Skip to main content
Erschienen in: Supportive Care in Cancer 10/2020

23.01.2020 | Original Article

EGFRI-associated health-related quality of life by severity of skin toxicity in metastatic colorectal cancer patients receiving epidermal growth factor receptor inhibitor target therapy

verfasst von: Ting-Yu Chiang, Hung-Chih Hsu, Sui-Whi Jane, Shu-Ching Chen

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purposes of this study were to assess the levels of symptom distress, body image, and epidermal growth factor receptor inhibitors (EGFRI)-associated health-related quality of life (QoL); identify the factors related to EGFRI-associated health-related QoL; and examine the differences in EGFRI-associated health-related QoL by grade of skin toxicity in mCRC patients receiving target therapy.

Methods

This cross-sectional study examined mCRC patients who received cetuximab-based target therapy from the oncology and CRC inpatient and outpatient departments of a medical center in northern Taiwan. Structured questionnaires were used to measure patients’ symptom distress, body image, and EGFRI-associated health-related QoL.

Results

Of the 111 mCRC patients studied, 79.2% reported acneiform eruption and 52.2% reported paronychia. The most common symptoms were dry skin and itching. Poor EGFRI-associated health-related QoL was associated with more symptom distress, more negative body image, a higher cumulative dose of target therapy, and being married; these factors explained 66.6% of the variance in EGFRI-associated health-related QoL.

