Abstract
Background and objectivePatient-reported outcome measures can provide clinicians with valuable information to improve doctor-patient communication and inform clinical decision-making. The aim of this study was to evaluate the physician-perceived utility of the QLQ-GINET21 in routine clinical practice in patients with gastrointestinal neuroendocrine tumours (GI-NETs). Secondary aims were to explore the patient, clinician, and/or centre-related variables potentially associated with perceived clinical utility.MethodsNon-interventional, cross-sectional, multicentre study conducted at 34 hospitals in Spain and Portugal (NCT02853422). Patients diagnosed with GI-NETs completed two health-related quality of life (HRQoL) questionnaires (QLQ-C30, QLQ-GINET21) during a single routine visit. Physicians completed a 14-item ad hoc survey to rate the clinical utility of QLQ-GINET21 on three dimensions: 1)therapeutic and clinical decision-making, 2)doctor-patient communication, 3)questionnaire characteristics.ResultsA total of 199 patients at 34 centres were enrolled by 36 participating clinicians. The highest rated dimension on the QLQ-GINET21 was questionnaire characteristics (86.9% of responses indicating “high utility”), followed by doctor-patient communication (74.4%), and therapeutic and clinical decision-making (65.8%). One physician-related variable (GI-NET patient volume > 30 patients/year) was associated with high clinical utility and two variables (older age/less experience treating GI-NETs) with low clinical utility.ConclusionsClinician-perceived clinical utility of QLQ-GINET21 is high. Clinicians valued the instruments’ capacity to provide a better understanding of patient perspectives and to identify the factors that had the largest influence on patient HRQoL.
Highlights
Neuroendocrine tumours (NETs) are a heterogeneous group of relatively rare neoplasms primarily affectingBenavent et al Health Qual Life Outcomes (2021) 19:38 the lungs, pancreas, and gastrointestinal tract [1]
In the course of a routine visit, participating patients completed two health-related quality of life (HRQoL) instruments, the QLQ-C30 and QLQ-GINET21, and the participating physicians completed an ad hoc survey designed to gauge their opinion regarding the clinical utility of the QLQ-GINET21
Our findings show that the clinicians surveyed considered this instrument to have a high clinical utility (Figs. 1, 2)
Summary
Neuroendocrine tumours (NETs) are a heterogeneous group of relatively rare neoplasms primarily affectingBenavent et al Health Qual Life Outcomes (2021) 19:38 the lungs, pancreas, and gastrointestinal tract [1]. There has been a growing interest in using patient-reported outcome measures (PROM) to assess patient perspectives to improve care [10, 11]. The use of these instruments to individually manage patients has been shown to improve doctor-patient communication [12, 13] as well as symptom control and HRQoL [12, 14]. The aim of this study was to evaluate the physician-perceived utility of the QLQ-GINET21 in routine clinical practice in patients with gastrointestinal neuroendocrine tumours (GI-NETs). Secondary aims were to explore the patient, clinician, and/or centre-related variables potentially associated with perceived clinical utility
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