Validating and Improving the Reliability of the EORTC QLQ-C30 Using a Multidimensional Rasch Model

Shih, Ching-Lin; Chen, Chien Hung; Sheu, Ching-Fan; Lang, Hui Chu; Hsieh, Ching-Lin

doi:10.1016/j.jval.2013.05.004

Cited by 40 publications

(38 citation statements)

References 45 publications

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“…13 It is a modular questionnaire consisting of a core questionnaire (EORTC QLQ-C30) and additional diagnosis-specific modules. 14 The Spanish version of EORTC QLQ-C30 presented by the EORTC was used for data collection. A sample can be downloaded at the following URL: http://groups.eortc.be/qol/eortc-qlq-c30.…”

Section: Eortc Qlq-c30mentioning

confidence: 99%

Differences in coping strategies among young adults and the elderly with cancer

et al. 2019

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Background Coping with cancer and the oncologist–patient relationship can vary depending on the patient's age. Our aim is to examine and compare young and elderly adults with non‐metastatic, resected cancer. Methods Two groups of patients were selected, young (< 40 years) and elderly (> 70) with a diagnosis of non‐metastatic, resected cancer requiring adjuvant chemotherapy from a pre‐exiting, national database (NEOCOPING Study). Epidemiological variables were collected and subjects’ emotional responses, perceptions of the physician–patient relationship, support network, fears, and regret about the decision to receive chemotherapy were assessed with questionnaires validated in previous studies: Mini‐Mental Adjustment to Cancer, Brief Summary Inventory (18 items), European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire‐C30, Shared Decision‐Making Questionnaire‐Physician's version, Shared Decision‐Making Questionnaire‐Patient's version, and Informed Risk (physician and patient versions). Results Data from 46 young and 46 elderly participants were collected. The most common neoplasms in both groups were breast (50%) and colorectal (22%). The younger adults had a higher level of education and were actively employed (72% vs. 7%). The leading coping strategy in the younger cohort was hope, and resignation among the elderly. Young adults sought more social support and the impact of diagnosis was more negative for them than for older individuals. No significant differences were detected in quality of life; both age groups demanded more time at their first visit with the doctor, while the older group exhibited greater satisfaction with shared decision‐making. At the end of adjuvant chemotherapy, neither age group regretted their decision to receive said treatment. Conclusion Higher levels of education, greater demands of the labour market, and the advent of the age of information have entailed drastic changes in the physician–patient relationship paradigm. This is especially true in the younger cancer patient population, who require more information and active participation in decision‐making, can display more anxiety about their diagnosis, but also greater capacity to fight.

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Section: Eortc Qlq-c30mentioning

confidence: 99%

Differences in coping strategies among young adults and the elderly with cancer

et al. 2019

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“…6 The burden of stroke is greater in Asian countries than in the Western world, including a substantially higher incidence of stroke than myocardial infarction. [7][8][9] However, data on the extent to which several Asia countries have recently fared with regard to improvement in stroke outcomes are relatively sparse. One study suggested the incidence of stroke decreased from 1961 to 2000 in Japan 7 and an overview study revealed that recurrent stroke decreased in each decade from 1960 to 2010.…”

Section: Introductionmentioning

confidence: 99%

Trends in Incident and Recurrent Rates of First-Ever Ischemic Stroke in Taiwan between 2000 and 2011

Lee

Ovbiagele

2015

J Stroke

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Background and PurposeThe burden of stroke is comparatively greater in Asian countries than in the Western world. While there has been a documented recent decline in the incidence of stroke in several Western nations due to better risk factor management, much less is known about the nature and trajectory of stroke in Asia over the last decade. The objective of this study was to explore risk factors, medication use, incidence, and one-year recurrence of stroke in Taiwan. Methods We conducted a nationwide cohort study by reviewing all hospitalized patients ( ≥ 18 years) with a primary diagnosis of ischemic stroke between 2001 and 2011 from Taiwan National Health Insurance Research Database. Results A total of 291,381 first-ever ischemic stroke patients were enrolled between 2000 and 2011. The average age was about 70 years and approximately 58.6% of them were men. While prevalence of diabetes mellitus and hyperlipidemia, as well as use of statins, antiplatelet agents, and oral anticoagulant agents for atrial fibrillation significantly increased; incidence (142.3 vs. 129.5 per 100,000 in 2000 and 2011, respectively) and one-year recurrence (9.6% vs. 7.8% in 2000 and 2011, respectively) of stroke declined during this period of time. Conclusions Over the last decade in Taiwan, rates of primary ischemic stroke and one-year recurrent stroke decreased by 9% and 18% respectively.

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“…The validity, reliability, and relevance of these scales for patients with cancer have been clearly demonstrated [78,79] . Examples of assessments in these QoL scales include the ability to perform physical activities; need for help with activities of daily living; extent of symptoms such as pain, fatigue, weakness, gastrointestinal issues, sleep disturbances, sexual dysfunction, and degree of emotional and psychological well-being and their impact on QoL [78][79][80] . Findings from select clinical studies that included assessment of patient QoL are summarized in Table 5 [65,77,[81][82][83][84][85][86] .…”

Section: Patient Qol In Et Studiesmentioning

confidence: 99%

Optimizing Quality of Life in Patients with Hormone Receptor-Positive Metastatic Breast Cancer: Treatment Options and Considerations

Chalasani

2017

Oncology

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The treatment landscape for hormone receptor-positive metastatic breast cancer continues to evolve as the molecular mechanisms of this heterogeneous disease are better understood and targeted treatment strategies are developed. Patients are now living for extended periods of time with this disease as they progress through sequential lines of treatment. With a rapidly expanding therapeutic armamentarium, the prevalence of metastatic breast cancer patients with prolonged survival is expected to increase, as is the duration of survival. Practice guidelines recommend endocrine therapy alone as first-line therapy for the majority of patients with metastatic hormone receptor-positive, human epidermal growth factor receptor 2-negative breast cancer. The approval of new agents and expanded combination options has extended their use beyond first line, but endocrine therapy is not used as widely in clinical practice as recommended. As all treatments are palliative, even as survival is prolonged, optimizing and maintaining patient quality of life is crucial. This article surveys data relevant to the use of endocrine therapy in the setting of hormone receptor-positive metastatic breast cancer, including key clinical evidence regarding approved therapies and the impact of these therapies on patient quality of life.

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Validating and Improving the Reliability of the EORTC QLQ-C30 Using a Multidimensional Rasch Model

Abstract: The constructs represented by the multiple-item subscales of the QLQ-C30 were validated. The improved reliability of the multiple-item subscales of the QLQ-C30 under the multidimensional approach can facilitate their applications in clinical and research settings.

Cited by 40 publications

References 45 publications

Differences in coping strategies among young adults and the elderly with cancer

Differences in coping strategies among young adults and the elderly with cancer

Trends in Incident and Recurrent Rates of First-Ever Ischemic Stroke in Taiwan between 2000 and 2011

Optimizing Quality of Life in Patients with Hormone Receptor-Positive Metastatic Breast Cancer: Treatment Options and Considerations

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