Skip to main content
Top
Gepubliceerd in: Quality of Life Research 1/2015

01-01-2015

Evaluation of the Quality of Life in Adult Cancer Survivors (QLACS) scale for early post-treatment breast cancer survivors

Auteurs: Stephanie J. Sohl, Beverly Levine, Nancy E. Avis

Gepubliceerd in: Quality of Life Research | Uitgave 1/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

The end of primary treatment for cancer patients is increasingly recognized as an important time of adjustment that may impact quality of life (QoL). A psychometrically sound QoL instrument that assesses the mix of acute and longer-term concerns present during this unique time has not yet been identified. This article evaluates the Quality of Life in Adult Cancer Survivors (QLACS) scale, originally developed for long-term (>5 years) cancer survivors, as an appropriate QoL measure for this transition period.

Methods

Psychometric properties of the QLACS were evaluated in a sample of post-treatment breast cancer survivors 18–24 months post-diagnosis. This observational study consisted of women (n = 552) aged 25 years and older (mean = 55.4 years) who were diagnosed with stage I, II, or III breast cancer. The 47 items of the QLACS comprise 12 domains: seven domains are generic, and five are cancer specific.

Results

The QLACS demonstrated adequate internal consistency (Cronbach’s alpha for the 12 domains ranged from 0.79 to 0.91) and good convergent and divergent validity (assessed by comparison with the Functional Assessment of Cancer Therapy and other measures).

