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Using the Patient-Reported Outcomes Measurement Information System (PROMIS) to measure symptom burden reported by patients with brain tumors

Authors :
Stewart Goldman
Peter E. Manley
Mary Jo Kupst
William F. Hartsell
Jennifer L. Beaumont
Young Kwok
Jin Shei Lai
Allison Piazza Fisher
John Han Chih Chang
Source :
Pediatric bloodcancer. 66(3)
Publication Year :
2018

Abstract

BACKGROUND: Children with brain tumors can experience symptom burden throughout their disease continuum. The aim of the study was to evaluate symptom burden reported by children with brain tumors and factors that potentially were associated with their symptoms. METHODS: Data from 199 children with brain tumors aged 7–22 (mean age=14 years; 52% males; 76% white) were analyzed. Symptom burden was assessed using Patient Reported Outcomes Measurement Information System (PROMIS) via computerized adaptive testing (CAT) – Anxiety, Depression, Fatigue, Mobility, Upper Extremity Function, Peer Relationship, and Cognition. Patients and parents completed Symptom Distress Scales (SDS). Test-statistics and ANOVA were used to evaluate relationships between PROMIS measures and potentially influential variables. RESULTS: Significant results (p1 yr). Fatigue and Cognition were associated with educational program (regular classroom without an individualized education plan versus those that had an individualized education plan); Mobility and Upper Extremity Function were associated with time since last radiation. Mobility, Upper Extremity Function and Anxiety were associated with time since last chemotherapy. CONCLUSIONS: Significant associations were found between PROMIS and SDS as well as clinical and demographic characteristics. Brief-yet-precise PROMIS CATs can be used to systematically assess symptom burden experienced by children with brain tumors.

Details

ISSN :
15455017
Volume :
66
Issue :
3
Database :
OpenAIRE
Journal :
Pediatric bloodcancer
Accession number :
edsair.doi.dedup.....3b2f0c416f1af5f7abd63000e4a41c1d