A real-world, cross-sectional, community survey of symptoms and health-related quality of life of adults with acute myeloid leukemia

Future Oncol. 2019 Jun;15(16):1895-1909. doi: 10.2217/fon-2018-0842. Epub 2019 Mar 26.

Abstract

Aim: We used Adelphi Real World Disease-Specific Programme data to characterize adults with newly diagnosed or relapsed/refractory de novo acute myeloid leukemia (AML). Materials & methods: Community-practice hematologists/oncologists completed patient record forms for their regular AML patients. Patients were invited to complete patient self-completion forms including 3-Level EuroQol 5-Dimensions (EQ-5D-3L) and Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) questionnaires. Results: Physicians provided patient record forms for 389 patients (339 newly diagnosed, 50 relapsed/refractory); 68 patients completed patient self-completion forms. Mean EQ-5D visual-analog scale and index and FACT-General scores were significantly lower than US population norms (p < 0.0001); health-related quality of life (HRQoL) scores were generally lower than 11 other cancers. Conclusion: HRQoL impairment is grave in AML. Efforts are needed to improve HRQoL in affected patients.

Keywords: acute myeloid leukemia; chemotherapy; clinical practice; community setting; quality of life; real-world.

MeSH terms

  • Aged
  • Comorbidity
  • Cross-Sectional Studies
  • Disease Management
  • Female
  • Humans
  • Leukemia, Myeloid, Acute / diagnosis
  • Leukemia, Myeloid, Acute / epidemiology*
  • Leukemia, Myeloid, Acute / therapy
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Public Health Surveillance
  • Quality of Life*
  • Surveys and Questionnaires
  • United States / epidemiology