Measuring health-related quality of life in patients with advanced cancer: A systematic review of self-administered measurement instruments

Janneke van Roij*, Heidi Fransen, Lonneke van de Poll-Franse, Myrte Zijlstra, Natasja Raijmakers

*Corresponding author for this work

Research output: Contribution to journalReview articleScientificpeer-review

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Abstract

Patient-reported outcome measures (PROMs) are becoming increasingly important in clinical practice. The implementation of PROMS in routine practice is challenging because information regarding psychometric quality of measurement instruments is fragmented and standardization is lacking. The aim of this study is to evaluate the quality of self-administered HRQoL measurement instruments for use in patients with advanced cancer in clinical practice.

A systematic literature search was performed in PubMed, Embase, PsycINFO, and CINAHL to identify studies concerning self-administered HRQoL measurement instruments in patients with advanced cancer between January 1990 and September 2016. Quality of the measurement instruments was assessed by predefined criteria derived from the COSMIN checklist.

Sixty-nine articles relating to 39 measurement instruments met the inclusion criteria. Information regarding important measurement properties was often incomplete. None of the instruments performed sufficient on all measurement properties. Considering available information, the EORTC QLQ-C15-PAL appeared to have adequate psychometric properties, together with the EORTC QLQ-BM22.

Many of the existing HRQoL measurement instruments have not yet been evaluated in an adequate manner. Validation of self-administered HRQoL measurement instruments is an ongoing development and should be prioritized. This review contributes to improved clarity regarding the availability and quality of HRQoL measurement instruments for patients with advanced cancer and supports health care professionals in an adequate selection of suitable PROMs in clinical practice.

Original languageEnglish
Pages (from-to)1937-1955
JournalQuality of Life Research
Volume27
Issue number8
DOIs
Publication statusPublished - 2018

Keywords

  • Quality of Life
  • Medical oncology
  • Palliative care
  • Validation studies
  • Patient-reported outcomes
  • SYMPTOM ASSESSMENT SCALE
  • CLINICALLY IMPORTANT DIFFERENCES
  • RANDOMIZED CONTROLLED-TRIAL
  • PALLIATIVE CARE POPULATION
  • REPORTED OUTCOME MEASURES
  • CELL LUNG-CANCER
  • BONE METASTASES
  • EORTC QLQ-BM22
  • QUESTIONNAIRE QLQ-C30
  • EUROPEAN-ORGANIZATION

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