al. (2005) [8]

Clinical trial, II NSCLC IIIB/IV

Comparison of two different treatment schedules for Gemcitabine

primary

Significant improvement in performance from baseline, no sign. difference between treatment schedules.

Subset Scale from the EORTC QLQ-C30 and LC13, Karnofsky performance scale

Belani C et al. (2006) [9]

Clinical trial, III NSCLC IIIB/IV

Comparison of two Docetaxel-platinum regimens with Vinorelbine/Cisplatin

primary

Patients treated with Docetaxel-containing regimen had better QoL and relieved symptoms.

LCSS, EQ-5D

Bezjak A et al. (2008) [10]

Clinical trial, III NSCLC IB/II

Adjuvant chemotherapy (Cisplatin and Vinorelbine vs. non)

secondary

After chemotherapy QoL returned to baseline by 9 months compared to 3 months in the control group.

EORTC QLQ-C30

Bezjak A et al. (2006) [11]

Clinical trial, III NSCLC advanced

Erlotinib vs. placebo after prior chemotherapy

secondary

Sign. Improvement in physical and global QoL, dypnea, cough, pain, emotional functioning, deterioration in sore mouth and hairloss compared to baseline.

EORTC QLQ-C30,-LC13

Bianco V et al. (2001) [12]

Clinical trial NSCLC IIIB/IV

Gemcitabine as single agent therapy in advanced NSCLC in elderly patients (>65)

primary

Improvement in QoL, reduction of symptoms.

Spitzer-Index, Instrumental Activities of Daily Living Scale (IADL), EORTC QLQ-C30,-LC13

Booton R et al. (2006) [13]

Clinical trial, III NSCLC III/IV

Docetaxel/Carboplatin vs. Mitomycin C/Cisplatin/Vinblastine vs. Ifosfamide/Cisplatin

secondary

No superiority of one regimen.

Hospital Anxiety and Depression Scale (HADS), EORTC QLQ-C30,-LC13

Bozcuk H et al. (2006) [14]

Clinical trial NSCLC IIIB/IV

Examining determinants of a QoL improvement with chemotherapy in patients with advanced NSCLC.

primary

Age, baseline QoL and chemotherapy administration influence the degree of change in QoL.

EORTC QLQ-C30

Brown J et al. (2005) [15]

Clinical trial NSCLC IV

Supportive care with vs. without additional chemotherapy

primary

No sign. difference in QoL.

EORTC QLQ-C30,-LC17

Cella D et al. (2005) [16]

Clinical trial, II NSCLC advanced

Comparison of two different treatment dosages Gefitinib in heavily pretreated patients

primary and secondary

QoL improvements were correlated with tumor response.

FACT-L

Chen M.-L. (2008) [17]

Clinical trial NSCLC IIIB/IV, SCLC

Examining the impact of sleep disturbance of lung cancer patients undergoing chemotherapy on their QoL

primary

Sign. impact on the cognitive function and functional status.

HADS, Pittsburgh Sleep Quality Index (PSQI), Brief Pain Inventory (BPI), EORTC QLQ-C30,-LC13

Dancey J et al. (2004) [18]

Clinical trial, III NSCLC IIIB/IV

Docetaxel second-line vs. Best Supportive Care (BSC)

secondary

A trend towards less deterioration in QoL compared to BSC

LCSS EORTC QLQ-C30,-LC13

de Marinis F et al. (2008) [19]

Clinical trial, III NSCLC III/IV

Pemetrexed vs. Docetaxel

secondary

Positive response on chemotherapy correlates with symptom improvement.

LCSS

Gelibter A et al. (2005) [20]

“Compassionate-Use” NSCLC III/IV

Gefitinib

primary

Improvements in fatigue, insomnia, and pain, deterioration in sore mouth, chest-pain, diarrhea.

EORTC QLQ-C30,-LC13

Gridelli C et al. (2003) [21]

Clinical trial, III NSCLC IIIB/IV

Gemcitabine/Vinorelbine vs. Gemcitabine/Cisplatin vs. Vinorelbine/Cisplatin

primary

Global QoL is not improved with Gemcitabine/Vinorelbine.

