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Quality of life in breast cancer patients during chemotherapy and concurrent therapy with a mistletoe extract
The effects of standardized aqueous mistletoe extracts on Health Related Quality of Life (HRQoL) of tumor patients needs further evaluation. In this non-interventional, prospective clinical investigation the longitudinal course of Quality of Life of 270 breast cancer patients during adjuvant chemoth...
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| Published in: | Phytomedicine (Stuttgart) 2011-01, Vol.18 (2-3), p.151-157 |
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| creator | Eisenbraun, J. Scheer, R. Kröz, M. Schad, F. Huber, R. |
| description | The effects of standardized aqueous mistletoe extracts on Health Related Quality of Life (HRQoL) of tumor patients needs further evaluation.
In this non-interventional, prospective clinical investigation the longitudinal course of Quality of Life of 270 breast cancer patients during adjuvant chemotherapy and mistletoe therapy with abnobaVISCUM® Mali was investigated. HRQoL was measured 4 times by self-assessment with the QLQ-C30 and QLQ-BR23 questionnaire of the European Organization for Research and Treatment of Cancer (EORTC): at the beginning of mistletoe- and chemotherapy, 4 weeks later, at the end of the chemotherapy and 4 weeks after finishing chemotherapy. Secondary objectives were the tolerability and safety of mistletoe therapy in combination with chemotherapy under conditions of daily practice.
After an initial deterioration the average range of all obtained QLQ-C30 function scales (n=262, 48.9–71.5) remained stable even at the last chemotherapy cycle and improved significantly (p |
| doi_str_mv | 10.1016/j.phymed.2010.06.013 |
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In this non-interventional, prospective clinical investigation the longitudinal course of Quality of Life of 270 breast cancer patients during adjuvant chemotherapy and mistletoe therapy with abnobaVISCUM® Mali was investigated. HRQoL was measured 4 times by self-assessment with the QLQ-C30 and QLQ-BR23 questionnaire of the European Organization for Research and Treatment of Cancer (EORTC): at the beginning of mistletoe- and chemotherapy, 4 weeks later, at the end of the chemotherapy and 4 weeks after finishing chemotherapy. Secondary objectives were the tolerability and safety of mistletoe therapy in combination with chemotherapy under conditions of daily practice.
After an initial deterioration the average range of all obtained QLQ-C30 function scales (n=262, 48.9–71.5) remained stable even at the last chemotherapy cycle and improved significantly (p<0.0001) to 66.9–80.7 4 weeks later, compared to the initial visit. Also the QLQ-BR23 function scales significantly improved (p<0.0001) 4 weeks later. The symptom scales of the QLQ-C30 remained stable under chemotherapy even at the final chemotherapy cycle and decreased from 16.2 to 44.1 at the initial visit to 11.2–29.9 (p<0.001) at the final visit. These results were comparable to the subgroup with initial visit before chemotherapy (n=114) in which rather stable function scales during chemotherapy (difference of the mean values: 9.6 to −3.7) and only little increase of symptoms (difference: 13.2 to −4.9) was measured. The tolerability of the therapy was judged by the physicians as good or very good for 91% of the patients and the efficacy was rated as good or very good for 94%. 89% of the patients reported about a good or very good benefit.
The overall results point to a relevant stabilisation of Health Related Quality of Life during various chemotherapy regimes, possibly due to a reduction of chemotherapy caused side effects with an excellent tolerability of the mistletoe therapy.</description><identifier>ISSN: 0944-7113</identifier><identifier>EISSN: 1618-095X</identifier><identifier>DOI: 10.1016/j.phymed.2010.06.013</identifier><identifier>PMID: 20724129</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>AbnobaVISCUM ; Adolescent ; Adult ; Aged ; Antineoplastic Agents - adverse effects ; Breast cancer ; Breast Neoplasms - drug therapy ; Breast Neoplasms - surgery ; Cancer ; Care and treatment ; Chemical properties ; Chemotherapy ; Chemotherapy, Adjuvant ; Complementary ; Diagnosis ; Female ; Health aspects ; Health Related Quality of Life ; Humans ; Longitudinal Studies ; Management ; Materia medica, Vegetable ; Middle Aged ; Mistletoe ; Phytotherapy ; Plant extracts ; Plant Extracts - therapeutic use ; Prospective Studies ; QLQ-C30 ; Quality of Life ; Social aspects ; Surveys and Questionnaires ; Tolerability ; Viscum album ; Young Adult</subject><ispartof>Phytomedicine (Stuttgart), 2011-01, Vol.18 (2-3), p.151-157</ispartof><rights>2010 Elsevier GmbH</rights><rights>2010 Elsevier GmbH. All rights reserved.</rights><rights>COPYRIGHT 2011 Urban & Fischer Verlag</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-21364510fe4e86619a2afa4f5053f498403f5237023c057cb19b8bcece77f8103</citedby><cites>FETCH-LOGICAL-c466t-21364510fe4e86619a2afa4f5053f498403f5237023c057cb19b8bcece77f8103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20724129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eisenbraun, J.</creatorcontrib><creatorcontrib>Scheer, R.</creatorcontrib><creatorcontrib>Kröz, M.</creatorcontrib><creatorcontrib>Schad, F.</creatorcontrib><creatorcontrib>Huber, R.</creatorcontrib><title>Quality of life in breast cancer patients during chemotherapy and concurrent therapy with a mistletoe extract</title><title>Phytomedicine (Stuttgart)</title><addtitle>Phytomedicine</addtitle><description>The effects of standardized aqueous mistletoe extracts on Health Related Quality of Life (HRQoL) of tumor patients needs further evaluation.
