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Measuring health‐related quality of life in adolescent and young adult cancer survivors with the National Institutes of Health Patient‐Reported Outcomes Measurement Information System®: Comparing adolescent, emerging adult, and young adult survivor perspectives
dc.contributor.authorSiembida, Elizabeth J.
dc.contributor.authorReeve, Bryce B.
dc.contributor.authorZebrack, Brad J.
dc.contributor.authorSnyder, Mallory A.
dc.contributor.authorSalsman, John M.
dc.date.accessioned2021-04-06T02:13:18Z
dc.date.available2022-04-05 22:13:16en
dc.date.available2021-04-06T02:13:18Z
dc.date.issued2021-03
dc.identifier.citationSiembida, Elizabeth J.; Reeve, Bryce B.; Zebrack, Brad J.; Snyder, Mallory A.; Salsman, John M. (2021). "Measuring health‐related quality of life in adolescent and young adult cancer survivors with the National Institutes of Health Patient‐Reported Outcomes Measurement Information System®: Comparing adolescent, emerging adult, and young adult survivor perspectives." Psycho‐Oncology 30(3): 303-311.
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/167094
dc.description.abstractObjectiveOur knowledge of symptom burden and functioning among adolescent and young adult (AYA; diagnosed ages 15–39) cancer survivors has been hindered by variability in health‐related quality of life (HRQOL) measurement associated with developmental and disease heterogeneity among AYAs. We aimed to examine the variability in domain‐specific aspects of HRQOL as a function of cancer type and developmental stage to clarify commonalities and differences using the NIH Patient‐Reported Outcome Measurement Information System®.MethodsFive hundred seventy‐two AYAs were recruited by an online research panel using stratified sampling (treatment status: on vs. off; developmental stage: adolescents, emerging adults, young adults). Participants completed questionnaires that included sociodemographic characteristics, clinical history, and the adult version of the Patient‐Reported Outcomes Measurement Information System®‐29 (PROMIS‐29). Generalized linear models were run for each HRQOL domain and included treatment status, developmental stage, and cancer type (hematologic vs. solid tumor) and their interactions as independent variables.ResultsThere were no significant differences in any HRQOL domain by cancer type, and few significant differences were observed in PROMIS domains between developmental groups among on‐treatment AYA survivors. In contrast, off‐treatment emerging adults and young adults reported significantly higher symptoms and worse functioning compared to adolescents (all ps ≤ 0.003).ConclusionsAYAs diagnosed in different developmental stages, particularly among off‐treatment survivors, experienced diverse constellations of symptoms and functioning, and developmental stage was a more critical predictor of HRQOL than cancer type. These results suggest that supportive care interventions developed for AYA cancer survivors must be tailored and flexible by developmental stage and treatment status.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otheradolescent and young adult
dc.subject.othercancer
dc.subject.otherfunctioning
dc.subject.otherhealth‐related quality of life
dc.subject.otheroncology
dc.subject.otherpsycho‐oncology
dc.subject.othersurvivorship
dc.subject.othersymptoms
dc.titleMeasuring health‐related quality of life in adolescent and young adult cancer survivors with the National Institutes of Health Patient‐Reported Outcomes Measurement Information System®: Comparing adolescent, emerging adult, and young adult survivor perspectives
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHematology and Oncology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167094/1/pon5577_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167094/2/pon5577.pdf
dc.identifier.doi10.1002/pon.5577
dc.identifier.sourcePsycho‐Oncology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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