Abstract
Purpose
Our aim is to test the validity, reliability, and acceptability of the Chinese version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Bone Metastases 22 (EORTC QLQ-BM22) module to assess health-related quality of life (HRQOL) in patients with bone metastases in China.
Methods
Patients with histological confirmation of malignancy and bone metastases from Tianjin Cancer Institution and Hospital from June 2013 to April 2014 were enrolled in this study. All patients self-administered the EORTC QLQ-BM22 and the EORTC QLQ-C30. The Karnofsky Performance Scale (KPS) was performed to evaluate scores. The reliability and validity tests of the questionnaires were based on Cronbach’s α coefficients, Pearson correlation test, and Wilcoxon rank sum nonparametric test.
Results
Internal consistency reliabilities of all the four scales were acceptable. Scales measuring similar HRQOL aspects were found to correlate with one another between EORTC QLQ-BM22 and EORTC QLQ-C30, but differences still existed. Significant differences were demonstrated in the scores of all four subscales of the QLQ-BM22 between the two KPS subgroups (KPS ≤ 80; KPS > 80). Meanwhile, the compliance for item completion of the QLQ-BM22 was satisfactory.
Conclusions
The Chinese version of EORTC QLQ-BM22 is a reliable and valid instrument, which is appropriate for measuring the HRQOL of patients with bone metastases in China.
Similar content being viewed by others
References
Chow E, Nguyen J, Zhang L, Tseng LM, Hou MF, Fairchild A et al (2012) International field testing of the reliability and validity of the EORTC QLQ-BM22 module to assess health-related quality of life in patients with bone metastases. Cancer 118(5):1457–1465. doi:10.1002/cncr.26410
Wan C, Meng Q, Yang Z, Tu X, Feng C, Tang X, Zhang C (2008) Validation of the simplified Chinese version of EORTC QLQ-C30 from the measurements of five types of inpatients with cancer. Ann Oncol 19:2053–2060. doi:10.1093/annonc/mdn417
Chow E, Hird A, Velikova G, Johnson C, Dewolf L, Bezjak A et al (2009) The European Organization for research and treatment of cancer quality of life questionnaire for patients with bone metastases: the EORTC QLQ-BM22. Eur J Cancer 45(7):1146–1152. doi:10.1016/j.ejca.2008.11.013
Zeng L, Chow E, Bedard G, Zhang L, Fairchild A, Vassiliou V et al (2012) Quality of life after palliative radiation therapy for patients with painful bone metastases: results of an international study validating the EORTC QLQ-BM22. Int J Radiat Oncol Biol Phys 84(3):e337–e342. doi:10.1016/j.ijrobp.2012.05.028
Chow E, Bottomley A (2009) Understanding the EORTC QLQ-BM22, the module for patients with bone metastases. Expert Rev Pharmacoecon Outcomes Res 9(5):461–465. doi:10.1586/erp.09.50
Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A et al (2011) The EORTC QLQC30 Scoring Manual. 3rd ed. Brussels, Belgium. European Organization for research and treatment of cancer. Support Care Cancer 19(11):1753–1760
Püsküllüoğlu M, Tomaszewski KA, Bottomley A, Holden L, Tomaszewska TM, Głowacki R et al (2014) Validation of the Polish version of the EORTC QLQ-BM22 module for the assessment of health-related quality of life in patients with bone metastases. Qual Life Res 23(2):527–532. doi:10.1007/s11136-013-0486-6
Broom R, Du H, Clemons M, Eton D, Dranitsaris G, Simmons C, Ooi W, Cella D (2008) Switching breast cancer patients with progressive bone metastases to third-generation bisphosphonates: measuring impact using the functional assessment of cancer therapy-bone pain. J Pain Symptom Manage 38(2):244–257. doi:10.1016/j.jpainsymman.2008.08.005
Popovic M, Nguyen J, Chen E, Di Giovanni J, Liang Z, Chow E (2012) Comparison of the EORTC QLQ-BM22 and the FACT-BP for assessment of quality of life in cancer patients with bone metastases. Expert Rev Pharmacoecon Outcomes Res 12(2):213–219. doi:10.1586/erp.11.99
Yekaninejad MS, Ahmadzadeh A, Mosavi SH, Saffari M, Pakpour AH, Tolooei F, Chow E, Bottomley A (2014) The reliability and validity of the Iranian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for patients with Bone Metastases: the EORTC QLQ-BM22.Expert. Rev Pharmacoecon Outcomes Res 14(1):147–156. doi:10.1586/14737167.2014.864559
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Lei Zhang, Yan-Jun Su, Jia-Yue Chen, Zhi-Chao Liao, Shu-Min Xie, Jing Zhang, Yun-Shou Lin, Wei-Lin Sun and Begüm Pekbay contributed equally to this work.
Rights and permissions
About this article
Cite this article
Zhang, L., Su, YJ., Chen, JY. et al. Validation of the Chinese version of EORTC QLQ-BM22 in patients with bone metastases. Support Care Cancer 24, 1019–1024 (2016). https://doi.org/10.1007/s00520-015-2870-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-015-2870-y