Stukan M, Zalewski K, Mardas M, Filarska D, Szajewski M, Kmieć A, Bińkowska P, Pietrzak-Stukan M, Dudziak M, Grabowski J P, Eskander R N, Greimel E
Department of Gynaecologic Oncology, Gdynia Oncology Centre, Gdynia, Poland.
Medicover Outpatient Clinic, Gdańsk, Poland.
Eur J Cancer Care (Engl). 2018 Jan;27(1). doi: 10.1111/ecc.12639. Epub 2017 Jan 6.
The endometrial cancer (EC)-specific Quality of Life module of the European Organization for Research and Treatment of Cancer (EORTC QLQ-EN24), was developed and validated in one study. We independently validated and assessed the psychometric properties of the instrument. Two hundred and eight women with EC before surgery, during adjuvant treatment and follow-up; in three different cancer centres completed the EORTC QLQ-C30 and the EN24. The questionnaire's completion rate was 100%, except sexuality items, that were answered by 35% of patients. All item-scale correlations for the multi-item scales exceeded the .4 criterion and correlated well with their own scale, while correlations with the other scales were low. The internal consistency of all multi-item scales were satisfactory (Cronbach's alpha coefficients ranging from .77 to .97). Discriminance for single-item scales was low. The QLQ-EN24 module discriminated well between clinically different patients, and there were no differences in quality of life questionnaire scales between patients with body mass index ≤30 when compared to those with >30. This validation study supports the reliability, as well as convergent and divergent validity of the EORTC QLQ-EN24. The module is a useful instrument for the assessment of QOL in patients with EC. However, data concerning sexuality should be interpreted with caution.
欧洲癌症研究与治疗组织(EORTC)的子宫内膜癌(EC)特异性生活质量模块(EORTC QLQ - EN24)在一项研究中得到开发和验证。我们对该工具的心理测量特性进行了独立验证和评估。208名患有子宫内膜癌的女性在手术前、辅助治疗期间及随访期间,于三个不同的癌症中心完成了EORTC QLQ - C30和EN24问卷。问卷的完成率为100%,但性相关项目除外,只有35%的患者回答了这些问题。多项目量表的所有项目 - 量表相关性均超过了0.4的标准,且与自身量表相关性良好,而与其他量表的相关性较低。所有多项目量表的内部一致性令人满意(克朗巴哈α系数范围为0.77至0.97)。单项目量表的区分度较低。QLQ - EN24模块在临床上不同的患者之间区分良好,体重指数≤30的患者与体重指数>30的患者在生活质量问卷量表方面没有差异。这项验证研究支持了EORTC QLQ - EN24的可靠性以及聚合效度和区分效度。该模块是评估子宫内膜癌患者生活质量的有用工具。然而,关于性方面的数据应谨慎解释。