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Response shift effects on measuring post-operative quality of life among breast cancer patients: A multicenter cohort study

机译:响应转移对乳腺癌患者术后生活质量的测量:一项多中心队列研究

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Purpose: To characterize response shift effects in patients with breast cancer (BC). Methods: The QLQ-C30, BR23, and EurQOL-EQ-5D were assessed at baseline and at the end of the first hospitalization. We used the then-test approach to characterize changes in internal standards by calculating the mean difference between the then-test (retrospective measure) and pre-test baseline QoL assessments. The Ideal Scale Approach was also used to assess changes in standards by comparing health and QoL expectancies between baseline and the end of the first hospitalization. Successive Comparison Approach was used to assess changes in values through the longitudinal assessment of the relative importance of EuroQOL dimensions. Results: The results of this study showed that recalibration RS effects occurred early after the first hospitalization for 6/15 dimensions of QLQ-C30 (emotional, cognitive, fatigue, insomnia, appetite loss, diarrhea) and 2/8 of BR-23 (future perspective, systemic therapy side effects). Moreover, health and QoL expectancies changed between the baseline and the end of the first hospitalization, and changes in values were seen for the self-care and usual activities dimensions of the EuroQOL-EQ-5D. Conclusions: The occurrence of RS early after the first hospitalization suggests that it needs to be taken into account to interpret QoL changes in BC. ? 2012 Springer Science+Business Media B.V.
机译:目的:表征乳腺癌(BC)患者的反应转移效应。方法:QLQ-C30,BR23和EurQOL-EQ-5D在基线和第一次住院结束时进行评估。我们通过计算当时的测试(回顾性措施)与测试前的基线QoL评估之间的平均差异,使用了当时的测试方法来表征内部标准的变化。通过比较基线和首次住院之间的健康状况和QoL期望值,理想量表方法还用于评估标准的变化。通过对EuroQOL维度的相对重要性进行纵向评估,采用了逐次比较法来评估价值变化。结果:这项研究的结果表明,首次住院后,QLQ-C30的6/15维度(情绪,认知,疲劳,失眠,食欲不振,腹泻)和2/8的BR-23(重度RS)发生了重新校正的RS效应。未来的观点,全身治疗的副作用)。此外,在基线和第一次住院之间,健康和QoL期望值也发生了变化,EuroQOL-EQ-5D的自我护理和日常活动维度的值也有所变化。结论:首次住院后早期出现RS提示应解释BC的QoL变化。 ? 2012年Springer Science + Business Media B.V.

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