COSMIN database

Assessing quality of life in long-term cancer survivors: a review of available tools

Muzzatti, B. and Annunziata, M. A.
PURPOSE: Considering that the number of people with oncological history is constantly growing, and that cancer survivorship has very specific long-term and late (both medical and psychosocial) effects, it seems useful to have specific multidimensional instruments to measure quality of life (QoL). This contribution aims to describe the characteristics and psychometric properties of QoL assessment tools specifically designed for the condition of long-term cancer survivorship.

METHODS: We queried the MEDLINE, PsycINFO, and CINAHL databases, which allowed us to identify the pertinent papers, classified by the QoL tool they refer to. We then extracted the characteristics and the psychometric properties from each study.

RESULTS: From the initial 902 papers, 18 meet the selection criteria referring to eight QoL measurements. However, a multipart validation process in order to verify validity and reliability was only started for two of these tools.

CONCLUSIONS: Even though clinical practice documents that long-term cancer survivors present with different symptoms and functional challenges compared to patients who are currently undergoing treatment as well as the general population, we still lack a quality of life tool that is specific for them, and that has verified psychometric properties. Even though some of the instruments we described are promising, it is necessary to continue their refinement.
Support Care Cancer
1433-7339 (Electronic)
Publication year:
Overall quality of life:
Overall quality of life
Adults (18-65)
Seniors (65+)
Neoplasms and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
BCIA - Brief Cancer Impact Assessment - 16 items
BCIA - Brief Cancer Impact Assessment - 17 items
CPILS - Cancer Problems in Living Scale
IOC - Impact of Cancer
IOCv2 - Impact of Cancer, Version 2
LTQL - Long-term Quality of Life
LTQOL-BC - Long-Term Quality of Life-Breast Cancer;
QLACS - Quality of Life in Adult Cancer Survivors
QOL-CS - Quality of Life-Cancer Survivors
SLDS-C - Satisfaction with Life Domains Scale for Cancer