MedStar Authors catalog › Details for: Quality of life in MAP.3 (Mammary Prevention 3): a randomized, placebo-controlled trial evaluating exemestane for prevention of breast cancer.
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Quality of life in MAP.3 (Mammary Prevention 3): a randomized, placebo-controlled trial evaluating exemestane for prevention of breast cancer.

by Thayer, Debra W.
Citation: Journal of Clinical Oncology. 32(14):1427-36, 2014 May 10..Journal: Journal of clinical oncology : official journal of the American Society of Clinical Oncology.ISSN: 0732-183X.Full author list: Maunsell E; Goss PE; Chlebowski RT; Ingle JN; Ales-Martinez JE; Sarto GE; Fabian CJ; Pujol P; Ruiz A; Cooke AL; Hendrix S; Thayer DW; Rowland KM; Dube P; Spadafora S; Pruthi S; Lickley L; Ellard SL; Cheung AM; Wactawski-Wende J; Gelmon KA; Johnston D; Hiltz A; Brundage M; Pater JL; Tu D; Richardson H.UI/PMID: 24711552.Subject(s): Adult | Aged | Aged, 80 and over | *Androstadienes/tu [Therapeutic Use] | *Aromatase Inhibitors/tu [Therapeutic Use] | *Breast Neoplasms/pc [Prevention & Control] | Female | Humans | Middle Aged | Postmenopause | *Quality of Life | QuestionnairesInstitution(s): MedStar Health Research InstituteActivity type: Journal Article.Medline article type(s): Journal Article | Multicenter Study | Randomized Controlled Trial | Research Support, Non-U.S. Gov'tOnline resources: Click here to access online Digital Object Identifier: http://dx.doi.org/10.1200/JCO.2013.51.2483 (Click here) Abbreviated citation: J Clin Oncol. 32(14):1427-36, 2014 May 10.Local Holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2008.Abstract: PURPOSE: Exemestane, a steroidal aromatase inhibitor, reduced invasive breast cancer incidence by 65% among 4,560 postmenopausal women randomly assigned to exemestane (25 mg per day) compared with placebo in the National Cancer Institute of Canada (NCIC) Clinical Trials Group MAP.3 (Mammary Prevention 3) trial, but effects on quality of life (QOL) were not fully described.Abstract: PATIENTS AND METHODS: Menopause-specific and health-related QOL were assessed by using the four Menopause-Specific Quality of Life Questionnaire (MENQOL) domains and the eight Medical Outcomes Study Short Form Health Survey (SF-36) scales at baseline, 6 months, and yearly thereafter. MENQOL questionnaire completion was high (88% to 98%) in both groups at each follow-up visit. 20140821 scores for each MENQOL and SF-36 scale, calculated at each assessment time relative to baseline, were compared by using the Wilcoxon rank-sum test. Clinically important worsened QOL was defined as a MENQOL 20140821 score increase of more than 0.5 (of 8) points and an SF-36 20140821 score decrease of more than 5 (of 100) points from baseline.Abstract: RESULTS: Exemestane had small negative effects on women's self-reported vasomotor symptoms, sexual symptoms, and pain, which occurred mainly in the first 6 months to 2 years after random assignment. However, these 140821s represented only a small excess number of women being given exemestane with clinically important worsening of QOL at one time or another; specifically, 8% more in the vasomotor domain and 4% more each in the sexual domain and for pain. No other between-group differences were observed. Overall, slightly more women in the exemestane arm (32%) than in the placebo arm (28%) discontinued assigned treatment.Abstract: CONCLUSION: Exemestane given for prevention has limited negative impact on menopause-specific and health-related QOL in healthy postmenopausal women at risk for breast cancer.

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