Conclusion

Patient-specific skin care and emotional support are needed to relieve distressful dermatological symptoms and emotional distress during and post-treatment for mCRC.
Literatur
4.
Zurück zum Zitat Stulhofer Buzina D, Martinac I, Ledic Drvar D et al (2016) Adverse reaction to cetuximab, an epidermal growth factor receptor inhibitor. Acta Dermatovenerol Croati 24:70–72 Stulhofer Buzina D, Martinac I, Ledic Drvar D et al (2016) Adverse reaction to cetuximab, an epidermal growth factor receptor inhibitor. Acta Dermatovenerol Croati 24:70–72
5.
Zurück zum Zitat Busam KJ, Capodieci P, Motzer R, Kiehn T, Phelan D, Halpern AC (2001) Cutaneous side-effects in cancer patients treated with the antiepidermal growth factor receptor antibody C225. Br J Dermatol 144:1169–1176CrossRef Busam KJ, Capodieci P, Motzer R, Kiehn T, Phelan D, Halpern AC (2001) Cutaneous side-effects in cancer patients treated with the antiepidermal growth factor receptor antibody C225. Br J Dermatol 144:1169–1176CrossRef
7.
13.
Zurück zum Zitat De Tursi M, Zilli M, Carella C et al (2017) Skin toxicity evaluation in patients treated with cetuximab for metastatic colorectal cancer: a new tool for more accurate comprehension of quality of life impacts. OncoTargets Ther 16:3007–3015. https://doi.org/10.2147/OTT.S127795 eCollection 2017CrossRef De Tursi M, Zilli M, Carella C et al (2017) Skin toxicity evaluation in patients treated with cetuximab for metastatic colorectal cancer: a new tool for more accurate comprehension of quality of life impacts. OncoTargets Ther 16:3007–3015. https://​doi.​org/​10.​2147/​OTT.​S127795 eCollection 2017CrossRef
14.
Zurück zum Zitat Boone SL, Rademaker A, Liu D et al (2007) Impact and management of skin toxicity associated with anti-epidermal growth factor receptor therapy: survey results. Oncology 72:152–159CrossRef Boone SL, Rademaker A, Liu D et al (2007) Impact and management of skin toxicity associated with anti-epidermal growth factor receptor therapy: survey results. Oncology 72:152–159CrossRef
15.
Zurück zum Zitat Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic. Cancer 1:634–656CrossRef Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic. Cancer 1:634–656CrossRef
16.
Zurück zum Zitat National comprehensive cancer network (2018) NCCN guidelines for patients: colon cancers 2018. Available From: http://www.nccn.org. Accessed May 16, 2019 National comprehensive cancer network (2018) NCCN guidelines for patients: colon cancers 2018. Available From: http://​www.​nccn.​org. Accessed May 16, 2019
17.
Zurück zum Zitat McCorkle R, Young K (1978) Development of symptom distress scale. Cancer Nurs 1:373–378CrossRef McCorkle R, Young K (1978) Development of symptom distress scale. Cancer Nurs 1:373–378CrossRef
19.
Zurück zum Zitat Wagner LI, Berg SR, Gandhi M, Hlubocky FJ, Webster K, Aneja M, Cella D, Lacouture ME (2013) The development of a functional assessment of cancer therapy (FACT) questionnaire to assess dermatologic symptoms associated with epidermal growth factor receptor inhibitors (FACT-EGFRI-18). Support Care Cancer 21:1033–1041. https://doi.org/10.1007/s00520-012-1623-4CrossRefPubMed Wagner LI, Berg SR, Gandhi M, Hlubocky FJ, Webster K, Aneja M, Cella D, Lacouture ME (2013) The development of a functional assessment of cancer therapy (FACT) questionnaire to assess dermatologic symptoms associated with epidermal growth factor receptor inhibitors (FACT-EGFRI-18). Support Care Cancer 21:1033–1041. https://​doi.​org/​10.​1007/​s00520-012-1623-4CrossRefPubMed
22.
Zurück zum Zitat Lacouture ME, Mitchell EP, Piperdi B, Pillai MV, Shearer H, Iannotti N, Xu F, Yassine M (2010) Skin toxicity evaluation protocol with panitumumab (STEPP), a phase II, open-label, randomized trial evaluating the impact of a pre-emptive skin treatment regimen on skin toxicities and quality of life in patients with metastatic colorectal cancer. J Clin Oncol 28:1351–1357. https://doi.org/10.1200/JCO.2008.21.7828CrossRefPubMed Lacouture ME, Mitchell EP, Piperdi B, Pillai MV, Shearer H, Iannotti N, Xu F, Yassine M (2010) Skin toxicity evaluation protocol with panitumumab (STEPP), a phase II, open-label, randomized trial evaluating the impact of a pre-emptive skin treatment regimen on skin toxicities and quality of life in patients with metastatic colorectal cancer. J Clin Oncol 28:1351–1357. https://​doi.​org/​10.​1200/​JCO.​2008.​21.​7828CrossRefPubMed
24.
Zurück zum Zitat Fitzpatrick TB (1975) Sun and skin. Journal de Médecine Esthétique [in French] 2:33–34 Fitzpatrick TB (1975) Sun and skin. Journal de Médecine Esthétique [in French] 2:33–34
26.
Zurück zum Zitat Chan MWM, Shek SY, Yeung CK, Chan HH (2019) A prospective study in the treatment of lentigines in Asian skin using 532 nm picosecond Nd:YAG laser. Lasers Surg Med 51:767–773CrossRef Chan MWM, Shek SY, Yeung CK, Chan HH (2019) A prospective study in the treatment of lentigines in Asian skin using 532 nm picosecond Nd:YAG laser. Lasers Surg Med 51:767–773CrossRef
32.
Zurück zum Zitat Lacouture ME (2006) Mechanisms of cutaneous toxicities to EGFR inhibitors. Nat Rev Cancer 6:803–812CrossRef Lacouture ME (2006) Mechanisms of cutaneous toxicities to EGFR inhibitors. Nat Rev Cancer 6:803–812CrossRef
33.
Zurück zum Zitat Galimont-Collen AF, Vos LE, Lavrijsen AP, Ouwerkerk J, Gelderblom H (2007) Classification and management of skin, hair, nail and mucosal side-effects of epidermal growth factor receptor (EGFR) inhibitors. Eur J Cancer 43:845–851CrossRef Galimont-Collen AF, Vos LE, Lavrijsen AP, Ouwerkerk J, Gelderblom H (2007) Classification and management of skin, hair, nail and mucosal side-effects of epidermal growth factor receptor (EGFR) inhibitors. Eur J Cancer 43:845–851CrossRef
38.
Zurück zum Zitat Stanculeanu DL, Zob D, Toma OC, Georgescu B, Papagheorghe L, Mihaila RI (2017) Cutaneous toxicities of molecular targeted therapies. Maedica (Buchar) 12:48–54 Stanculeanu DL, Zob D, Toma OC, Georgescu B, Papagheorghe L, Mihaila RI (2017) Cutaneous toxicities of molecular targeted therapies. Maedica (Buchar) 12:48–54
41.
Metadaten
Titel
EGFRI-associated health-related quality of life by severity of skin toxicity in metastatic colorectal cancer patients receiving epidermal growth factor receptor inhibitor target therapy
verfasst von
Ting-Yu Chiang
Hung-Chih Hsu
Sui-Whi Jane
Shu-Ching Chen
Publikationsdatum
23.01.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 10/2020
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-020-05321-3

Weitere Artikel der Ausgabe 10/2020

Supportive Care in Cancer 10/2020 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.