La evaluación de la calidad de vida del paciente oncológico: el grupo de calidad de vida de la EORTC

Psicooncología: investigación y clínica biopsicosocial en oncología, ISSN 1696-7240, Nº. 1, 2004, pags. 87-98
Source: OAI

ABSTRACT Este trabajo pretende presentar el área de medición de la Calidad de Vida en el paciente oncológico. Su valoración juega un papel importante en los ensayos clínicos y en la práctica clínica. La Organización Europea para la Investigación y Tratamiento del Cancer(EORTC) cuenta con un grupo de estudio dedicado a la Calidad de Vida. Este grupo ha desarrollado un sistema de medida formado por un cuestionario general de Calidad de Vida y módulos para diferentes tipos de tumores y tratamientos, que lo complementan. El Servicio de Oncología del Hospital de Navarra lleva colaborando en este Grupo desde 1992. En el presente trabajo presentamos algunos de los cuestionarios de la EORTC. Además, incluimos un estudio de valoración de Calidad de Vida en pacientes de cáncer de mama tras un periodo de seguimiento largo. The aim of the present work is to introduce to the field of Quality of Life assessment in cancer patients. Its measurement plays a big role in the clinical trials and in the clinical practice. The European Organization of Research and Treatment of Cancer (EORTC) has a study group on Quality of Life. This group has created an assessment system composed of a core questionnaire for Quality of Life measurement and some modules for different treatments and tumours, that complete it. The Oncology Department of the Hospital of Navarre has been collaborating in this Group since 1992. Some EORTC questionnaires are presented.Also a Quality of Life study performed in a sample of breast cancer patients who were in a follow up period long after the end of their treatment.

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    ABSTRACT: Introduction: This study evaluated the impact of the primary caregiver on the quality of life (QL) of patients with advanced cancer. Method: The research design is exploratory descriptive-correlational with non-probabilistic sampling for convenience with error not exceeding 5%. The sample was composed of 34 patients diagnosed with advanced cancer and their respective primary caregivers, all of whom from a hospital unit specialized in palliative treatment. The instruments FACT-G, SF-36 and Zarit's caregiver overload scale were used. Results: The results show that the overall QL of cancer patients is perceived negatively, which suggests that physical and emotional health problems deteriorate the patient's daily physical and social activities. With regard to caregivers, these rate their own QL positively; however those who provide care to patients with a more advanced state of cancer present a slight amount of overload in the physical, social, psychological and economic aspects of their lives. As such, the study concluded that the patient's functional state dimension is positively affected by the caregivers's social functions, welfare and vitality. Conclusions: it can be observed that indeed, the level of deterioration in the functional and physical dimensions of the patient has an influence on the perception that they have of Resumen
    Psicooncologia 06/2013;
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    ABSTRACT: Background: Quality of Life assessment in oncologic patients evaluates the impact and sequels of the disease ana the adverse effects of available treatments. Aim: To validate in Chile the breast cancer specific-questionnaire (BR23) developed by the European Organization for Research and Treatment of Cancer (EORTC). Patients and Methods: After performing a linguistic validation of the BR23 according to EORTC instructions, its psychometric properties were tested in 103 patients with breast cancer whose ages ranged from 34 to 83 years. Internal consistency of the scales was assessed using the Cronbach's alpha coefficient. The test-retest correlations of each scale (n = 83) were evaluated. The correlation of BR23 scales with SF36 version 2 and C30 version 3.0 scales was also assessed. The sensitivity and specificity of the instrument were analyzed using receiver operating characteristic curves (ROC). Results: Alpha values showed acceptable levels of internal consistency, ranging between 0.702 and 0.917 in all scales of BR23. The statistical analysis revealed significant test-retest correlations in most scales of BR23. The correlations between BR23 and similar domains of C30 and SF36 questionnaires were also significant. The BR23 questionnaire demonstrated satisfactory levels of sensitivity and specificity when compared with the SF-36 scale. Conclusions: The BR23 questionnaire adapted for use in Chile is linguistically appropriate and psychometrically valid.
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    ABSTRACT: Objective: To describe the cognitive per-formance, quality of life, and emotional state of patients with colon cancer prior to chemo-therapy treatment. Method: Before the fi rst cycle of chemo-therapy, thirty fi ve patients of colon cancer were assessed on verbal memory (Word list Learning, and Text Memory), executive func-tion (Stroop Test and Trail Making Test B) and psychomotor ability (Symbol-Digit Test and Symbol-Digit Test and Symbol-Digit Test Trail Making Test A), quality of life (EORTC QLQ-C30), anxiety and depression (HADS), fatigue (BIF) and physical and psychosocial problems. Results: Profi le: male, older than 50 years, without psyconeuropathological family history, and low educational level. Cognitive performance presented defi cit comparised with normative data in executive function in older than 65 years (release of interference, p = 0.00), and worse verbal memory in older than 70 (free recall, immediate and delayed, p < 0.05) and psychomotor ability (p = 0.011). The higher age and low educational level had lower functioning, without differences by gender. The fatigue positively correlated with Trail Making Test A (p < 0.05). There is not relationship between "cognitive function" measured by QLQ-C30 and neuropsychological performance. Some physical and psychosocial problems correlated signifi cantly with some neuropsychological tests.

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