Pollom Erqi L, Wang Ellen, Bui Timothy T, Ognibene Grant, von Eyben Rie, Divi Vasu, Sunwoo John, Kaplan Michael, Dimitri Colevas A, Le Quynh-Thu, Hara Wendy Y
Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Oral Oncol. 2015 Dec;51(12):1132-7. doi: 10.1016/j.oraloncology.2015.10.003. Epub 2015 Oct 23.
Electronic data collection is increasingly used for quality of life (QOL) assessments in the field of oncology. It is important to assess the feasibility of these new data capture technologies.
Patients at our institution who were 18 years or older with a pathological diagnosis of head and neck cancer were prospectively enrolled. Each patient completed two questionnaires [EORTC-QLQ-C30 and EORTC-QLQ-H&N35] administered on a touch-screen tablet device (iPad) at initial consult, during treatment, at the completion of treatment and at each subsequent follow up visit for one year after treatment.
A total of 50 patients were included in this study. Although all patients completed the surveys at the initial consult, 86% of initially enrolled patients completed surveys at the end of radiation treatment, and 48% of initially enrolled patients completed surveys by the fourth follow-up visit. Average time to complete the survey for all patients over all time points was 9.8 min (standard deviation 6.1). Age as a continuous variable was significantly associated with time for survey completion (p<0.001), with older age associated with longer survey completion times.
QOL assessment using tablet devices in head and neck cancer patients is feasible, but may be more challenging in elderly patients. Patients ⩾70 years old may benefit from more assistance with electronic forms and should be allotted more time for completing tablet-based QOL surveys.
在肿瘤学领域,电子数据收集越来越多地用于生活质量(QOL)评估。评估这些新数据采集技术的可行性很重要。
前瞻性纳入我院18岁及以上经病理诊断为头颈癌的患者。每位患者在初次会诊、治疗期间、治疗结束时以及治疗后一年的每次后续随访中,通过触摸屏平板电脑设备(iPad)完成两份问卷[欧洲癌症研究与治疗组织生活质量核心问卷(EORTC-QLQ-C30)和欧洲癌症研究与治疗组织头颈癌特异性问卷(EORTC-QLQ-H&N35)]。
本研究共纳入50例患者。虽然所有患者在初次会诊时都完成了调查,但86%的初始入组患者在放疗结束时完成了调查,48%的初始入组患者在第四次随访时完成了调查。所有患者在所有时间点完成调查的平均时间为9.8分钟(标准差6.1)。年龄作为连续变量与调查完成时间显著相关(p<0.001),年龄越大,调查完成时间越长。
对头颈癌患者使用平板电脑设备进行生活质量评估是可行的,但对老年患者可能更具挑战性。70岁及以上的患者可能会从电子表格获得更多帮助中受益,并且应该分配更多时间来完成基于平板电脑的生活质量调查。