Conclusions

The QLACS appears to be consistent with other widely accepted measures in capturing QoL, while also allowing for more inclusive measurement of specific issues relevant to post-treatment cancer survivors. These data, in addition to previous data supporting use of the QLACS across different cancer sites, suggest that the QLACS is a promising comprehensive QoL measure appropriate for breast cancer survivors transitioning off active treatment.
Literatuur
1.
go back to reference Berry, D. A., Cronin, K. A., Plevritis, S. K., Fryback, D. G., Clarke, L., Zelen, M., et al. (2005). Effect of screening and adjuvant therapy on mortality from breast cancer. The New England Journal of Medicine, 353(17), 1784–1792.PubMedCrossRef Berry, D. A., Cronin, K. A., Plevritis, S. K., Fryback, D. G., Clarke, L., Zelen, M., et al. (2005). Effect of screening and adjuvant therapy on mortality from breast cancer. The New England Journal of Medicine, 353(17), 1784–1792.PubMedCrossRef
2.
go back to reference Bleyer, A., & Welch, H. G. (2012). Effect of three decades of screening mammography on breast-cancer incidence. The New England Journal of Medicine, 367(21), 1998–2005.PubMedCrossRef Bleyer, A., & Welch, H. G. (2012). Effect of three decades of screening mammography on breast-cancer incidence. The New England Journal of Medicine, 367(21), 1998–2005.PubMedCrossRef
3.
go back to reference Howlader N., Noone A. M., Krapcho M., Garshell J., Miller D., Altekruse S.F., et al. (2014). SEER Cancer Statistics Review, 1975–2011. Bethesda, MD: National Cancer Institute. Retrieved April 21, 2014 from : http://seer.cancer.gov/csr/1975_2011/, based on November 2013 SEER data submission. Howlader N., Noone A. M., Krapcho M., Garshell J., Miller D., Altekruse S.F., et al. (2014). SEER Cancer Statistics Review, 19752011. Bethesda, MD: National Cancer Institute. Retrieved April 21, 2014 from : http://​seer.​cancer.​gov/​csr/​1975_​2011/​, based on November 2013 SEER data submission.
4.
go back to reference Ganz, P. A., Rowland, J. H., Desmond, K., Meyerowitz, B. E., & Wyatt, G. E. (1998). Life after breast cancer: Understanding women’s health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16(2), 501–514.PubMed Ganz, P. A., Rowland, J. H., Desmond, K., Meyerowitz, B. E., & Wyatt, G. E. (1998). Life after breast cancer: Understanding women’s health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16(2), 501–514.PubMed
5.
go back to reference Pearce, N. J. M., Sanson-Fisher, R., & Campbell, H. S. (2008). Measuring quality of life in cancer survivors: A methodological review of existing scales. Psycho-oncology, 17(7), 629–640.PubMedCrossRef Pearce, N. J. M., Sanson-Fisher, R., & Campbell, H. S. (2008). Measuring quality of life in cancer survivors: A methodological review of existing scales. Psycho-oncology, 17(7), 629–640.PubMedCrossRef
6.
go back to reference Chopra, I., & Kamal, K. M. (2012). A systematic review of quality of life instruments in long-term breast cancer survivors. Health and Quality of Life Outcomes, 10, 14.PubMedCentralPubMedCrossRef Chopra, I., & Kamal, K. M. (2012). A systematic review of quality of life instruments in long-term breast cancer survivors. Health and Quality of Life Outcomes, 10, 14.PubMedCentralPubMedCrossRef
7.
go back to reference Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast (FACT-B) quality of life instrument. Journal of Clinical Oncology, 15, 974–986.PubMed Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast (FACT-B) quality of life instrument. Journal of Clinical Oncology, 15, 974–986.PubMed
8.
go back to reference Sprangers, M. A., Groenvold, M., Arraras, J. I., Franklin, J., te Velde, A., Muller, M., et al. (1996). The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module: first results from a three-country field study. Journal of Clinical Oncology, 14(10), 2756–2768.PubMed Sprangers, M. A., Groenvold, M., Arraras, J. I., Franklin, J., te Velde, A., Muller, M., et al. (1996). The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module: first results from a three-country field study. Journal of Clinical Oncology, 14(10), 2756–2768.PubMed
9.
go back to reference Kroenke, C.H., Kwan, M.L., Neugut, A.,I., Ergas, I. J., Wright, J.D., Caan, B.J. et al. (2013) Social networks, social support mechanisms after breast cancer diagnosis. Breast Cancer Research and Treatment, 139, 515–527. Kroenke, C.H., Kwan, M.L., Neugut, A.,I., Ergas, I. J., Wright, J.D., Caan, B.J. et al. (2013) Social networks, social support mechanisms after breast cancer diagnosis. Breast Cancer Research and Treatment, 139, 515–527.
