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The Bone Metastases Quality of Life Questionnaire

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Handbook of Disease Burdens and Quality of Life Measures

Abstract:

The Bone Metastases Quality of Life Questionnaire (BOMET-QOL) is the first bone metastases-specific HRQOL measure. It is a simple, self-administered questionnaire intended for use in clinical research and in the routine monitoring of patients with malignant bone disease due to neoplasia. The BOMET-QOL questionnaire is unidimensional and consists of 10 items that can be answered according to a Likert scale with five categories scoring from 0 to 4. The timeframe refers to “last week.” The items refer to HRQOL topics such as pain, mobility, vitality, sex life, worries about the future, perceptions and daily activities. The global score is calculated by adding up the answers obtained in each item, and may range from 0 (worst HRQOL) to 40 (best HRQOL). These scores are standardized to make it easier to interpret the scoring, with the final scores ranging from 0 (worst HRQOL) to 100 (best HRQOL). The BOMET-QOL was developed in three phases. The item generation phase was performed by means of a literature search, a panel of experts and 15 semi-structured interviews with patients. An initial set of 179 expressions was identified. The item selection phase consisted of the identification of the initial group of items. The 15 experts carried out a qualitative and quantitative reduction of the 179 expressions according to their clarity, frequency and importance. This phase resulted in the 35-item version of the BOMET-QOL. The item reduction phase was carried out in two steps. The initial reduction yielded a 25-item questionnaire. This was administrated to a non-randomized sample of 92 patients with malignant bone disease due to neoplasia (MBDN) and the reduction was carried out via factorial analysis. Similarly, the BOMET-QOL-25 was reduced to an integrated version of 10 items by means of a sample of 263 oncology patients. It was then validated, showing high homogeneity, good reproducibility and significant correlations with the ECOG and the EORTC-QLQ-C30 questionnaire. The BOMET-QOL questionnaire is a feasible (easy and user-friendly), reliable and specific 10-item instrument for assessing HRQOL in patients with MBDN.

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Abbreviations

BM:

bone metastases

BOMET-QOL:

bone metastases quality of life questionnaire

CARES:

cancer rehabilitation evaluation system

FACT-G:

functional assessment of cancer therapy

HRQOL:

health-related quality of life

MBDN:

malignant bone disease due to neoplasia

PMI:

pain management index

QLQ- 30:

quality of life questionnaire

RSCL:

Rotterdam symptom check list

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Badia, X., Vieta, A., Gilabert, M. (2010). The Bone Metastases Quality of Life Questionnaire. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_11

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  • DOI: https://doi.org/10.1007/978-0-387-78665-0_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-78664-3

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