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The Reporting Completeness of Patient-Reported Outcome in Randomized Controlled Trials of Non-Small Cell Lung Cancer Could Be Improved: A Systematic Review

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机构: [1]Innovation Institute for Integration of Medicine and Engineering, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China. [2]Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai, China. [3]Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, China. [4]Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [5]Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China. [6]Health Technology Assessment Center, Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China. [7]Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China. [8]Department of Psychological Medicine, Center for Healthy Brain Ageing, Institute of Pychiatry, Pychology, and Nuroscience, King's College London, London, UK. [9]Department of Medical Quality Control, Baoji Hospital Affiliated to Xi'an Medical College, Baoji, China. [10]School of Public Health, Lanzhou University, Lanzhou, China. [11]West China Medical Publishers, West China Hospital, Sichuan University, Chengdu, China. [12]Center for education of Medical Humanities, West China Hospital, Sichuan University, Chengdu, China.
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关键词: cancer influencing factor methodological quality non‐small cell lung cancer oncology patient‐reported outcomes quality of life randomized controlled trials reporting quality systematic review

摘要:
Non-small cell lung cancer (NSCLC) remains a highly symptomatic with a rapidly increasing incidence. The treatment options are for most patients limited to adjuvant immunotherapy and best supportive care. Therefore, patient-reported outcomes (PROs) are increasingly becoming an essential component in evaluating healthcare quality from the patient's perspective.We aimed to assess differences in the use of PROs measurement tools and their reporting quality in NSCLC randomized controlled trials (RCTs).We searched for reports of PROs in NSCLC RCT studies in PubMed, Embase, Web of Science, and Scopus before June 6, 2024. The quality of PRO reporting was assessed using criteria recommended by the International Society for Quality-of-Life Research. Multivariate linear regression was performed to examine the relationship between report quality and influencing factors.A total of 252 RCTs were included in the analysis, with 23% of these studies reporting PROs as primary endpoints. Overall, studies with PROs as primary endpoints demonstrated higher adherence to the reporting checklist (76%). The results of multivariate linear regression indicated a significant improvement in PRO reporting quality over time (β = 5.35, 95% CI [1.05, 9.64], p < 0.05). However, substantial shortcomings were identified in PRO reporting, including incomplete reporting of missing data and a lack of details on PRO data management modes (e.g., telephone, computer, etc.).The deficiencies observed in PRO reporting underscore the need for improved design and implementation of PRO endpoints in future NSCLC trials. Enhancing the quality of PRO reporting could improve the relevance and applicability of research findings to clinical practice.© 2025 John Wiley & Sons Ltd.

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出版当年[2025]版:
大类 | 2 区 医学
小类 | 2 区 社会科学:生物医学 3 区 肿瘤学 3 区 心理学 3 区 心理学:综合
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 社会科学:生物医学 3 区 肿瘤学 3 区 心理学 3 区 心理学:综合
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第一作者机构: [1]Innovation Institute for Integration of Medicine and Engineering, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.
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通讯机构: [1]Innovation Institute for Integration of Medicine and Engineering, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China. [11]West China Medical Publishers, West China Hospital, Sichuan University, Chengdu, China. [12]Center for education of Medical Humanities, West China Hospital, Sichuan University, Chengdu, China.
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