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Variables associated with patient-reported outcomes in persons with chronic myeloid leukemia receiving tyrosine kinase-inhibitor therapy

  • Original Article – Clinical Oncology
  • Published:
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Abstract

Purpose

Explore patient-reported outcomes (PROs), including health-related quality of life (HRQoL), satisfaction with therapy, impact of the therapy on work and daily life, and concerns related to the therapy and identify variables associated with PROs in persons with chronic myeloid leukemia (CML) receiving tyrosine kinase inhibitors (TKIs).

Methods

Across-sectional questionnaire was distributed to adults with chronic phase CML and answered anonymously. SF-36 Health Survey was used to measure HRQoL. Our focus was on the physical component summary (PCS) and mental component summary (MCS) components.

Results

Data from 819 respondents receiving TKI-therapy ≥3 months and achieving a complete cytogenetic response were analyzed. Median age was 42 years (range 18–88 years). 652 (80%) were receiving imatinib. Median TKI-therapy duration was 36 months (range 3–178 months). 629 (77%) paid some or all of their TKI costs. In multivariate analyses, female sex, increasing age, lower education level, increasing co-morbidities, concomitant medication, ≥3 symptoms, moderate or severe symptom, switch from imatinib to a second-generation TKI, and higher annual out-of-pocket expense of TKI were significantly associated with lower PCS and/or MCS. However, TKI-therapy duration 3–7 years was significantly associated with better well-being. Higher PCS or MCS score was significantly associated with higher satisfaction level with TKI-therapy and less impact of TKI-therapy on subject’s daily life and work. In addition, adverse impact on daily life and work was significantly associated with more interests in TKI-therapy-related issues.

Conclusions

Social-economic and clinical variables were significantly associated with PROs in persons with CML receiving TKI-therapy.

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Authors and Affiliations

  1. Peking University People’s Hospital, Peking University Institute of Hematology, No. 11 Xizhimen South Street, Beijing, 100044, People’s Republic of China

    Qian Jiang & Lu Yu

  2. Collaborative Innovation Center of Hematology, Soochow University, Suzhou, People’s Republic of China

    Qian Jiang

  3. Peking University Clinical Research Institute, Beijing, People’s Republic of China

    Hai-Bo Wang

  4. Division of Experimental Medicine, Department of Medicine, Hematology Research Centre, Imperial College London, London, UK

    Robert Peter Gale

Authors
  1. Qian Jiang
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  2. Hai-Bo Wang
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  3. Lu Yu
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  4. Robert Peter Gale
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Corresponding author

Correspondence to Qian Jiang.

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Funding

This study was funded by the National Natural Science Foundation of China (No. 81370637).

Conflict of interest

Author RPG is a part-time employee of Celgene Corporation, Summit, NJ, USA. The remaining authors declare no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Because the survey used anonymous questionnaires, the Ethics Committee of Peoples Hospital determined informed consent of participants was not required.

Additional information

Q. Jiang and H.-B. Wang contributed equally to this study.

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Jiang, Q., Wang, HB., Yu, L. et al. Variables associated with patient-reported outcomes in persons with chronic myeloid leukemia receiving tyrosine kinase-inhibitor therapy. J Cancer Res Clin Oncol 143, 1013–1022 (2017). https://doi.org/10.1007/s00432-017-2353-2

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  • DOI: https://doi.org/10.1007/s00432-017-2353-2

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