10.
go back to reference Kwan, M. L., Ergas, I. J., Somkin, C. P., Quesenberry, C. P., Jr, Neugut, A. I., Hershman, D., et al. (2010). Quality of life among women recently diagnosed with invasive breast cancer: The pathways study. Breast Cancer Research and Treatment, 123(2), 507–524.PubMedCentralPubMedCrossRef Kwan, M. L., Ergas, I. J., Somkin, C. P., Quesenberry, C. P., Jr, Neugut, A. I., Hershman, D., et al. (2010). Quality of life among women recently diagnosed with invasive breast cancer: The pathways study. Breast Cancer Research and Treatment, 123(2), 507–524.PubMedCentralPubMedCrossRef
11.
go back to reference Arora, N. K., Gustafson, D. H., Hawkins, R. P., McTavish, F., Cella, D. F., Pingree, S., et al. (2001). Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma. Cancer, 92(5), 98–1288.CrossRef Arora, N. K., Gustafson, D. H., Hawkins, R. P., McTavish, F., Cella, D. F., Pingree, S., et al. (2001). Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma. Cancer, 92(5), 98–1288.CrossRef
12.
go back to reference Baker, F., Haffer, S. C., & Denniston, M. (2003). Health-related quality of life of cancer and noncancer patients in medicare managed care. Cancer, 97(3), 674–681.PubMedCrossRef Baker, F., Haffer, S. C., & Denniston, M. (2003). Health-related quality of life of cancer and noncancer patients in medicare managed care. Cancer, 97(3), 674–681.PubMedCrossRef
13.
go back to reference Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study. Journal of the National Cancer Institute, 94(1), 39–49.PubMedCrossRef Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study. Journal of the National Cancer Institute, 94(1), 39–49.PubMedCrossRef
14.
go back to reference Avis, N.E., Smith, K.W., McGraw, S., Smith, R.G., Petronis, V.M., & Carver, C.S. (2005). Assessing quality of life in adult cancer survivors (QLACS). Quality of Life Research, 14(4), 1007–1023. Avis, N.E., Smith, K.W., McGraw, S., Smith, R.G., Petronis, V.M., & Carver, C.S. (2005). Assessing quality of life in adult cancer survivors (QLACS). Quality of Life Research, 14(4), 1007–1023.
15.
go back to reference Avis, N. E., Ip, E., & Foley, K. L. (2006). Evaluation of the Quality of Life in Adult Cancer Survivors (QLACS) scale for long-term cancer survivors in a sample of breast cancer survivors. Health and Quality of Life Outcomes, 4, 92.PubMedCentralPubMedCrossRef Avis, N. E., Ip, E., & Foley, K. L. (2006). Evaluation of the Quality of Life in Adult Cancer Survivors (QLACS) scale for long-term cancer survivors in a sample of breast cancer survivors. Health and Quality of Life Outcomes, 4, 92.PubMedCentralPubMedCrossRef
16.
go back to reference Ganz, P. A., Guadagnoli, E., Landrum, M. B., Lash, T. L., Rakowski, W., & Silliman, R. A. (2003). Breast cancer in older women: Quality of life and psychosocial adjustment in the 15 months after diagnosis. Journal of Clinical Oncology, 21(21), 4027–4033.PubMedCrossRef Ganz, P. A., Guadagnoli, E., Landrum, M. B., Lash, T. L., Rakowski, W., & Silliman, R. A. (2003). Breast cancer in older women: Quality of life and psychosocial adjustment in the 15 months after diagnosis. Journal of Clinical Oncology, 21(21), 4027–4033.PubMedCrossRef
17.
go back to reference Klein, D., Mercier, M., Abeilard, E., Puyraveau, M., Danzon, A., Dalstein, V., et al. (2011). Long-term quality of life after breast cancer: A French registry-based controlled study. Breast Cancer Research and Treatment, 129(1), 125–134.PubMedCrossRef Klein, D., Mercier, M., Abeilard, E., Puyraveau, M., Danzon, A., Dalstein, V., et al. (2011). Long-term quality of life after breast cancer: A French registry-based controlled study. Breast Cancer Research and Treatment, 129(1), 125–134.PubMedCrossRef
18.
go back to reference Lee, E. S., Lee, M. K., Kim, S. H., Ro, J. S., Kang, H. S., Kim, S. W., et al. (2011). Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: A prospective cohort study. Annals of Surgery, 253(1), 101–108.PubMedCrossRef Lee, E. S., Lee, M. K., Kim, S. H., Ro, J. S., Kang, H. S., Kim, S. W., et al. (2011). Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: A prospective cohort study. Annals of Surgery, 253(1), 101–108.PubMedCrossRef
19.
