Measuring Quality of Life in Thai Women with Breast Cancer

Glangkarn, Sumattana;Promasatayaprot, Vorapoj;Porock, Davina;Edgley, Alison

  • Published : 20110300

Abstract

Breast cancer has become a commonly diagnosed disease among Thai women in the last decade, despite the fact that Thai women generally have a lower rates than their Western counterparts. With the rising incidence and survival rates, it is crucial for nurses to look at the long term quality of life of these patients. A broad range of instruments have been used in clinical trials among breast cancer patients in oncology, like the EORTC questionnaire including the general quality of life questions (QLQ-C30) and the breast cancer module (QLQ-BR23), and the FACT-B questionnaire consisting of both a generic part (FACT-G) and a breast cancer specific module. They have been shown to have good validity and reliability properties both for the English original and translations into various languages including Thai. A few studies on quality of life in Thai context exist, covering quality of life in women with breast cancer. Therefore, the purpose of this study was to find which standard measure of common Western quality of life scales is appropriate to assess quality of life in Thai women with breast cancer. Results revealed the Thai version of EORTC QLQ-C30 and FACT-G questionnaires to be reliable and valid to assess quality of life in general. The best fit for measuring quality of life in Thai women with breast cancer during adjuvant treatment should be the EORTC QLQ-C30/-BR23.

Keywords

References

  1. Aaronson NK (1993). Assessment of quality of life and benefits from adjuvant therapies in breast cancer. Recent Results Cancer Res, 127, 201-10.
  2. Aaronson NK, Ahmedzai S, Bergman B, et al (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst, 85, 365-76. https://doi.org/10.1093/jnci/85.5.365
  3. Bjordal K, De Graeff, D Fayers, et al (2000). A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. Eur J Cancer, 36, 1796-1807. https://doi.org/10.1016/S0959-8049(00)00186-6
  4. Bottomley A (2002). The cancer patient and quality of life. Oncologist, 7, 120-5. https://doi.org/10.1634/theoncologist.7-2-120
  5. Brady MJ, Cella DF, Mo F, et al (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol, 15, 974-86. https://doi.org/10.1200/JCO.1997.15.3.974
  6. Bredart A, Bottomley A, Blazeby J, et al (2005). An international prospective study of the EORTC cancer in-patient satisfaction with care measure (EORTC IN-PATSAT32). Eur J Cancer, 41, 2120-31. https://doi.org/10.1016/j.ejca.2005.04.041
  7. Carlsson M, Arman M, Backman M, et al (2001). Perceived quality of life and coping for Swedish women with breast cancer who choose complementary medicine. Cancer Nurs, 24, 395-401. https://doi.org/10.1097/00002820-200110000-00012
  8. Cella DF, Tulsky DS, Gray G, et al (1993). The functional assessment of cancer therapy scale: development and validation of general measure. J Clin Oncol, 11, 570-9. https://doi.org/10.1200/JCO.1993.11.3.570
  9. EORTC DATA CENTRE (2001). EORTC QLQ-C30 Scoring Manual [online]. Available at: [Accessed 3 February 2006].
  10. FACT (2006). FACT: Functional Assessment of Chronic Illness Therapy [online]. Available at: [Accessed 3 February 2006].
  11. Fallowfield L (2002). Quality of life: a new perspective for cancer patients. Nat Rev Cancer, 2, 873-9. https://doi.org/10.1038/nrc930
  12. Ferrell BR, Grant M, Funk B, et al (1997). Quality of life in breast cancer. Part I: Physical and social well-being. Cancer Nurs, 20, 398-408. https://doi.org/10.1097/00002820-199712000-00003
  13. Ferrell BR, Grant M, Funk B, et al (1998). Quality of life in breast cancer. Part II: Psychological and spiritual well-being. Cancer Nurs, 21, 1-9. https://doi.org/10.1097/00002820-199802000-00001
  14. Field A (2005). Discovering statistics using SPSS, London, SAGE.
  15. Howitt D, Cramer D (2005). Introduction to SPSS in psychology for SPSS 10, 11, 12 and 13, essex, Pearson education.
  16. Kemmler G, Holzner B, Kopp M, et al (1999). Comparison of two quality-of-life instruments for cancer patients: The functional assessment of cancer therapy-General and the European organization for research and treatment of cancer quality of life ouestionnaire-C30. J Clin Oncol, 17, 2932-40. https://doi.org/10.1200/JCO.1999.17.9.2932
  17. King CR (2006). Advances in how clinical nurses can evaluate and improve quality of life for Individuals with cancer. Oncol Nurs Forum, 33, 5-12. https://doi.org/10.1188/06.ONF.S1.5-12
  18. Landmark BT, Wahl A (2002). Living with newly diagnosed breast cancer: a qualitative study of 10 women with newly diagnosed breast cancer. J Adv Nurs, 40, 112-21. https://doi.org/10.1046/j.1365-2648.2002.02346.x
  19. Montazeri A, Harirchi I, Vahdani M, et al (2000). The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): translation and validation study of the Iranian version. Qual Life Res, 9, 177-84. https://doi.org/10.1023/A:1008918310251
  20. Munro BH (2005) Statistical methods for health care research, Philadelphia, Lippincott Williams & Wilkins.
  21. Ratanatharathorn V, Sirilerttrakul S, Jirajarus M, et al (2001). Quallity of life, functional assessment of cancer therapy - General. J Med Assoc Thai, 84, 1430-42.
  22. Silpakit C, Sirilerttrakul S, Jirajarus M, et al (2006). The european organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Validation study of the Thai version. Qual Life Res, 15, 167-72. https://doi.org/10.1007/s11136-005-0449-7
  23. Sirisinha T, Ratanatharathorn V, Jirajarus M, et al (2002). The European organisation for research and treatment of cancer quality of life questionnaire: translation and reliability study of the Thai version. J Med Assoc Thai, 85, 1210-9.
  24. Soni MK, Cella D (2002). Quality of life and symptom measures in oncology: an overview. Am J Manag Care, 8, S560-73.
  25. Sprangers MA, Groenvold M, Arraras JI, 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. J Clin Oncol, 14, 2756-68. https://doi.org/10.1200/JCO.1996.14.10.2756
  26. Sriplung H (2006). Cancer incidence trends in Thailand, 1989- 2000. Asian Pac J Cancer Prev, 7, 239-44.
  27. Varricchio CG (2006). Measurement issues in quality-of-life assessments. Oncol Nurs Forum, 33, 13-21. https://doi.org/10.1188/06.ONF.S1.13-21
  28. Vatanasapt V, Sriamporn S, Vatanasapt P (2002). Cancer control in Thailand. Jpn J Clin Oncol, 32, S82-91. https://doi.org/10.1093/jjco/hye134
  29. Wibulpolprasert S, Ekachampaka P, Wattananano S, et al (2005). Thailand health profile 2001-2004, Bangkok, Minister of Public Health.
  30. Wong-Kim E, Sun A, Merighi JR, et al (2005). Understanding quality-of-life issues in Chinese women with breast cancer: a qualitative investigation. Cancer Control, 6-12.