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Patient-Reported Outcomes From Phase III Neoadjuvant Systemic Trial Comparing Neoadjuvant Chemotherapy With Neoadjuvant Endocrine Therapy in Pre-Menopausal Patients With Estrogen Receptor-Positive and HER2-Negative, Lymph Node-Positive Breast Cancer

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Abstract
We aimed to evaluate the patient-reported outcomes (PROs) in a prospective phase III clinical trial, comparing neoadjuvant endocrine therapy (NET) with conventional neoadjuvant chemotherapy (NCT) in patients with hormone status positive, lymph node-positive premenopausal breast cancer (NCT01622361). The patients were randomized prospectively to either 24 weeks of NCT with adriamycin plus cyclophosphamide followed by taxane or NET with gonadotropin-releasing hormone agonist and tamoxifen. The patients were examined at the surgery unit of a large tertiary care hospital with a comprehensive cancer center. PROs were assessed on the first day of the trial (day 1, baseline) and at the end of treatment, using the breast cancer module of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 23 (EORTC QLQ BR23). One hundred and eighty-seven patients were randomly assigned to chemotherapy (n=95) or endocrine therapy (n=92), and 174 patients completed 24 weeks of the neoadjuvant treatment period (n=87, in each group). Baseline scores were similar between the groups. After treatment, there were no statistically significant differences in the function scales, including body image, sexual functioning, and sexual enjoyment between the groups, although the endocrine treatment group showed a significant improvement in the future perspective (hazard ratio, 8.3; 95% confidence interval, 1.72-18.38; P = 0.021). Similarly, there were no statistically significant differences in the symptom scales between the groups, including adverse effects of systemic therapy, breast symptoms, arm symptoms, and upset about hair loss. In conclusion, overall PROs were similar in both treatment groups, except for "future perspective," which was significantly better in the NET group than in the NCT group.
Author(s)
공경엽곽성찬김선옥김이수김희정남석진노우철안세현이은숙정용식한원식
Issued Date
2021
Type
Article
Keyword
HER2-negativelymph node-positive breaST cancer (NEST)neoadjuvant chemotherapyneoadjuvant endocrine therapyNeoadjuvant stusdy of chemotherapy versus Endocrine therapy in premenopausal patient with hormone responsiveOncologypatient-reported outcomesquality of life
DOI
10.3389/fonc.2021.608207
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8118
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_4e27fefa8825441d912a99699fd31a95&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Patient-Reported%20Outcomes%20From%20Phase%20III%20Neoadjuvant%20Systemic%20Trial%20Comparing%20Neoadjuvant%20Chemotherapy%20With%20Neoadjuvant%20Endocrine%20Therapy%20in%20Pre-Menopausal%20Patients%20With%20Estrogen%20Receptor-Positive%20and%20HER2-Negative,%20Lymph%20Node-Positive%20Breast%20Cancer&offset=0&pcAvailability=true
Publisher
FRONTIERS IN ONCOLOGY
Location
스위스
Language
한국어
ISSN
2234-943X
Citation Volume
11
Citation Number
608207
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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