Measuring health-related quality of life in cervical cancer patients: a systematic review of the most used questionnaires and their validity
Identifieur interne : 000379 ( Main/Exploration ); précédent : 000378; suivant : 000380Measuring health-related quality of life in cervical cancer patients: a systematic review of the most used questionnaires and their validity
Auteurs : Casper Tax [Pays-Bas] ; Marlie E. Steenbergen [Pays-Bas] ; Petra L. M. Zusterzeel [Pays-Bas] ; Ruud L. M. Bekkers [Pays-Bas] ; Maroeska M. Rovers [Pays-Bas]Source :
- BMC Medical Research Methodology [ 1471-2288 ] ; 2017.
Abstract
Data on health-related quality of life (HRQoL) is paramount for shared and evidence based decision-making. Since an overview of cervical cancer HRQoL tools and their validity appears to be lacking, we performed a systematic review on usage of disease specific HRQoL instruments in cervical cancer patients and their psychometric properties to identify the most suitable cervical cancer specific HRQoL tool.
We searched Pubmed, EMBASE and PsycINFO from inception up to 18 October 2016 for studies on quality of life in cervical cancer patients. Data extraction and HRQoL identification was performed by two independent reviewers. Validation studies of the identified cervical cancer specific HRQoL tools were retrieved and assessed on psychometric properties using the COSMIN checklist. All used cervical cancer specific HRQoL instruments were scored and ranked according to their psychometric properties.
We included 156 studies (20,690 patients) and identified 31 HRQoL tools. The EORTC QLQ-CX24 (35 studies; 5,556 patients) and FACT-Cx (22 studies; 4,224 patients) were the only cervical cancer specific tools.
The EORTC QLQ-CX24 had 4 out of 9 positive rated psychometric properties; internal consistency, content and construct validity, and agreement. Criterion validity, reliability, and interpretability scored doubtful. Responsiveness and floor- and ceiling effects were not reported. The FACT-Cx had 2 out of 9 positive rated psychometric properties; internal consistency and agreement. Content validity, reliability, and interpretability scored doubtful while criterion and construct validity scored negative. Responsiveness and floor- and ceiling effects were not reported.
The validity of the often used EORTC QLQ-CX24 questionnaire for cervical cancer patients remains uncertain as 5 out of 9 psychometric properties were doubtful or not reported in current literature. Cervical cancer specific HRQoL tools should therefore always be used in conjunction with validated generic cancer HRQoL tools until proper validity has been proven, or a more valid tool has been developed.
The online version of this article (doi:10.1186/s12874-016-0289-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12874-016-0289-x
PubMed: 28125962
PubMed Central: 5270308
Affiliations:
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Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Steenbergen, Marlie E" sort="Steenbergen, Marlie E" uniqKey="Steenbergen M" first="Marlie E." last="Steenbergen">Marlie E. Steenbergen</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000000122931605</institution-id><institution-id institution-id-type="GRID">grid.5590.9</institution-id><institution></institution><institution>Radboud University Faculty of Medicine,</institution></institution-wrap>Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Zusterzeel, Petra L M" sort="Zusterzeel, Petra L M" uniqKey="Zusterzeel P" first="Petra L. 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Bekkers</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id><institution-id institution-id-type="GRID">grid.10417.33</institution-id><institution>Department of Gynaecology,</institution><institution>Radboud University Medical Centre, Radboudumc Institute for Health Sciences,</institution></institution-wrap>P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Rovers, Maroeska M" sort="Rovers, Maroeska M" uniqKey="Rovers M" first="Maroeska M." last="Rovers">Maroeska M. Rovers</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id><institution-id institution-id-type="GRID">grid.10417.33</institution-id><institution>Department of Operating Rooms,</institution><institution>Radboud University Medical Centre, Radboudumc Institute for Health Sciences,</institution></institution-wrap>P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id><institution-id institution-id-type="GRID">grid.10417.33</institution-id><institution>Department of Health Evidence,</institution><institution>Radboud University Medical Centre, Radboudumc Institute for Health Sciences,</institution></institution-wrap>P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Medical Research Methodology</title><idno type="eISSN">1471-2288</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Data on health-related quality of life (HRQoL) is paramount for shared and evidence based decision-making. Since an overview of cervical cancer HRQoL tools and their validity appears to be lacking, we performed a systematic review on usage of disease specific HRQoL instruments in cervical cancer patients and their psychometric properties to identify the most suitable cervical cancer specific HRQoL tool.