go back to reference Taira, N., Shimozuma, K., Shiroiwa, T., Ohsumi, S., Kuroi, K., Saji, S., et al. (2011). Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery. Breast Cancer Research and Treatment, 128(3), 735–747.PubMedCrossRef Taira, N., Shimozuma, K., Shiroiwa, T., Ohsumi, S., Kuroi, K., Saji, S., et al. (2011). Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery. Breast Cancer Research and Treatment, 128(3), 735–747.PubMedCrossRef
20.
go back to reference National Research Council. (2005). From cancer patient to cancer survivor: Lost in transition. Washington, D.C.: The National Academies Press. National Research Council. (2005). From cancer patient to cancer survivor: Lost in transition. Washington, D.C.: The National Academies Press.
21.
go back to reference Garofalo, J. P., Choppala, S., Hamann, H. A., & Gjerde, J. (2009). Uncertainty during the transition from cancer patient to survivor. Cancer Nursing, 32(4), E8–E14.PubMedCentralPubMedCrossRef Garofalo, J. P., Choppala, S., Hamann, H. A., & Gjerde, J. (2009). Uncertainty during the transition from cancer patient to survivor. Cancer Nursing, 32(4), E8–E14.PubMedCentralPubMedCrossRef
22.
go back to reference Hulbert-Williams, N., Neal, R., Morrison, V., Hood, K., & Wilkinson, C. (2011). Anxiety, depression and quality of life after cancer diagnosis: What psychosocial variables best predict how patients adjust? Psycho-oncology, 21, 857–867.PubMedCrossRef Hulbert-Williams, N., Neal, R., Morrison, V., Hood, K., & Wilkinson, C. (2011). Anxiety, depression and quality of life after cancer diagnosis: What psychosocial variables best predict how patients adjust? Psycho-oncology, 21, 857–867.PubMedCrossRef
23.
go back to reference Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23(6), 595–598.PubMedCrossRef Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23(6), 595–598.PubMedCrossRef
24.
go back to reference Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20(3), 176–185.PubMedCrossRef Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20(3), 176–185.PubMedCrossRef
25.
go back to reference Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22(5), 487–497.PubMedCrossRef Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22(5), 487–497.PubMedCrossRef
26.
go back to reference Danhauer, S. C., Case, L. D., Tedeschi, R., Russell, G., Vishnevsky, T., Triplett, K., et al. (2013). Predictors of posttraumatic growth in women with breast cancer. Psycho-Oncology, 22(12), 2676–83. Danhauer, S. C., Case, L. D., Tedeschi, R., Russell, G., Vishnevsky, T., Triplett, K., et al. (2013). Predictors of posttraumatic growth in women with breast cancer. Psycho-Oncology, 22(12), 2676–83.
27.
go back to reference Sohl, S.J., Levine, B., Case, L.D., Danhauer, S.C., & Avis, N.E. (2014). Trajectories of illness intrusiveness domains following a diagnosis of breast cancer. Health Psychology, 33(3), 232–41. Sohl, S.J., Levine, B., Case, L.D., Danhauer, S.C., & Avis, N.E. (2014). Trajectories of illness intrusiveness domains following a diagnosis of breast cancer. Health Psychology, 33(3), 232–41.
28.
go back to reference Avis, N. E., Levine, B., Naughton, M. J., Case, D. L., Naftalis, E., & Van Zee, K. J. (2012). Explaining age-related differences in depression following breast cancer diagnosis and treatment. Breast Cancer Research and Treatment, 136(2), 581–591.PubMedCrossRef Avis, N. E., Levine, B., Naughton, M. J., Case, D. L., Naftalis, E., & Van Zee, K. J. (2012). Explaining age-related differences in depression following breast cancer diagnosis and treatment. Breast Cancer Research and Treatment, 136(2), 581–591.PubMedCrossRef
29.
go back to reference Avis, N. E., Levine, B., Naughton, M. J., Case, L., Douglas, Naftalis, E., et al. (2013). Age-related longitudinal changes in depressive symptoms following breast cancer diagnosis and treatment. Breast Cancer Research and Treatment, 139, 199–206.PubMedCrossRef Avis, N. E., Levine, B., Naughton, M. J., Case, L., Douglas, Naftalis, E., et al. (2013). Age-related longitudinal changes in depressive symptoms following breast cancer diagnosis and treatment. Breast Cancer Research and Treatment, 139, 199–206.PubMedCrossRef
30.
go back to reference Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Lloyd, S., Linn, E., et al. (1993). The Functional Assessment of Cancer Therapy (FACT) scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.PubMed Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Lloyd, S., Linn, E., et al. (1993). The Functional Assessment of Cancer Therapy (FACT) scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.PubMed
31.
go back to reference Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.PubMedCrossRef Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.PubMedCrossRef
