Quality of life measurement in women with cervical cancer: implications for Chinese cervical cancer survivors
- Zeng, Y. C., Ching, S. S., and Loke, A. Y.
- BACKGROUND: Women with cervical cancer now have relatively good 5-year survival rates. Better survival rates have driven the paradigm in cancer care from a medical illness model to a wellness model, which is concerned with the quality of women's lives as well as the length of survival. Thus, the assessment of quality of life among cervical cancer survivors is increasingly paramount for healthcare professionals. The purposes of this review were to describe existing validated quality of life instruments used in cervical cancer survivors, and to reveal the implications of quality of life measurement for Chinese cervical cancer survivors.
METHODS: A literature search of five electronic databases was conducted using the terms cervical/cervix cancer, quality of life, survivors, survivorship, measurement, and instruments. Articles published in either English or Chinese from January 2000 to June 2009 were searched. Only those adopting an established quality of life instrument for use in cervical cancer survivors were included.
RESULTS: A total of 11 validated multidimensional quality of life instruments were identified from 41 articles. These instruments could be classified into four categories: generic, cancer-specific, cancer site-specific and cancer survivor-specific instruments. With internal consistency varying from 0.68-0.99, the test-retest reliability ranged from 0.60-0.95 based on the test of the Pearson coefficient. One or more types of validity supported the construct validity. Although all these instruments met the minimum requirements of reliability and validity, the original versions of these instruments were mainly in English.
CONCLUSION: Selection of an instrument should consider the purpose of investigation, take its psychometric properties into account, and consider the instrument's origin and comprehensiveness. As quality of life can be affected by culture, studies assessing the quality of life of cervical cancer survivors in China or other non-English speaking countries should choose or develop instruments relevant to their own cultural context. There is a need to develop a comprehensive quality of life instrument for Chinese cervical cancer survivors across the whole survivorship, including immediately after diagnosis and for short- (less than 5 years) and long-term (more than 5 years) survivorship.
- Health Qual Life Outcomes
- 1477-7525 (Electronic)
- Publication year:
- Symptom status:
- Cognitive/mental state
- Functional status:
- Cognitive/mental functioning
- General health perceptions / HRQoL:
- Health-related quality of life
- Adults (18-65)
- Diseases of and symptoms related to the genitourinary system
Neoplasms and related symptoms
- PRO / non-PRO:
- Patient Reported Outcome
- Type of measurement instrument:
- 1 - Questionnaires
- CARES - Cancer rehabilitation evaluation system (versions: CARES-SF)
CaSUN - Cancer Survivors’ Unmet Needs
EORTC QLQ-C30 - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core-30 item (versions: EORTC QLQ-C24)
EORTC QLQ-CX24 - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Cervical Cancer module
EQ-5D - EuroQoL-5 Dimensions
FACT-Cx - Functional Assessment of Cancer Therapy-Cervical Cancer
FACT-G - Functional Assessment of Cancer Therapy-General
QLICP-CE - Quality of Life Instruments for Cancer Patients-Cervical cancer
QLI - Quality of Life Index [alias: Ferrans and Powers Quality of Life Index]
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: Medical Outcomes Study (MOS) SF-36]] | | also see: database.cosmin.nl
WHOQOL-BREF - World Health Organization Quality of Life questionnaire–Abbreviated Questionnaire (versions: WHOQOL-HIV-BREF)