In this non-interventional, prospective clinical investigation the longitudinal course of Quality of Life of 270 breast cancer patients during adjuvant chemotherapy and mistletoe therapy with abnobaVISCUM® Mali was investigated. HRQoL was measured 4 times by self-assessment with the QLQ-C30 and QLQ-BR23 questionnaire of the European Organization for Research and Treatment of Cancer (EORTC): at the beginning of mistletoe- and chemotherapy, 4 weeks later, at the end of the chemotherapy and 4 weeks after finishing chemotherapy. Secondary objectives were the tolerability and safety of mistletoe therapy in combination with chemotherapy under conditions of daily practice.
After an initial deterioration the average range of all obtained QLQ-C30 function scales (n=262, 48.9–71.5) remained stable even at the last chemotherapy cycle and improved significantly (p<0.0001) to 66.9–80.7 4 weeks later, compared to the initial visit. Also the QLQ-BR23 function scales significantly improved (p<0.0001) 4 weeks later. The symptom scales of the QLQ-C30 remained stable under chemotherapy even at the final chemotherapy cycle and decreased from 16.2 to 44.1 at the initial visit to 11.2–29.9 (p<0.001) at the final visit. These results were comparable to the subgroup with initial visit before chemotherapy (n=114) in which rather stable function scales during chemotherapy (difference of the mean values: 9.6 to −3.7) and only little increase of symptoms (difference: 13.2 to −4.9) was measured. The tolerability of the therapy was judged by the physicians as good or very good for 91% of the patients and the efficacy was rated as good or very good for 94%. 89% of the patients reported about a good or very good benefit.
The overall results point to a relevant stabilisation of Health Related Quality of Life during various chemotherapy regimes, possibly due to a reduction of chemotherapy caused side effects with an excellent tolerability of the mistletoe therapy.</description><subject>AbnobaVISCUM</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - surgery</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Chemical properties</subject><subject>Chemotherapy</subject><subject>Chemotherapy, Adjuvant</subject><subject>Complementary</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Related Quality of Life</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Management</subject><subject>Materia medica, Vegetable</subject><subject>Middle Aged</subject><subject>Mistletoe</subject><subject>Phytotherapy</subject><subject>Plant extracts</subject><subject>Plant Extracts - therapeutic use</subject><subject>Prospective Studies</subject><subject>QLQ-C30</subject><subject>Quality of Life</subject><subject>Social aspects</subject><subject>Surveys and Questionnaires</subject><subject>Tolerability</subject><subject>Viscum album</subject><subject>Young Adult</subject><issn>0944-7113</issn><issn>1618-095X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kUGL1DAUx4Mo7uzqNxAJePDUmrRp0l6EZdFVWBBBwVtI05eZDG1Sk1Sdb29Kdw7CIDkEXn7_5L38EHpFSUkJ5e-O5Xw4TTCUFcklwktC6ydoRzltC9I1P56iHekYKwSl9RW6jvFICGWdIM_RVUVExWjV7dD0dVGjTSfsDR6tAWwd7gOomLBWTkPAs0oWXIp4WIJ1e6wPMPl0gKDmE1ZuwNo7vYSQGXwu_7bpgBWebEwjJA8Y_qSgdHqBnhk1Rnj5uN-g7x8_fLv7VDx8uf98d_tQaMZ5Kipac9ZQYoBByzntVKWMYqYhTW1Y1zJSm6aqBalqTRqhe9r1ba9BgxCmpaS-QW-3e-fgfy4Qk8ytaBhH5cAvUbZ1Q2lXMZ7JNxu5VyNI64xfG11peVs1ggvRMpap4gK1B5fHHb0DY3P5H768wOc1wGT1xQDbAjr4GAMYOQc7qXCSlMhVtzzKTbdcdUvCZdadY68f51z69ewcOvvNwPsNgPzbvywEGXW2qWGwAXSSg7f_f-Ev5ei8uw</recordid><startdate>20110115</startdate><enddate>20110115</enddate><creator>Eisenbraun, J.</creator><creator>Scheer, R.</creator><creator>Kröz, M.</creator><creator>Schad, F.</creator><creator>Huber, R.</creator><general>Elsevier GmbH</general><general>Urban & Fischer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110115</creationdate><title>Quality of life in breast cancer patients during chemotherapy and concurrent therapy with a mistletoe extract</title><author>Eisenbraun, J. ; Scheer, R. ; Kröz, M. ; Schad, F. ; Huber, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-21364510fe4e86619a2afa4f5053f498403f5237023c057cb19b8bcece77f8103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>AbnobaVISCUM</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Agents - adverse effects</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - surgery</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Chemical properties</topic><topic>Chemotherapy</topic><topic>Chemotherapy, Adjuvant</topic><topic>Complementary</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Related Quality of Life</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Management</topic><topic>Materia medica, Vegetable</topic><topic>Middle Aged</topic><topic>Mistletoe</topic><topic>Phytotherapy</topic><topic>Plant extracts</topic><topic>Plant Extracts - therapeutic use</topic><topic>Prospective Studies</topic><topic>QLQ-C30</topic><topic>Quality of Life</topic><topic>Social aspects</topic><topic>Surveys and Questionnaires</topic><topic>Tolerability</topic><topic>Viscum album</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eisenbraun, J.