32.
go back to reference De Boer, A. G. E. M., van Lanschot, J. J. B., Stalmeier, P. F. M., van Sandick, J. W., Hulscher, J. B. F., de Haes, J. C. J. M., et al. (2004). Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life? Quality of Life Research, 13(2), 311–320.PubMedCrossRef De Boer, A. G. E. M., van Lanschot, J. J. B., Stalmeier, P. F. M., van Sandick, J. W., Hulscher, J. B. F., de Haes, J. C. J. M., et al. (2004). Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life? Quality of Life Research, 13(2), 311–320.PubMedCrossRef
33.
go back to reference Barnabei, V. M., Cochrane, B. B., Aragaki, A. K., Nygaard, I., Williams, R. S., McGovern, P. G., et al. (2005). Menopausal symptoms and treatment-related effects of estrogen and progestin in the Women’s Health Initiative. Obstetrics and Gynecology, 105(5 Pt 1), 1063–1073.PubMedCrossRef Barnabei, V. M., Cochrane, B. B., Aragaki, A. K., Nygaard, I., Williams, R. S., McGovern, P. G., et al. (2005). Menopausal symptoms and treatment-related effects of estrogen and progestin in the Women’s Health Initiative. Obstetrics and Gynecology, 105(5 Pt 1), 1063–1073.PubMedCrossRef
34.
go back to reference Ganz, P. A., Day, R., Ware, J. E., Jr, Redmond, C., & Fisher, B. (1995). Base-line quality-of-life assessment in the national surgical adjuvant breast and bowel project breast cancer prevention trial. Journal of the National Cancer Institute, 87(18), 1372–1382.PubMedCrossRef Ganz, P. A., Day, R., Ware, J. E., Jr, Redmond, C., & Fisher, B. (1995). Base-line quality-of-life assessment in the national surgical adjuvant breast and bowel project breast cancer prevention trial. Journal of the National Cancer Institute, 87(18), 1372–1382.PubMedCrossRef
35.
go back to reference McDowell, I. (2006). Measuring health: A guide to rating scales (3rd ed.). New York: Oxford University Press.CrossRef McDowell, I. (2006). Measuring health: A guide to rating scales (3rd ed.). New York: Oxford University Press.CrossRef
36.
go back to reference Devins, G. M., Binik, Y. M., Hutchinson, T. A., Hollomby, D. J., Barré, P. E., & Guttmann, R. D. (1983). The emotional impact of end-stage renal disease: Importance of patients’ perception of intrusiveness and control. International Journal of Psychiatry in Medicine, 13(4), 327–343.PubMedCrossRef Devins, G. M., Binik, Y. M., Hutchinson, T. A., Hollomby, D. J., Barré, P. E., & Guttmann, R. D. (1983). The emotional impact of end-stage renal disease: Importance of patients’ perception of intrusiveness and control. International Journal of Psychiatry in Medicine, 13(4), 327–343.PubMedCrossRef
37.
go back to reference Devins, G. M. (2010). Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. Journal of Psychosomatic Research, 68(6), 591–602.PubMedCrossRef Devins, G. M. (2010). Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. Journal of Psychosomatic Research, 68(6), 591–602.PubMedCrossRef
38.
go back to reference Lasry, J. C., Margolese, R. G., Poisson, R., Shibata, H., Fleischer, D., Lafleur, D., et al. (1987). Depression and body image following mastectomy and lumpectomy. Journal of Chronic Diseases, 40(6), 529–534.PubMedCrossRef Lasry, J. C., Margolese, R. G., Poisson, R., Shibata, H., Fleischer, D., Lafleur, D., et al. (1987). Depression and body image following mastectomy and lumpectomy. Journal of Chronic Diseases, 40(6), 529–534.PubMedCrossRef
39.
go back to reference Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.PubMedCrossRef Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.PubMedCrossRef
40.
go back to reference Brunet, J., McDonough, M. H., Hadd, V., Crocker, P. R. E., & Sabiston, C. M. (2010). The posttraumatic growth inventory: An examination of the factor structure and invariance among breast cancer survivors. Psycho-oncology, 19(8), 830–838.PubMedCrossRef Brunet, J., McDonough, M. H., Hadd, V., Crocker, P. R. E., & Sabiston, C. M. (2010). The posttraumatic growth inventory: An examination of the factor structure and invariance among breast cancer survivors. Psycho-oncology, 19(8), 830–838.PubMedCrossRef
Metagegevens
Titel
Evaluation of the Quality of Life in Adult Cancer Survivors (QLACS) scale for early post-treatment breast cancer survivors
Auteurs
Stephanie J. Sohl
Beverly Levine
Nancy E. Avis
Publicatiedatum
01-01-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0749-x

Andere artikelen Uitgave 1/2015

Quality of Life Research 1/2015 Naar de uitgave