1. Health-related Quality of Life in Cutaneous Lymphomas: Past, Present and Future
- Author
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Constanze Jonak, Julia Scarisbrick, Antonio Cozzio, Fabio Efficace, Evangelia Papadavid, Eva Lehner-Baumgartner, Kevin Molloy, Simone Oerlemans, and Stefanie Porkert
- Subjects
primary cutaneous lymphomas ,Treatment response ,medicine.medical_specialty ,Lymphoma, B-Cell ,Skin Neoplasms ,Disease Response ,Dermatology ,Disease ,Patient care ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,quality of life questionnaires ,Quality of life ,Surveys and Questionnaires ,Humans ,Medicine ,Intensive care medicine ,Health related quality of life ,business.industry ,patient care ,General Medicine ,humanities ,Lymphoma, T-Cell, Cutaneous ,health-related quality of life ,Clinical trial ,RL1-803 ,030220 oncology & carcinogenesis ,Quality of Life ,business ,Psychosocial - Abstract
Previous studies have reported that primary cutaneous lymphomas profoundly influence patients’ health-related quality of life (HRQoL). However, assessment of this psycho-social concept is not common in routine patient care unless required within clinical trials. The aim of this review is to provide a comprehensive overview of HRQoL measures and outcomes in cutaneous lymphomas in order to inform clinicians. Advanced-stage cutaneous lymphomas were found to be associated with worse HRQoL than early-stage disease. Specifically, progression of the disease, age, sex, psychosocial issues, educational level and therapy were related to the extent of impairment of HRQoL. Treatment response was linked to improved HRQoL, but notably ameliorated HRQoL scores were also reported despite objective disease response. However, the variety of instruments applied to measure HRQoL in cutaneous lymphomas makes it difficult to compare data directly. In conclusion, speciality-specific HRQoL instruments were superior to generic ones, which probably failed to recognize small, but relevant, changes, demonstrating the need for a disease-specific tool.
- Published
- 2019