Brazilian Validation of the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group (QLG) Computerised Adaptive Tests (CAT) Core

Autor: Gustavo Nader Marta, Ana Paula Alves Pereira, Tomás Yokoo Teodoro de Souza, Alice Roxo Nobre de Souza e Silva, David Rodrigues Ferreira Neto, Rafael Gadia, Samir Abdallah Hanna, Mauricio Silva, Everardo D. Saad, Fabiana Accioli Miranda Degrande, Rie Nadia Asso, Guilherme Nader-Marta, Bernhard Holzner, Morten Aagaard Petersen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Current Oncology
Current Oncology, Vol 28, Iss 291, Pp 3373-3383 (2021)
Volume 28
Issue 5
Pages 291-3383
ISSN: 1718-7729
1198-0052
Popis: Background: This study aimed to validate the Brazilian version of EORTC CAT Core and compare the Brazilian results with those from the original European EORTC CAT Core validation study. Methods: After validated translation, 168 cancer patients from Brazil receiving radiation therapy with or without chemotherapy was assessed. Translated EORTC CAT Core and all QLQ-C30 items were administered to patients using CHES (Computer-Based Health Evaluation System) before (T0) and after (T1) treatment initiation. The association between QLQ-C30 and CAT scores and ceiling/floor effects were estimated. Based on estimates of relative validity (cross-sectional, known-group differences and changes over time), relative sample-size requirements for CAT compared to QLQ-C30 were estimated. Results: Correlation coefficients between CAT and QLQ-C30 domains ranged from 0.63 to 0.93
except for dyspnoea, all coefficients were >
0.82 (corresponding figures were 0.81–0.93 in the European study). On average across domains, floor/ceiling was reduced by 10% using CAT (9% in the European study) corresponding to a relative reduction of 32% (37% in the European study). Analyses of known-group validity and responsiveness indicated that, on average across domains, the sample-size requirements may be reduced by 17% using CAT rather than QLQ-C30, without loss of power (28% in the European study). The Brazilian sample had less symptom/quality of life impairment than the European sample, which likely explains the lower sample-size reduction using CAT when comparing with the European sample. Conclusions: The results in the Brazilian cohort were generally similar to those from the European sample and confirm the validity and usefulness of the EORTC CAT Core.
Databáze: OpenAIRE