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month download article/chapter org/professionals/physician_gls/pdf/myeloma relapse/refractory multiple myeloma assess clinical decision-making population-based profiles registry relapsed/refractory multiple myeloma mapping eortc qlq-c30 gov/statfacts/html/mulmy patient-reported outcomes real-world treatment patterns article supportive care anderson symptom inventory health/national cancer institution araceli garcia-gonzalez & charles rrmm-related symptoms burden full article pdf refractory multiple myeloma van der holt melphalan refractory myeloma siegel ds privacy choices/manage cookies describe symptom burden high symptom burden related subjects relapsed multiple myeloma van de velde araceli garcia-gonzalez single-center experience placebo-controlled trial stable multiple myeloma stewart ak individual participants included describe symptom trajectory assessing symptom distress bristol-myers squibb bmc cancer 16 recombinant human erythropoietin oral ixazomib global clinical management health-related quality health-related quality high symptoms burden multiple myeloma patients advanced multiple myeloma author information authors de la loge cleeland cs article kamal symptom research european economic area

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         headline:Symptom burden and its functional impact in patients with “symptomatic” relapsed or refractory multiple myeloma
         description:Relapsed or refractory multiple myeloma (RRMM) is labeled “symptomatic” based on laboratory values, but not relevant to quantitative measure of patient’s perspectives. This study aimed to describe symptom burden, health status, and quality of life in RRMM patients. The cross-sectional study included 184 MM patients (141 RRMM cases and 43 MM patients on follow-up without diagnosis/treatment of RRMM disease as controls), while 64 RRMM patients also provided longitudinal patient-reported outcomes (PROs) data. Symptomatic status was based on clinical measures of disease activity. PROs included the MD Anderson Symptom Inventory multiple myeloma module (MDASI-MM), single-item quality of life (SIQOL), and EuroQol-5D (EQ-5D). Wilcoxon rank test and effect size were used for comparisons. Regression models were used to describe symptom trajectory and to identify predictors of high symptom burden during 3 months of RRMM therapy. Most patients were clinically identified as symptomatic (93%). RRMM patients tended to report more severe symptoms, with significantly lower QOL scores and more severe fatigue, poor appetite, and lower enjoyment of life compared with controls (all p < 0.05). In RRMM patients, lower hemoglobin and higher B-2 microglobulin levels significantly correlated with higher burdens of fatigue, pain, and muscle weakness and also with lower QOL and EQ-5D scores (all p < 0.05). During RRMM therapy, being female, with any comorbidity, ≥ 65 years old, and ≥ 5 years MM history, contributed to high symptoms burden and poor QOL status (each p < 0.05). MDASI-MM modules were sensitive to detect the RRMM-related symptoms burden, which correlated with objective clinical measures. RRMM patients reported a more compromised QOL.
         datePublished:2020-05-11T00:00:00Z
         dateModified:2020-05-11T00:00:00Z
         pageStart:467
         pageEnd:475
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            Multiple myeloma
            Refractory
            Patient-reported outcomes
            Quality of life
            Symptom burden
            Functional outcomes
            Oncology
            Nursing
            Nursing Research
            Pain Medicine
            Rehabilitation Medicine
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      headline:Symptom burden and its functional impact in patients with “symptomatic” relapsed or refractory multiple myeloma
      description:Relapsed or refractory multiple myeloma (RRMM) is labeled “symptomatic” based on laboratory values, but not relevant to quantitative measure of patient’s perspectives. This study aimed to describe symptom burden, health status, and quality of life in RRMM patients. The cross-sectional study included 184 MM patients (141 RRMM cases and 43 MM patients on follow-up without diagnosis/treatment of RRMM disease as controls), while 64 RRMM patients also provided longitudinal patient-reported outcomes (PROs) data. Symptomatic status was based on clinical measures of disease activity. PROs included the MD Anderson Symptom Inventory multiple myeloma module (MDASI-MM), single-item quality of life (SIQOL), and EuroQol-5D (EQ-5D). Wilcoxon rank test and effect size were used for comparisons. Regression models were used to describe symptom trajectory and to identify predictors of high symptom burden during 3 months of RRMM therapy. Most patients were clinically identified as symptomatic (93%). RRMM patients tended to report more severe symptoms, with significantly lower QOL scores and more severe fatigue, poor appetite, and lower enjoyment of life compared with controls (all p < 0.05). In RRMM patients, lower hemoglobin and higher B-2 microglobulin levels significantly correlated with higher burdens of fatigue, pain, and muscle weakness and also with lower QOL and EQ-5D scores (all p < 0.05). During RRMM therapy, being female, with any comorbidity, ≥ 65 years old, and ≥ 5 years MM history, contributed to high symptoms burden and poor QOL status (each p < 0.05). MDASI-MM modules were sensitive to detect the RRMM-related symptoms burden, which correlated with objective clinical measures. RRMM patients reported a more compromised QOL.
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      dateModified:2020-05-11T00:00:00Z
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         Multiple myeloma
         Refractory
         Patient-reported outcomes
         Quality of life
         Symptom burden
         Functional outcomes
         Oncology
         Nursing
         Nursing Research
         Pain Medicine
         Rehabilitation Medicine
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