COSMIN database

Cross-cultural adaptation and measurement properties of generic and cancer-related patient-reported outcome measures (PROMs) for use with cancer patients in Brazil: a systematic review

Albach, C.A., Hunt, K.J., Wagland, and R.
Abstract Purpose This systematic review (1) identifies the current generic and cancer-related patient-reported outcome measures (PROMs) that have been cross-culturally adapted to Brazilian Portuguese and applied to cancer patients and (2) critically evaluates their cross-cultural adaptation (CCA) and measurement properties. Methods Seven databases were searched for articles regarding the translation and evaluation of measurement properties of generic and cancer-related PROMs crossculturally adapted to Brazilian Portuguese that are applied in adult (C18 years old) cancer patients. The methodological quality of included studies was assessed using the COSMIN checklist. Results The bibliographic search retrieved 1674 hits, of which seven studies analysing eight instruments were included in this review. Data on the interpretability of scores were poorly reported. Overall, the quality of the CCA process was inconsistent throughout the studies. None of the included studies performed a cross-cultural validation. The evidence concerning the quality of measurement properties is limited by poor or fair methodological quality. Moreover, limited information regarding measurement properties was provided within the included papers. Conclusions This review aids the selection process of Brazilian Portuguese PROMs for use in cancer patients. After acknowledging the methodological caveats and strengths of each tool, our opinion is that for quality of life and symptoms assessment the adapted FACT-G version and the ESAS could be recommended, respectively. Future research should rely on the already accepted standards of CCA and validation studies.
Qual Life Res
Publication year:
Symptom status:
Physical state
Functional status:
Physical functioning
General health perceptions / HRQoL:
Self-rated health
Overall quality of life:
Overall quality of life
Adults (18-65)
Neoplasms and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
EORTC QLQ-C15-PAL - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires
EORTC QLQ-C30 - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core-30 item (ALSO shortened version)   [see: ZUYD (NL)]
ESAS - Edmonton Symptom Assessment System (ALSO ESAS-revised; M-ESAS - modified; ESAS-WB - feeling of well-being)
FACT-G - Functional Assessment of Cancer Therapy-General
MDASI - MD Anderson Symptom Inventory
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: Medical Outcomes Study (MOS) SF-36]]   [see: proqolid, ZUYD (NL), also see:]
VES-13 - Vulnerable Elders Survey-13
WHOQOL-BREF - World Health Organization Quality of Life questionnaire–Abbreviated Questionnaire [alias: WHO-QOL BREF]   [see: ZUYD (NL)]