The English and Chinese versions of the five-level EuroQoL Group's five-dimension questionnaire (EQ-5D) were valid and reliable and provided comparable scores in Asian breast cancer patients
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  • 作者:Chun Fan Lee (1) (2) (7)
    Raymond Ng (3)
    Nan Luo (4)
    Nan Soon Wong (3)
    Yoon Sim Yap (3)
    Soo Kien Lo (3)
    Whay Kuang Chia (3)
    Alethea Yee (5)
    Lalit Krishna (5)
    Celest Wong (1)
    Cynthia Goh (5)
    Yin Bun Cheung (1) (2) (6)
  • 关键词:Breast cancer ; EQ ; 5D ; FACT ; B ; Measurement properties ; Utility index ; VAS
  • 刊名:Supportive Care in Cancer
  • 出版年:2013
  • 出版时间:January 2013
  • 年:2013
  • 卷:21
  • 期:1
  • 页码:201-209
  • 全文大小:232KB
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  • 作者单位:Chun Fan Lee (1) (2) (7)
    Raymond Ng (3)
    Nan Luo (4)
    Nan Soon Wong (3)
    Yoon Sim Yap (3)
    Soo Kien Lo (3)
    Whay Kuang Chia (3)
    Alethea Yee (5)
    Lalit Krishna (5)
    Celest Wong (1)
    Cynthia Goh (5)
    Yin Bun Cheung (1) (2) (6)

    1. Center for Quantitative Medicine, Office of Clinical Sciences, Duke-NUS Graduate Medical School, Singapore, Singapore
    2. Department of Biostatistics, Singapore Clinical Research Institute, Singapore, Singapore
    7. Singapore Clinical Research Institute, 31 Biopolis Way Nanos #02-01, Singapore, 138669, Singapore
    3. Department of Medical Oncology, National Cancer Center, Singapore, Singapore
    4. Department of Epidemiology and Public Health & Centre for Health Services Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
    5. Department of Palliative Medicine, National Cancer Center, Singapore, Singapore
    6. Department of International Health, University of Tampere, Tampere, Finland
  • ISSN:1433-7339
文摘
Objective To examine the measurement properties of and comparability between the English and Chinese versions of the five-level EuroQoL Group’s five-dimension questionnaire (EQ-5D) in breast cancer patients in Singapore. Methods This is an observational study of 269 patients. Known-group validity and responsiveness of the EQ-5D utility index and visual analog scale (VAS) were assessed in relation to various clinical characteristics and longitudinal change in performance status, respectively. Convergent and divergent validity was examined by correlation coefficients between the EQ-5D and a breast cancer-specific instrument. Test–retest reliability was evaluated. The two language versions were compared by multiple regression analyses. Results For both English and Chinese versions, the EQ-5D utility index and VAS demonstrated known-group validity and convergent and divergent validity, and presented sufficient test–retest reliability (intraclass correlation--.72 to 0.83). The English version was responsive to changes in performance status. The Chinese version was responsive to decline in performance status, but there was no conclusive evidence about its responsiveness to improvement in performance status. In the comparison analyses of the utility index and VAS between the two language versions, borderline results were obtained, and equivalence cannot be definitely confirmed. Conclusion The five-level EQ-5D is valid, responsive, and reliable in assessing health outcome of breast cancer patients. The English and Chinese versions provide comparable measurement results.

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