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Epitranscriptomics & Cancer Adaptation : A.David

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Our research work focuses on the contribution of post-transcriptional mechanisms on cancer cell adaptation, in particular RNA epigenetic & translational control.

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Added by mollevi
Group name EquipeMY
Item Type Journal Article
Title Time to health-related quality of life score deterioration as a modality of longitudinal analysis for health-related quality of life studies in oncology: do we need RECIST for quality of life to achieve standardization?
Creator Anota et al.
Author Amélie Anota
Author Zeinab Hamidou
Author Sophie Paget-Bailly
Author Benoist Chibaudel
Author Caroline Bascoul-Mollevi
Author Pascal Auquier
Author Virginie Westeel
Author Frederic Fiteni
Author Christophe Borg
Author Franck Bonnetain
Abstract PURPOSE: Longitudinal analysis of health-related quality of life (HRQoL) remains unstandardized and compromises comparison of results between trials. In oncology, despite available statistical approaches, results are poorly used to change standards of care, mainly due to lack of standardization and the ability to propose clinical meaningful results. In this context, the time to deterioration (TTD) has been proposed as a modality of longitudinal HRQoL analysis for cancer patients. As for tumor response and progression, we propose to develop RECIST criteria for HRQoL. METHODS: Several definitions of TTD are investigated in this paper. We applied this approach in early breast cancer and metastatic pancreatic cancer with a 5-point minimal clinically important difference. In breast cancer, TTD was defined as compared to the baseline score or to the best previous score. In pancreatic cancer (arm 1: gemcitabine with FOLFIRI.3, arm 2: gemcitabine alone), the time until definitive deterioration (TUDD) was investigated with or without death as event. RESULTS: In the breast cancer study, 381 women were included. The median TTD was influenced by the choice of the reference score. In pancreatic cancer study, 98 patients were enrolled. Patients in Arm 1 presented longer TUDD than those in Arm 2 for most of HRQoL scores. Results of TUDD were slightly different according to the definition of deterioration applied. CONCLUSION: Currently, the international ARCAD group supports the idea of developing RECIST for HRQoL in pancreatic and colorectal cancer with liver metastasis, with a view to using HRQoL as a co-primary endpoint along with a tumor parameter.
Publication Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
Volume 24
Issue 1
Pages 5-18
Date Jan 2015
Journal Abbr Qual Life Res
Language eng
DOI 10.1007/s11136-013-0583-6
ISSN 1573-2649
Short Title Time to health-related quality of life score deterioration as a modality of longitudinal analysis for health-related quality of life studies in oncology
Library Catalog PubMed
Extra PMID: 24277234 PMCID: PMC4282717
Tags Adult, Aged, Breast Neoplasms, Colorectal Neoplasms, Deoxycytidine, Disease Progression, Female, Health Services Needs and Demand, Health Status, Humans, Longitudinal Studies, Middle Aged, original, Pancreatic Neoplasms, Quality of Life, Response Evaluation Criteria in Solid Tumors
Date Added 2018/11/13 - 17:26:08
Date Modified 2019/05/21 - 15:00:25


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