Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer

Purpose: To report quality of life (QOL) results for patients receiving chemoradiation therapyfor pancreatic cancer.Methods and Materials: Eligible patients (nZ41 locally advanced, nZ22 postsurgery) enteredthe B9E-AY-S168 study and received 1 cycle of induction gemcitabine (1000 mg/m2 weekly 3with 1...

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Main Authors: Short, Michelle, Goldstein, D., Halkett, Georgia, Reece, W., Borg, M., Zissiadis, Y., Kneebone, A., Spry, Nigel
Format: Journal Article
Published: Elsevier Inc. 2013
Online Access:http://hdl.handle.net/20.500.11937/33732
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author Short, Michelle
Goldstein, D.
Halkett, Georgia
Reece, W.
Borg, M.
Zissiadis, Y.
Kneebone, A.
Spry, Nigel
author_facet Short, Michelle
Goldstein, D.
Halkett, Georgia
Reece, W.
Borg, M.
Zissiadis, Y.
Kneebone, A.
Spry, Nigel
author_sort Short, Michelle
building Curtin Institutional Repository
collection Online Access
description Purpose: To report quality of life (QOL) results for patients receiving chemoradiation therapyfor pancreatic cancer.Methods and Materials: Eligible patients (nZ41 locally advanced, nZ22 postsurgery) enteredthe B9E-AY-S168 study and received 1 cycle of induction gemcitabine (1000 mg/m2 weekly 3with 1-week break) followed by 3-dimensional conformal radiation therapy (RT) (54 Gy locallyadvanced and 45 Gy postsurgery) and concomitant continuous-infusion 5-fluorouracil (5FU)(200 mg/m2/d throughout RT). After 4 weeks, patients received an additional 3 cycles of consolidationgemcitabine chemotherapy. Patients completed the European Organization for Researchand Treatment of Cancer QLQ-C30 and QLQ-PAN26 questionnaires at baseline, beforeRT/5FU, at end of RT/5FU, before consolidation gemcitabine, and at treatment completion.Results: The patterns of change in global QOL scores differed between groups. In the locallyadvanced group global QOL scores were þ13, þ8, þ3, and þ1 compared with baseline beforeRT/5FU (PZ.008), at end of RT/5FU, before consolidation gemcitabine, and at treatmentcompletion, respectively. In the postsurgery group, global QOL scores were 3, þ4, þ15,and þ17 compared with baseline at the same time points, with a significant improvement inglobal QOL before consolidation gemcitabine (PZ.03). No significant declines in globalQOL were reported by either cohort.
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spelling curtin-20.500.11937-337322017-09-13T15:33:14Z Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer Short, Michelle Goldstein, D. Halkett, Georgia Reece, W. Borg, M. Zissiadis, Y. Kneebone, A. Spry, Nigel Purpose: To report quality of life (QOL) results for patients receiving chemoradiation therapyfor pancreatic cancer.Methods and Materials: Eligible patients (nZ41 locally advanced, nZ22 postsurgery) enteredthe B9E-AY-S168 study and received 1 cycle of induction gemcitabine (1000 mg/m2 weekly 3with 1-week break) followed by 3-dimensional conformal radiation therapy (RT) (54 Gy locallyadvanced and 45 Gy postsurgery) and concomitant continuous-infusion 5-fluorouracil (5FU)(200 mg/m2/d throughout RT). After 4 weeks, patients received an additional 3 cycles of consolidationgemcitabine chemotherapy. Patients completed the European Organization for Researchand Treatment of Cancer QLQ-C30 and QLQ-PAN26 questionnaires at baseline, beforeRT/5FU, at end of RT/5FU, before consolidation gemcitabine, and at treatment completion.Results: The patterns of change in global QOL scores differed between groups. In the locallyadvanced group global QOL scores were þ13, þ8, þ3, and þ1 compared with baseline beforeRT/5FU (PZ.008), at end of RT/5FU, before consolidation gemcitabine, and at treatmentcompletion, respectively. In the postsurgery group, global QOL scores were 3, þ4, þ15,and þ17 compared with baseline at the same time points, with a significant improvement inglobal QOL before consolidation gemcitabine (PZ.03). No significant declines in globalQOL were reported by either cohort. 2013 Journal Article http://hdl.handle.net/20.500.11937/33732 10.1016/j.ijrobp.2012.03.003 Elsevier Inc. fulltext
spellingShingle Short, Michelle
Goldstein, D.
Halkett, Georgia
Reece, W.
Borg, M.
Zissiadis, Y.
Kneebone, A.
Spry, Nigel
Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title_full Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title_fullStr Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title_full_unstemmed Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title_short Impact of Gemcitabine Chemotherapy and 3-Dimensional Conformal Radiation Therapy/5-Fluorouracil on Quality of life of patients Managed for Pancreatic Cancer
title_sort impact of gemcitabine chemotherapy and 3-dimensional conformal radiation therapy/5-fluorouracil on quality of life of patients managed for pancreatic cancer
url http://hdl.handle.net/20.500.11937/33732