EORTC QLQ-C30,-LC13

Grønberg BH et al. (2009) [22]

Clinical trial, III NSCLC IIIB/IV

First-line Pemetrexed/Carboplatin vs. Gemcitabine/Carboplatin

primary

Pemetrexed/Carboplatin provides similar HRQoL with less need for supportive care.

EORTC QLQ-C30,-LC13

Helbekkmo N et al. (2009) [23]

Clinical trial, III NSCLC IIIB/IV

Carboplatin Chatelut AUC/Vinorelbine or Carboplatin/Gemcitabine in patients with a performance status (PS) 2 compared to patients with PS 0/1

primary

PS 2 patients had a more profound improvement of global HRQoL.

EORTC QLQ-C30,-LC13

Hensing TA et al. (2003) [24]

Clinical trial, III NSCLC IIIB/IV

4 cycles of Carboplatin/Paclitaxel or until disease progression in patients younger than age 70 compared to those aged 70 years and older

primary

No difference in QoL outcomes.

FACT-L

LeCaer H et al. (2005) [25]

Clinical trial, II NSCLC IIIB/IV

Docetaxel monotherapy in elderly patients

primary

QoL remained stable during treatment.

Spitzer-Index EORTC QLQ-C30,-LC13

Leighl NB et al. (2005) [26]

Clinical trial, III NSCLC IIIB/IV

Paclitaxel/Carboplatin with or without BMS-275291

secondary

No detailed results presented.

EORTC QLQ-C30,-LC13

Lilenbaum R et al. (2007) [27]

Clinical trial, II NSCLC IIIB/IV

Erlotinib vs. Paclitaxel/Carboplatin in patients with a performance status (PS) of 2

secondary

No sign. differences.

EORTC QLQ-LC13

Maione P et al. (2005) [28]

Clinical trial, III NSCLC IIIB/IV

The prediction of pretreated QoL on the survival of elderly NSCLC patients treated with chemotherapy

primary

Pretreatments global QoL has a sign. prognostic value for survival of elderly patients with advanced NSCLC treated with chemotherapy.

EORTC QLQ-C30,-LC13

McQuellon R P et al. (2002) [29]

Clinical trial, III NSCLC, SCLC

Megestrol Acetate vs. placebo in patients undergoing radiation therapy

primary

No sign. difference in overall QoL.

FACT-General, FACT-L

Mohan A et al. (2008) [30]

QoL-study NSCLC III/IV

Cisplatin/Etoposide

primary

Sign. improvement in cough, shortness of breath, pain but not in QoL.

WHOQOL-BREF, Hindi

Moinpour CM et al. (2002) [31]

Clinical trial, III NSCLC IIIB/IV

Cisplatin/Vinorelbine vs. Carboplatin/Paclitaxel

secondary

No sign. difference in QoL.

FACT-L

Morita S et al. (2003) [32]

Clinical trial, III NSCLC IIIB/IV

Cisplatin/Irinotecan vs. Cisplatin/Vindesine vs. Irinotecan

secondary

Clinical parameters have a sign. effect on QoL in patients undergoing chemotherapy.

QoL questionnaire for cancer patients treated with anti-cancer drugs (QOL-ACD)

Movsas B et al. (2005) [33]

Clinical trial NSCLC II/IIIA/B

Paclitaxel/Carboplatin with or without Amifostine

secondary

QoL was not sign. different between the arms.

EORTC QLQ-C30,-LC13

Mu XL et al. (2004) [34]

“Compassionate-Use” NSCLC III/IV

Gefitinib

primary

Symptom relief and improvement in QoL.

EORTC QLQ-C30,-LC13

Natale RB (2004) [35]

Clinical trial, II NSCLC advanced

Different treatment dosages Gefitinib

secondary

Improvements in symptoms and QoL.

FACT-L

O’Brian MER et al. (2006) [36]

Clinical trialSCLC

Best Supportive Care with or without Topotecan in patients with relapsed SCLC

secondary

Slower QoL deterioration and greater symptom control.

