Publications by authors named "Lidington E"

Background: To assess fatigue in cancer patients, several patient-reported outcome measures (PROMs) are available that differ in content. To support the selection of suitable measures for specific applications and to evaluate possibilities of quantitative linking, the present study provides a content comparison of common fatigue measures, scales, and item banks. We included the EORTC CAT Core, EORTC QLQ-FA12, EORTC QLQ-C30, FACIT-F, PROMIS Fatigue (Cancer item bank v1.

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Purpose: This study reports the findings from the ADAPT randomized controlled trial (RCT), concerning the impact of a digital tool for supported self-management in people affected by breast cancer on patient activation as the primary outcome, with health-related quality of life (HRQoL), and health status as secondary outcomes.

Methods: Women with early-stage breast cancer were randomly assigned to standard care (control) or standard care in addition to the breast cancer digital tool (intervention). Data were collected using a demographic questionnaire, the Patient Activation Measure (PAM-13), the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), and the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L) at baseline, 6 weeks, 3 months, 6 months, and 1 year from diagnosis.

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Background: Patient-reported outcomes (PROs) play a crucial role in cancer clinical trials. Despite the availability of validated PRO measures (PROMs), challenges related to low completion rates and missing data remain, potentially affecting the trial results' validity. This review explored strategies to improve and maintain high PROM completion rates in cancer clinical trials.

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  • The study examines how patient-reported outcome (PRO) measures assess role functioning (RF) and social functioning (SF) in cancer patients, aligning with the World Health Organization’s definition of health.
  • It analyzes various PRO measures, including the EORTC and FACT-G, linking their content to the International Classification of Functioning, Disability and Health (ICF) framework.
  • The findings reveal both overlaps and distinctions in what these measures cover regarding social health, providing insights for selecting the most suitable measurement tools for specific research or clinical contexts.
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Background: Desmoid-type fibromatosis (DTF) has a highly variable clinical course with varying intensity of symptoms. The objectives of this study were to identify subgroups of DTF patients based on physical symptom burden and to compare symptom burden subgroups on health-related quality of life (HRQoL) and healthcare use (univariate and multivariate).

Methods: Desmoid-type fibromatosis patients from the United Kingdom and the Netherlands received cross-sectional questionnaires on HRQoL (EORTC QLQ-C30), DTF-specific HRQoL (DTF-QoL) and healthcare utilisation.

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Background: Cancer and its treatment can have substantial impact on patients' emotional functioning. Several patient-reported outcome measures (PROMs) assessing emotional functioning are available, but differences in content limit the comparability of results. To better understand conceptual (dis)similarities, we conducted a content comparison of commonly used PROMs.

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  • This study examines patient-reported physical function (PF) in cancer trials, highlighting the need to compare questionnaire content beyond just statistical scores.
  • By analyzing items from various PRO measures through the International Classification of Functioning, researchers categorized physical function content into specific components and ICF categories, revealing the focus areas of each measure.
  • The findings indicate significant conceptual differences in how PF is assessed across these measures, providing valuable insights that complement existing quantitative psychometric data.
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  • The study examined the collection and reporting of patient-reported outcome (PRO) measure data from interventional trials at the Royal Marsden NHS Foundation Trust, focusing on protocol content and data completeness.
  • A total of 26 out of 65 studies were reviewed, with 19 having available datasets; 14 of these published PRO results and most had clinical primary outcomes instead of PROs.
  • Average scores on the SPIRIT-PRO checklist for trial protocols were 46.7, while publications scored an average of 80.9 on the CONSORT-PRO checklist, indicating variability in how well protocols and results were reported.
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Desmoid-type fibromatosis (DTF) is a rare, soft-tissue tumour. These tumours do not metastasize, but their local aggressive tumour growth and unpredictable behaviour can have a significant impact on health-related quality of life (HRQoL). Little is known about which DTF patients are particularly affected by an impaired HRQoL.

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Purpose: Using patient-reported outcomes in routine cancer care may improve health outcomes. However, a lack of information about which scores are problematic in specific populations can impede use. To facilitate interpretation of the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-C30), we identified cut-off scores that indicate need for support by comparing each scale to relevant items from the Supportive Care Needs Survey (SCNS-LF59) in a young adult (YA) population.

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Background: Uterine sarcomas are rare subtypes of primary urogenital tumours and need tailored treatment. This study aimed to examine the impact of diagnosis and treatment on health-related quality of life (HRQoL) in patients with uterine sarcoma and measures available to assess HRQoL in this group.

Methods: Thirteen patients with uterine sarcoma and 23 health care professionals were purposively sampled from sarcoma reference centers and participated in a semi-structured interview exploring HRQoL.

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Background: Low receipt of survivorship care by Latino adolescent and young adult (AYA) cancer survivors necessitates development of age-appropriate and culturally tailored interventions aimed at increasing their perceived need for survivorship care.

