University of Worcester Worcester Research and Publications

International perspectives on suboptimal patient-reported outcome trial design and reporting in cancer clinical trials: A qualitative study

Retzer, A., Calvert, M., Ahmed, K., Keeley, T., Armes, J., Brown, J.M., Calman, L., Gavin, A., Glaser, A.W., Greenfield, D.M., Lanceley, A., Taylor, R.M., Velikova, G., Brundage, M., Efficace, F., Mercieca-Bebber, R., King, M.T. and Kyte, Derek ORCID: (2021) International perspectives on suboptimal patient-reported outcome trial design and reporting in cancer clinical trials: A qualitative study. Cancer Medicine. ISSN Online: 2045-7634

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Abstract Purpose: Evidence suggests that the patient- reported outcome (PRO) content of cancer trial protocols is frequently inadequate and non- reporting of PRO findings is widespread. This qualitative study examined the factors influencing suboptimal PRO protocol content, implementation, and reporting, and use of PRO data during clinical interactions. Methods: Semi- structured interviews were conducted with four stakeholder groups: (1) trialists and chief investigators; (2) people with lived experience of cancer; (3) international experts in PRO cancer trial design; (4) journal editors, funding panelists, and regulatory agencies. Data were analyzed using directed thematic analysis with an iterative coding frame. Results: Forty- four interviews were undertaken. Several factors were identified that could influenced effective integration of PROs into trials and subsequent findings. Participants described (1) late inclusion of PROs in trial design; (2) PROs being considered a lower priority outcome compared to survival; (3) trialists’ reluctance to collect or report PROs due to participant burden, missing data, and perceived reticence of journals to publish; (4) lack of staff training. Strategies to address these included training research personnel and improved communication with site staff and patients regarding the value of PROs. Examples of good practice were identified. Conclusion: Misconceptions relating to PRO methodology and its use may under-mine their planning, collection, and reporting. There is a role for funding, regulatory, methodological, and journalistic institutions to address perceptions around the value of PROs, their position within the trial outcomes hierarchy, that PRO training and guidance is available, signposted, and readily accessible, with accompanying measures to ensure compliance with international best practice guidelines

Item Type: Article
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This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Uncontrolled Discrete Keywords: cancer, patient reported outcomes, protocol, qualitative, reporting, trials
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
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Copyright Info: Open Access article
Depositing User: Derek Kyte
Date Deposited: 27 Jul 2021 10:08
Last Modified: 27 Jul 2021 10:28

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