Patient self assessment similar to the LCSS, EQ-5D

Paccagnella A et al. (2004) [37]

Clinical trial, III NSCLC IIIB/IV

Mitomycin/Vinblastine/Cisplatin vs. Mitomycin/Vinblastine/Carboplatin

primary

Spitzer’s questionnaire showed an improved QoL index for Carboplatin.

Spitzer-Index, EORTC QLQ-C30,-LC13

Pijls-Johannesma M et al. (2009) [38]

QoL-study NSCLC I – III, SCLC

Radiotherapy with or without chemotherapy

primary

Overall QoL increases back to baseline within 3 months.

EORTC QLQ-C30,-LC13

Reck M et al. (2006) [39]

Clinical trial, III SCLC

Paclitaxel/Carboplatin/Etoposide phosphate vs. Carboplatin/Etoposide phosphate/Vincristine

primary

Paclitaxel-containing regimen sign. improved QoL parameters like global overall QoL.

EORTC QLQ-C30

Sarna L et al. (2008) [40]

Clinical trial, III NSCLC II/III

Paclitaxel/Carboplatin with or without Amifostin

primary

QoL was not sign. different between the arms.

EORTC QLQ-C30,-LC13

Schumacher A et al. (2003) [41]

Clinical trial, III NSCLC III

Cisplatin/Etoposide followed by either surgery before radiotherapy or radio-chemotherapy before surgery

primary

On QoL no sign. effect was found in or between the two treatments.

EORTC QLQ-C30,-LC13

Sekine I et al. (2009) [42]

Clinical trial, III NSCLC IIIB/IV

Gefitinib vs. Docetaxel

secondary

Gefitinib improved aspects of QoL over Docetaxel.

FACT-L

Sirisinha T et al. (2005) [43]

N/A NSCLC II-IV

Docetaxel after failure with platinum-based chemotherapy

secondary

No negative impact on overall QoL.

FACT-L

Thatcher N et al. (2005) [44]

Clinical trial SCLC

Ifosfamide/Carboplatin/Etoposid/Vincristine vs. standard chemotherapy

primary

No sign. differences regarding QoL.

Rotterdam Symptom Checklist, HADS, EORTC QLQ-C30,-LC13

Tian JH et al. (2010) [45]

Clinical trial NSCLC IIIB/IV

Chemotherapy vs. “Feiji Recipe” vs. Chemotherapy/“Feiji Recipe”

primary

"Feiji Recipe" alone or in combination might partially improve QoL.

EORTC QLQ-C30

Vilmar A et al. (2010) [46]

Clinical trial, III NSCLC III/IV

Chemotherapy; Determination of biomarker ERCC1

primary

QoL deteriorated sign. among survival-favourable ERCC1-neg. patients

EORTC QLQ-C30,-LC13

von Plessen C et al. (2006) [47]

Clinical trial NSCLC IIIB/IV

Optimal duration of palliative Carboplatin with Vinorelbine treatment

primary

No sign. differences between the arms.

EORTC QLQ-C30,-LC13

Wu WY et al. (2006) [48]

QoL-study NSCLC IIIB/IV

Gemcitabine/Cisplatin with or without Shenfu Injektion

primary

Shengfu Injektion could improve QoL in patients with Gemcitabine/Cisplatin treatment.

Functional Living Index-Cancer, EORTC QLQ-C30

Zhang XT et al. (2005) [49]

“Compassionate-Use” NSCLC III/IV

Gefitinib

primary

Symptom relief and improvement in QoL.

EORTC QLQ-C30,-LC13

  1. EORTC QLQ -C30 = European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core (30 Items); EORTC QLQ-LC13 = EORTC QLQ-Lung Cancer (13 Items); EQ-5D = EuroQol-5 Dimensions; FACT-G = Functional Assessment of Cancer Therapy-General; FACT-L = FACT-Lung; HADS = Hospital Anxiety and Depression Scale; LCSS = Lung Cancer Symptom Scale; NSCLC = Non-Small Cell Lung Cancer; QoL=Quality of Life, SCLC = Small Cell Lung Cancer; sign.= significant; WHOQOL = World Health Organization Quality of Life assessment instrument.