| Online-Ressource |
Verfasst von: | Kosmala, Rebekka [VerfasserIn]  |
| Fokas, Emmanouil [VerfasserIn]  |
| Flentje, Michael [VerfasserIn]  |
| Sauer, Rolf [VerfasserIn]  |
| Liersch, Torsten [VerfasserIn]  |
| Graeven, Ullrich [VerfasserIn]  |
| Fietkau, Rainer [VerfasserIn]  |
| Hohenberger, Werner [VerfasserIn]  |
| Arnold, Dirk [VerfasserIn]  |
| Hofheinz, Ralf-Dieter [VerfasserIn]  |
| Ghadimi, Michael [VerfasserIn]  |
| Ströbel, Philipp [VerfasserIn]  |
| Staib, Ludger [VerfasserIn]  |
| Grabenbauer, Gerhard G. [VerfasserIn]  |
| Folprecht, Gunnar [VerfasserIn]  |
| Kirste, Simon [VerfasserIn]  |
| Uter, Wolfgang [VerfasserIn]  |
| Gall, Christine [VerfasserIn]  |
| Rödel, Claus [VerfasserIn]  |
| Polat, Bülent [VerfasserIn]  |
Titel: | Quality of life in rectal cancer patients with or without oxaliplatin in the randomised CAO/ARO/AIO-04 phase 3 trial |
Verf.angabe: | Rebekka Kosmala, Emmanouil Fokas, Michael Flentje, Rolf Sauer, Torsten Liersch, Ullrich Graeven, Rainer Fietkau, Werner Hohenberger, Dirk Arnold, Ralf-Dieter Hofheinz, Michael Ghadimi, Philipp Ströbel, Ludger Staib, Gerhard G. Grabenbauer, Gunnar Folprecht, Simon Kirste, Wolfgang Uter, Christine Gall, Claus Rödel, Bülent Polat |
E-Jahr: | 2021 |
Jahr: | February 2021 |
Umfang: | 10 S. |
Fussnoten: | Gesehen am 14.04.2021 |
Titel Quelle: | Enthalten in: European journal of cancer |
Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1992 |
Jahr Quelle: | 2021 |
Band/Heft Quelle: | 144(2021), Seite 281-290 |
ISSN Quelle: | 1879-0852 |
Abstract: | Background - The CAO/ARO/AIO trial has shown that oxaliplatin added to preoperative chemoradiotherapy and postoperative chemotherapy significantly improved disease-free survival in locally advanced rectal cancer (LARC). Here, we present a post-hoc analysis of quality of life (QoL) in disease-free patients. - Patients and methods - Between 2006 and 2010, 1236 patients with LARC were randomly assigned either to preoperative chemoradiotherapy followed by total mesorectal excision and postoperative chemotherapy (N = 623) or combined with oxaliplatin (N = 613). QoL questionnaires (EORTC QLQ-C30, colorectal module CR38) were completed at baseline, after postoperative chemotherapy and during follow-up. Analysis was performed according intent-to-treat. - Results - Available questionnaires (baseline) were 82% (N = 512) in the control and 84% (N = 513) in the investigational group. Response rates were 49% (533 of 1086) at 1 year and 43% (403 of 928) at 3 years. Global health status (GHS) for disease-free patients was stable in both groups (range 0-100). At baseline: standard arm 62.0 (mean, SD 21.6; N = 491) versus oxaliplatin arm 63.2 (mean, SD 22; N = 503); at 3 years: 69.4 (SD 19.3; N = 187) versus 65.4 (SD 22.2; N = 202). After treatment and at 3 years, no significant differences (≥10 points) between groups were found in QoL subscales. Disease-free patients experiencing neurotoxic side-effects (grade 1-4) showed reduced GHS at 3 years versus patients without neurotoxicity (mean 59.2 versus 69.3; P < 0.001), while grade 3-4 rate was low. - Conclusion - The addition of oxaliplatin was not associated with worse overall QoL. This information is of interest to patients in many ongoing rectal cancer trials. - Trial registration information - NCT00349076. |
DOI: | doi:10.1016/j.ejca.2020.11.029 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.ejca.2020.11.029 |
| Volltext: https://www.sciencedirect.com/science/article/pii/S0959804920313666 |
| DOI: https://doi.org/10.1016/j.ejca.2020.11.029 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Chemoradiotherapy |
| Oxaliplatin |
| Quality of life |
| Rectal neoplasms |
K10plus-PPN: | 1754879624 |
Verknüpfungen: | → Zeitschrift |
Quality of life in rectal cancer patients with or without oxaliplatin in the randomised CAO/ARO/AIO-04 phase 3 trial / Kosmala, Rebekka [VerfasserIn]; February 2021 (Online-Ressource)