CN56 Well-being and healthcare concerns of patients with advanced renal cell carcinoma: The RCC PROMs international survey

Kotronoulas, G., Diez de los Rios de la Serna, C., Drury, A., Oldenmenger, W.H. and Kelly, D. ORCID: https://orcid.org/0000-0002-1847-0655 2023. CN56 Well-being and healthcare concerns of patients with advanced renal cell carcinoma: The RCC PROMs international survey. Annals of Oncology 34 (Sup 2) , S1241-S1242. 10.1016/j.annonc.2023.09.1650

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Abstract

Background Renal cell carcinoma (RCC) is the most common type of kidney cancer, most frequently diagnosed in men over 60 and in higher-income settings. Around 30% of cases are of advanced RCC. Despite progress with targeted therapies and immunotherapy, patients with advanced RCC face difficulties with day-to-day living. Patient-reported outcomes provide crucial information to enhance clinicians’ understanding about what issues patients perceive to have the greatest impact on them and can help promote person-centred approaches to treatment and disease management. Methods As part of the larger EONS PROMs project (https://cancernurse.eu/research/proms_project/), an international online survey was launched in May 2022. With a sampling confidence level of 95% and a margin of error of 10%, we aimed to involve ≥89 patients with advanced RCC. The survey comprised a bespoke demographic/clinical form, the Functional Assessment of Cancer Therapy-Biologic Response Modifiers (FACT-BRM) questionnaire, and three questions on patients’ priority concerns. Results The survey included 105 patients. Typically, patients were men (n=62, 59%), on targeted therapy (n=31, 33.7%), middle-aged (median=44 years), and over 3 years since diagnosis (median=37 months). Descriptive analysis of individual FACT-BRM items revealed that patients: were bothered by too frequent an urge to urinate (70%), worried their condition will worsen (68%), worried about their partner or family (67%), felt helpless (60%), were unable to work (59%), and were concerned about end-of-life care (58%). Spontaneously, patients identified major concerns with wages, impact on family, and future response to treatment. Older age was a statistically significant predictor of higher FACT-BRM total scores (p<0.001), better physical wellbeing (p<0.001), and better emotional wellbeing (p<0.001). Receiving radiotherapy or targeted therapy were predictive of poorer physical wellbeing (p<0.05). Conclusions Identifying, monitoring, and responding to concerns relating to physical, emotional, social, and practical aspects of wellbeing can be meaningful steps towards provision of enhanced person-centred care in advanced RCC.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	Elsevier
ISSN:	0923-7534
Date of Acceptance:	28 July 2023
Last Modified:	04 Dec 2023 11:10
URI:	https://orca.cardiff.ac.uk/id/eprint/163824

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