</creatorcontrib><creatorcontrib>Scheer, R.</creatorcontrib><creatorcontrib>Kröz, M.</creatorcontrib><creatorcontrib>Schad, F.</creatorcontrib><creatorcontrib>Huber, R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Phytomedicine (Stuttgart)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eisenbraun, J.</au><au>Scheer, R.</au><au>Kröz, M.</au><au>Schad, F.</au><au>Huber, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life in breast cancer patients during chemotherapy and concurrent therapy with a mistletoe extract</atitle><jtitle>Phytomedicine (Stuttgart)</jtitle><addtitle>Phytomedicine</addtitle><date>2011-01-15</date><risdate>2011</risdate><volume>18</volume><issue>2-3</issue><spage>151</spage><epage>157</epage><pages>151-157</pages><issn>0944-7113</issn><eissn>1618-095X</eissn><abstract>The effects of standardized aqueous mistletoe extracts on Health Related Quality of Life (HRQoL) of tumor patients needs further evaluation.
In this non-interventional, prospective clinical investigation the longitudinal course of Quality of Life of 270 breast cancer patients during adjuvant chemotherapy and mistletoe therapy with abnobaVISCUM® Mali was investigated. HRQoL was measured 4 times by self-assessment with the QLQ-C30 and QLQ-BR23 questionnaire of the European Organization for Research and Treatment of Cancer (EORTC): at the beginning of mistletoe- and chemotherapy, 4 weeks later, at the end of the chemotherapy and 4 weeks after finishing chemotherapy. Secondary objectives were the tolerability and safety of mistletoe therapy in combination with chemotherapy under conditions of daily practice.
After an initial deterioration the average range of all obtained QLQ-C30 function scales (n=262, 48.9–71.5) remained stable even at the last chemotherapy cycle and improved significantly (p<0.0001) to 66.9–80.7 4 weeks later, compared to the initial visit. Also the QLQ-BR23 function scales significantly improved (p<0.0001) 4 weeks later. The symptom scales of the QLQ-C30 remained stable under chemotherapy even at the final chemotherapy cycle and decreased from 16.2 to 44.1 at the initial visit to 11.2–29.9 (p<0.001) at the final visit. These results were comparable to the subgroup with initial visit before chemotherapy (n=114) in which rather stable function scales during chemotherapy (difference of the mean values: 9.6 to −3.7) and only little increase of symptoms (difference: 13.2 to −4.9) was measured. The tolerability of the therapy was judged by the physicians as good or very good for 91% of the patients and the efficacy was rated as good or very good for 94%. 89% of the patients reported about a good or very good benefit.
The overall results point to a relevant stabilisation of Health Related Quality of Life during various chemotherapy regimes, possibly due to a reduction of chemotherapy caused side effects with an excellent tolerability of the mistletoe therapy.</abstract><cop>Germany</cop><pub>Elsevier GmbH</pub><pmid>20724129</pmid><doi>10.1016/j.phymed.2010.06.013</doi><tpages>7</tpages></addata></record> |
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| subjects | AbnobaVISCUM Adolescent Adult Aged Antineoplastic Agents - adverse effects Breast cancer Breast Neoplasms - drug therapy Breast Neoplasms - surgery Cancer Care and treatment Chemical properties Chemotherapy Chemotherapy, Adjuvant Complementary Diagnosis Female Health aspects Health Related Quality of Life Humans Longitudinal Studies Management Materia medica, Vegetable Middle Aged Mistletoe Phytotherapy Plant extracts Plant Extracts - therapeutic use Prospective Studies QLQ-C30 Quality of Life Social aspects Surveys and Questionnaires Tolerability Viscum album Young Adult |
| title | Quality of life in breast cancer patients during chemotherapy and concurrent therapy with a mistletoe extract |
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