SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment

Abstract Objective To assess the tolerability of multimodal therapy in soft tissue sarcoma patients, particularly with regard to their quality of life and level of distress. Materials and methods A retrospective cohort study enrolled individuals receiving sarcoma therapy at the sarcoma center of the...

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Main Authors: Sebastian Hoffmann, Tabea Hoffmann, Vlatko Potkrajcic, Christoph K. W. Deinzer, Katrin Benzler, Lars Zender, Adrien Daigeler, Johannes Tobias Thiel
Format: Article
Language:English
Published: BMC 2025-01-01
Series:World Journal of Surgical Oncology
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Online Access:https://doi.org/10.1186/s12957-024-03632-x
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author Sebastian Hoffmann
Tabea Hoffmann
Vlatko Potkrajcic
Christoph K. W. Deinzer
Katrin Benzler
Lars Zender
Adrien Daigeler
Johannes Tobias Thiel
author_facet Sebastian Hoffmann
Tabea Hoffmann
Vlatko Potkrajcic
Christoph K. W. Deinzer
Katrin Benzler
Lars Zender
Adrien Daigeler
Johannes Tobias Thiel
author_sort Sebastian Hoffmann
collection DOAJ
description Abstract Objective To assess the tolerability of multimodal therapy in soft tissue sarcoma patients, particularly with regard to their quality of life and level of distress. Materials and methods A retrospective cohort study enrolled individuals receiving sarcoma therapy at the sarcoma center of the University of Tuebingen between 2017 and 2022. Participants completed an online survey that included the EORTC’s questionnaire (QLQ-C30), coupled with the distress thermometer and demographic inquiries. The primary emphasis was on comparing three distinct modalities: Radiation, Chemotherapy and Surgery. The data were analysed performing one-way ANOVA. Results A total of 237 patients were included in the study. There was a significant difference (p < 0.001) in quality of life according to the EORTC scores (high score = high quality of life) between the different treatments: chemotherapy (mean: 26.8 [standard deviation: 19.5]), radiotherapy (51.0 [21.5]), and surgery (46.9 [28.3]). Similarly, a statistically significant discrepancy (p < 0.001) was found in average distress levels (high score = high level of distress) corresponding to each treatment type: radiation (5.0 [2.7]), surgery (6.0 [2.9]), and chemotherapy (7.4 [2.4]). The rates of patients willing to undergo the same treatment varied across groups, with the highest percentage observed in the surgery group (94.2%), followed by radiation (87.4%), and chemotherapy (73.5%). Conclusion Patients receiving multimodal therapy for soft tissue often find chemotherapy particularly demanding. Impairment of both quality of life and physical well-being is more likely and tends to be more severe compared with radiation or surgery. These observations should be taken into consideration when consenting patients and offering treatment plans.
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spelling doaj-art-fc3f8aa0ead04a3da4ebdb81ec8a2b632025-01-12T12:26:14ZengBMCWorld Journal of Surgical Oncology1477-78192025-01-0123111010.1186/s12957-024-03632-xSarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatmentSebastian Hoffmann0Tabea Hoffmann1Vlatko Potkrajcic2Christoph K. W. Deinzer3Katrin Benzler4Lars Zender5Adrien Daigeler6Johannes Tobias Thiel7Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, University of TuebingenDepartment of Marketing, Faculty of Economics and Business, University GroningenDepartment of Radiation Oncology, University Hospital TübingenDepartment of Medical Oncology and Pneumology, University Hospital TuebingenDepartment of Medical Oncology and Pneumology, University Hospital TuebingenDepartment of Medical Oncology and Pneumology, University Hospital TuebingenDepartment of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, University of TuebingenDepartment of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, University of TuebingenAbstract Objective To assess the tolerability of multimodal therapy in soft tissue sarcoma patients, particularly with regard to their quality of life and level of distress. Materials and methods A retrospective cohort study enrolled individuals receiving sarcoma therapy at the sarcoma center of the University of Tuebingen between 2017 and 2022. Participants completed an online survey that included the EORTC’s questionnaire (QLQ-C30), coupled with the distress thermometer and demographic inquiries. The primary emphasis was on comparing three distinct modalities: Radiation, Chemotherapy and Surgery. The data were analysed performing one-way ANOVA. Results A total of 237 patients were included in the study. There was a significant difference (p < 0.001) in quality of life according to the EORTC scores (high score = high quality of life) between the different treatments: chemotherapy (mean: 26.8 [standard deviation: 19.5]), radiotherapy (51.0 [21.5]), and surgery (46.9 [28.3]). Similarly, a statistically significant discrepancy (p < 0.001) was found in average distress levels (high score = high level of distress) corresponding to each treatment type: radiation (5.0 [2.7]), surgery (6.0 [2.9]), and chemotherapy (7.4 [2.4]). The rates of patients willing to undergo the same treatment varied across groups, with the highest percentage observed in the surgery group (94.2%), followed by radiation (87.4%), and chemotherapy (73.5%). Conclusion Patients receiving multimodal therapy for soft tissue often find chemotherapy particularly demanding. Impairment of both quality of life and physical well-being is more likely and tends to be more severe compared with radiation or surgery. These observations should be taken into consideration when consenting patients and offering treatment plans.https://doi.org/10.1186/s12957-024-03632-xSarcomaQuality of lifeSarkoLifeSarcoma therapyEORTCPatient Reported Outcomes (PROs)
spellingShingle Sebastian Hoffmann
Tabea Hoffmann
Vlatko Potkrajcic
Christoph K. W. Deinzer
Katrin Benzler
Lars Zender
Adrien Daigeler
Johannes Tobias Thiel
SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
World Journal of Surgical Oncology
Sarcoma
Quality of life
SarkoLife
Sarcoma therapy
EORTC
Patient Reported Outcomes (PROs)
title SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
title_full SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
title_fullStr SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
title_full_unstemmed SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
title_short SarkoLife: quality of life in patients undergoing multimodal soft tissue sarcoma treatment
title_sort sarkolife quality of life in patients undergoing multimodal soft tissue sarcoma treatment
topic Sarcoma
Quality of life
SarkoLife
Sarcoma therapy
EORTC
Patient Reported Outcomes (PROs)
url https://doi.org/10.1186/s12957-024-03632-x
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