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测量癌症患者的生活质量:谨慎解读结果。

Measuring the quality of life of cancer patients: interpret the results with caution.

出版信息

Prescrire Int. 2010 Aug;19(108):188-90.

Abstract

When evaluating the efficacy of cancer drugs, increase in overall survival is the gold standard outcome. The high burden of adverse effects associated with cancer treatments has led to an interest in measuring patients' quality of life. The most relevant quality of life rating scales are self-reported and assess at least three dimensions: physical, psychological and social. Some scales can be used in all patients and healthy subjects, while others are disease-specific. Some personalised scales exist, which take into account the factors that are most important to an individual patient. Some scales only evaluate adverse effects. Some scales that are frequently used in oncology only assess one dimension of quality of life. It is not easy for non-specialists to interpret quality of life scales. We suggest a few questions to help with interpreting the data.

摘要

在评估癌症药物疗效时,总生存期的延长是金标准结局。癌症治疗相关的高不良反应负担引发了对衡量患者生活质量的兴趣。最相关的生活质量评定量表是自我报告式的,且至少评估三个维度:身体、心理和社会维度。有些量表可用于所有患者和健康受试者,而有些则是针对特定疾病的。存在一些个性化量表,它们会考虑对个体患者最重要的因素。有些量表仅评估不良反应。肿瘤学中常用的一些量表仅评估生活质量的一个维度。非专业人员解读生活质量量表并非易事。我们提出几个问题以帮助解读数据。

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