Method: This study describes the development and acceptability testing of a culturally tailored intervention, a photonovela, as part of a community-partnered participatory research (CPPR) project. A four-step approach to the photonovela's development was implemented: (a) literature review, (b) RAND-modified Delphi method, (c) photonovela booklet development, and (d) photonovela acceptability testing through focus groups.

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Sporadic desmoid-type fibromatosis (DTF) is a rare, non-metastasising soft-tissue tumour. Patients can experience a variety of disease-specific issues related to the unpredictable clinical course and aggressiveness of DTF, which negatively impacts health-related quality of life (HRQoL). These DTF-specific issues are not captured by generic HRQoL tools.

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Purpose: The purpose of this study is to develop a European Organisation for Research and Treatment of Cancer Quality of Life Group (EORTC QLG) questionnaire that captures the full range of physical, mental, and social health-related quality of life (HRQOL) issues relevant to disease-free cancer survivors. In this phase III study, we pretested the provisional core questionnaire (QLQ-SURV111) and aimed to identify essential and optional scales.

Methods: We pretested the QLQ-SURV111 in 492 cancer survivors from 17 countries with one of 11 cancer diagnoses.

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  • * A study with 23 sarcoma patients revealed significant physical challenges like fatigue, pain, and respiratory problems, as well as mental health concerns like body image issues and fear of recurrence.
  • * These findings highlight the substantial physical, mental, and social obstacles faced by these patients, which can inform tailored supportive care and improve HRQoL measurement strategies for sarcoma patients.
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  • The study focuses on the length of diagnostic intervals for young adults (aged 25-39) with cancer, comparing them to teenagers and young adults (aged 13-24) who also experience delays in diagnosis.
  • In a survey of 341 YAs in the UK, many reported significant delays in both the patient interval (time from first symptom to doctor) and healthcare interval (time to see a cancer specialist).
  • The findings showed that YAs often wait longer for a specialist consultation than TYAs, with specific cancers like melanoma and cervical cancer linked to prolonged diagnostic times, emphasizing the need for greater awareness among healthcare professionals.
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Few studies describe supportive care needs among young adults (YAs) with cancer ages 25 to 39 using validated questionnaires. Previous findings identified the need for psychological and information support and suggest that gender, age, psychological distress, and coping may be associated with greater need for this support. To substantiate these findings, this study aimed to (1) describe the supportive care needs of YAs in each domain of the Supportive Care Needs Survey and (2) explore the relationship between unmet supportive care needs and clinical and demographic factors, health-related quality of life, psychological distress, illness cognitions, and service needs using latent class analysis.

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Sporadic desmoid-type fibromatosis (DTF) is a rare soft tissue tumour with an unpredictable clinical course. These tumours are incapable of metastasising, but their local aggressive tumour growth and tendency to recur locally can result in a substantial symptom burden. Measuring the impact of DTF on health-related quality of life (HRQoL) can be challenging due to the variable clinical presentation of the disease.

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Objective: Adolescents and young adults with cancer face unique psychosocial and practical issues. However, patients across this group encounter different life experiences, cancer diagnoses and treatment settings given the tailored services for patients ages 15 to 24. Here, we qualitatively explore the psychosocial experiences and practical challenges of young adults (YAs) with cancer diagnosed between ages 25 and 39 in the United Kingdom.

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Article Synopsis
  • - The study explored health-related quality of life (HRQoL) concerns for adolescent and young adult (AYA) cancer patients, comparing their views with those of healthcare professionals (HCP) to identify discrepancies in perceptions.
  • - AYAs reported more positive HRQoL aspects—like support from others and overall life satisfaction—while HCPs highlighted more negative issues, such as physical symptoms and distress related to diagnosis and treatment.
  • - The findings emphasize the need for better communication and involvement of AYAs in their care, as they may have a different understanding of their needs and experiences compared to HCPs.
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Older women with ovarian cancer more often receive less intensive treatment and early discontinuation compared to younger women. There is little understanding of older women's treatment experience and whether this contributes to declining intensive treatment. We aimed to explore the lived experience of older patients with advanced ovarian cancer undergoing chemotherapy, their treatment preferences and treatment burden.

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Aims: Adolescents and young adults aged 15-39 years with cancer face unique medical, practical and psychosocial issues. In the UK, principal treatment centres and programmes have been designed to care for teenage and young adult patients aged 13-24 years in an age-appropriate manner. However, for young adults (YAs) aged 25-39 years with cancer, little access to age-specific support is available.

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Background: Minority adolescent and young adult (AYA) cancer survivors experience disparities in receipt of survivorship care.

Objective: This study describes the infrastructure of a community-partnered participatory research (CPPR) project between a community-based organization and a National Cancer Institute (NCI)-designated cancer center to develop culturally-tailored interventions to improve Latino AYA cancer survivor knowledge regarding their need for survivorship care.

Methods: Research team participants included the community organization and NCI cancer center directors, a research coordinator, a community liaison, and cross-training program interns.

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