Cella D F, Tulsky D S
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Cancer Invest. 1993;11(3):327-36. doi: 10.3109/07357909309024860.
Over the past 20 years, changes within medicine and society have encouraged an expansion in conceptualizing and evaluating the goals and important outcomes of medical treatments. In evaluating the care of people with cancer and other chronic illnesses, a major part of the expansion has been the inclusion of means to assess the quality of life in addition to the quantity of life associated with various treatments. This paper presents a review of the current literature on quality-of-life assessment in oncology research and practice. The review is organized around current thinking about the definition of quality of life, the purpose of quality-of-life measurement, the method of assessment, and the competing advantages and disadvantages of disease-specific versus general health outcome measurement. Recommendations for proceeding with quality-of-life measurement in oncology are provided to encourage increased attention to the need to remain closely tied to a theoretical construct.
在过去20年里，医学和社会的变革推动了对医疗目标及重要结果的概念化和评估的扩展。在评估癌症及其他慢性病患者的护理时，这种扩展的一个主要方面是，除了评估与各种治疗相关的生命长度外，还纳入了评估生活质量的方法。本文对肿瘤学研究与实践中生活质量评估的当前文献进行了综述。该综述围绕当前对生活质量定义、生活质量测量目的、评估方法以及疾病特异性与一般健康结果测量的相对优缺点的思考展开。文中提供了肿瘤学中进行生活质量测量的建议，以促使人们更加关注与理论架构紧密联系的必要性。
