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A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis.

Publication ,  Journal Article
D'Souza, A; Szabo, A; Akinola, I; Finkel, M; Flynn, KE
Published in: Qual Life Res
June 2023

BACKGROUND: We conducted a cross-sectional study to characterize health-related quality of life and symptom burden in individuals living with light chain (AL) amyloidosis. METHODS: Members of the Amyloidosis Support Groups, Inc. with AL amyloidosis who consented to this IRB-approved survey provided information on their amyloidosis diagnosis, treatment, symptoms, and functioning. HRQL was measured using PROMIS and PRO-CTCAE questionnaires. RESULTS: Among 297 participants who responded, the median age at diagnosis was 60 years (23-82) with 52% female and 90% white race. There were 69% AL (lambda) and 39% reported 3 or more organs involved with amyloidosis (58% cardiac, 58% renal, 30% neurological AL). Time from diagnosis was less than 2 years in 64 (22%), 2-5 years in 105 (36%), > 5 years in 126 (43%), and unknown in 2 (< 1%) individuals. Therapy included prior chemotherapy in 88% and stem cell transplant in 52%. Fifty percent of the cohort was on active treatment. Multiple domains were impaired in AL amyloidosis compared to the general population, including physical function, fatigue, and social roles. While highest among those within 2 years of diagnosis, high symptom burden was also seen in long-term survivors. A trend to decreased severity and number of impaired symptoms was seen with longer treatment-free interval but many symptoms remained persistent. CONCLUSIONS: Significant and persistent symptom burden is seen in AL amyloidosis. Patient-reported outcomes should be routinely measured and used to provide best supportive care to all AL amyloidosis patients, including long-term survivors and those not on active therapy.

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Published In

Qual Life Res

DOI

EISSN

1573-2649

Publication Date

June 2023

Volume

32

Issue

6

Start / End Page

1807 / 1817

Location

Netherlands

Related Subject Headings

  • Quality of Life
  • Patient Reported Outcome Measures
  • Male
  • Immunoglobulin Light-chain Amyloidosis
  • Humans
  • Health Policy & Services
  • Female
  • Cross-Sectional Studies
  • Amyloidosis
  • 44 Human society
 

Citation

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D’Souza, A., Szabo, A., Akinola, I., Finkel, M., & Flynn, K. E. (2023). A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis. Qual Life Res, 32(6), 1807–1817. https://doi.org/10.1007/s11136-023-03354-9
D’Souza, Anita, Aniko Szabo, Idayat Akinola, Muriel Finkel, and Kathryn E. Flynn. “A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis.Qual Life Res 32, no. 6 (June 2023): 1807–17. https://doi.org/10.1007/s11136-023-03354-9.
D’Souza A, Szabo A, Akinola I, Finkel M, Flynn KE. A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis. Qual Life Res. 2023 Jun;32(6):1807–17.
D’Souza, Anita, et al. “A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis.Qual Life Res, vol. 32, no. 6, June 2023, pp. 1807–17. Pubmed, doi:10.1007/s11136-023-03354-9.
D’Souza A, Szabo A, Akinola I, Finkel M, Flynn KE. A cross-sectional study of patient-reported outcomes and symptom burden using PROMIS and PRO-CTCAE measures in light chain amyloidosis. Qual Life Res. 2023 Jun;32(6):1807–1817.
Journal cover image

Published In

Qual Life Res

DOI

EISSN

1573-2649

Publication Date

June 2023

Volume

32

Issue

6

Start / End Page

1807 / 1817

Location

Netherlands

Related Subject Headings

  • Quality of Life
  • Patient Reported Outcome Measures
  • Male
  • Immunoglobulin Light-chain Amyloidosis
  • Humans
  • Health Policy & Services
  • Female
  • Cross-Sectional Studies
  • Amyloidosis
  • 44 Human society