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Cited by 115Cancer survivorship and carePalliative and Oncologic CarePalliative Care and End-of-Life Issues

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Randomized controlled trial of maintaining quality of life during radiotherapy for advanced cancer

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Clark, Matthew M., Rummans, Teresa A., Atherton, Pamela J., Cheville, Andrea L., Johnson, Mary E., Frost, Marlene H., Miller, Janis J., Sloan, Jeff A., Graszer, Karen M., Haas, Jean G., Hanson, Jean M., Garces, Yolanda I., Piderman, Katherine M., Lapid, Maria I., Netzel, Pamela J., Richardson, Jarrett W., Brown, Paul D.·2013·Cancer
DOI 10.1002/cncr.27776PMC PMC4405146
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Abstract

BACKGROUND: Psychosocial interventions often address only 1 domain of quality of life (QOL), are offered to patients with early‐stage cancer, do not include the caregiver, and are delivered after cancer treatment has been completed. METHODS: In the current randomized controlled trial, 131 patients with advanced cancer who received radiotherapy and their caregivers were randomly assigned to either a 6‐session, structured, multidisciplinary intervention arm or a standard care arm. The average age of the patients was 58 years, the majority were male (63%), and tumor types varied (gastrointestinal [37%], brain [22%], head and neck [16%], lung [13%], and other [12%]). The six 90‐minute sessions addressed the 5 domains of QOL: cognitive, physical, emotional, social, and spiritual. The in‐person intervention was followed by 10 brief telephone counseling sessions that took place over the next 6 months. RESULTS: Of the 117 patients who completed the study, overall QOL (assessed by Functional Assessment of Cancer Therapy‐General [FACT‐G]) at week 4 was significantly higher in the intervention group (n = 54) compared with the standard arm control group (n = 63) (75.2 vs 68.7; P = .02). The 10 brief telephone contacts did not appear to impact QOL because at week 27 the groups had identical QOL (means of 77.6 and 77.7, respectively). There was no effect of the intervention noted on caregiver QOL. CONCLUSIONS: Participating in a 6‐session multidisciplinary intervention was found to be effective in maintaining the QOL of patients with advanced cancer who were actively receiving radiotherapy. The QOL and symptom burden of this population is striking, making it important to identify effective QOL strategies to implement in conjunction with cancer care. Cancer 2013. © 2012 American Cancer Society.

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  1. McNair DM, 1971, Manual for the Profile of Mood States

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Metadata

Authors
Clark, M. M., Rummans, T. A., Atherton, P. J., Cheville, A. L., Johnson, M. E., Frost, M. H., Miller, J. J., Sloan, J. A., Graszer, K. M., Haas, J. G., Hanson, J. M., Garces, Y. I., Piderman, K. M., Lapid, M. I., Netzel, P. J., Richardson, J. W., & Brown, P. D.
Affiliations
  • Mayo Clinic (US)
  • The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Clark, Matthew M.
ORCID
Venue
Cancer
Publisher
Wiley
Published
2012-08-28
Volume
119
Issue
4
Pages
880-887
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
DOI
10.1002/cncr.27776
PMC
PMC4405146
OpenAlex
W1709370324
Cited by
115
References
39
Citations by year
2026: 5 · 2025: 9 · 2024: 7 · 2023: 6 · 2022: 15 · 2021: 8 · 2020: 11 · 2019: 9 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 12 · 2014: 6 · 2013: 7 · 2012: 1
FWCI
4.12
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (P30CA015083)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
quality of life, advanced cancer, radiotherapy, psychosocial interventions, multidisciplinary intervention, telephone counseling, caregivers, symptom burden, FACT-G, spiritual well-being, emotional well-being, social well-being, cognitive well-being, physical well-being
MeSH terms
Aged, Analysis of Variance, Female, Humans, Male, Middle Aged, Neoplasms, Quality of Life, Social Support, Caregivers

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