</p></sec><sec><title>Methods</title><p>We searched Pubmed, EMBASE and PsycINFO from inception up to 18 October 2016 for studies on quality of life in cervical cancer patients. Data extraction and HRQoL identification was performed by two independent reviewers. Validation studies of the identified cervical cancer specific HRQoL tools were retrieved and assessed on psychometric properties using the COSMIN checklist. All used cervical cancer specific HRQoL instruments were scored and ranked according to their psychometric properties.</p></sec><sec><title>Results</title><p>We included 156 studies (20,690 patients) and identified 31 HRQoL tools. The EORTC QLQ-CX24 (35 studies; 5,556 patients) and FACT-Cx (22 studies; 4,224 patients) were the only cervical cancer specific tools.</p><p>The EORTC QLQ-CX24 had 4 out of 9 positive rated psychometric properties; internal consistency, content and construct validity, and agreement. Criterion validity, reliability, and interpretability scored doubtful. Responsiveness and floor- and ceiling effects were not reported. The FACT-Cx had 2 out of 9 positive rated psychometric properties; internal consistency and agreement. Content validity, reliability, and interpretability scored doubtful while criterion and construct validity scored negative. Responsiveness and floor- and ceiling effects were not reported.</p></sec><sec><title>Conclusion</title><p>The validity of the often used EORTC QLQ-CX24 questionnaire for cervical cancer patients remains uncertain as 5 out of 9 psychometric properties were doubtful or not reported in current literature. Cervical cancer specific HRQoL tools should therefore always be used in conjunction with validated generic cancer HRQoL tools until proper validity has been proven, or a more valid tool has been developed.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12874-016-0289-x) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author><author><name sortKey="Eser, S" uniqKey="Eser S">S Eser</name></author><author><name sortKey="Mathers, C" uniqKey="Mathers C">C Mathers</name></author><author><name sortKey="Rebelo, M" uniqKey="Rebelo M">M Rebelo</name></author><author><name 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sortKey="Pitynski, K" uniqKey="Pitynski K">K Pitynski</name></author><author><name sortKey="Skotnicki, P" uniqKey="Skotnicki P">P Skotnicki</name></author><author><name sortKey="Greimel, Er" uniqKey="Greimel E">ER Greimel</name></author><author><name sortKey="Bottomley, A" uniqKey="Bottomley A">A Bottomley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ding, Y" uniqKey="Ding Y">Y Ding</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author><author><name sortKey="Hallberg, Ir" uniqKey="Hallberg I">IR Hallberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fernandes, Wc" uniqKey="Fernandes W">WC Fernandes</name></author><author><name sortKey="Kimura, M" uniqKey="Kimura M">M Kimura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fregnani, Cm" uniqKey="Fregnani C">CM Fregnani</name></author><author><name sortKey="Fregnani, Jh" uniqKey="Fregnani J">JH Fregnani</name></author><author><name sortKey="Dias De Oliveira Latorre Mdo, R" uniqKey="Dias De Oliveira Latorre Mdo R">R Dias de Oliveira Latorre Mdo</name></author><author><name sortKey="De Almeida, Am" uniqKey="De Almeida A">AM de Almeida</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Tax, Casper" sort="Tax, Casper" uniqKey="Tax C" first="Casper" last="Tax">Casper Tax</name></noRegion><name sortKey="Bekkers, Ruud L M" sort="Bekkers, Ruud L M" uniqKey="Bekkers R" first="Ruud L. M." last="Bekkers">Ruud L. M. Bekkers</name><name sortKey="Rovers, Maroeska M" sort="Rovers, Maroeska M" uniqKey="Rovers M" first="Maroeska M." last="Rovers">Maroeska M. Rovers</name><name sortKey="Rovers, Maroeska M" sort="Rovers, Maroeska M" uniqKey="Rovers M" first="Maroeska M." last="Rovers">Maroeska M. Rovers</name><name sortKey="Steenbergen, Marlie E" sort="Steenbergen, Marlie E" uniqKey="Steenbergen M" first="Marlie E." last="Steenbergen">Marlie E. Steenbergen</name><name sortKey="Zusterzeel, Petra L M" sort="Zusterzeel, Petra L M" uniqKey="Zusterzeel P" first="Petra L. M." last="Zusterzeel">Petra L. M. Zusterzeel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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