タイラ ナルト
Naruto Taira
平 成人 所属 川崎医科大学 医学部 臨床医学 乳腺甲状腺外科学 職種 教授 |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Minimal important differences of EORTC QLQ-C30 for metastatic breast cancer patients: Results from a randomized clinical trial. |
掲載誌名 | 正式名:Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 略 称:Qual Life Res ISSNコード:15732649/09629343 |
掲載区分 | 国外 |
出版社 | Springer |
巻・号・頁 | 31(6),pp.1829-1836 |
著者・共著者 | Kawahara Takuya, Taira Naruto, Shiroiwa Takeru, Hagiwara Yasuhiro, Fukuda Takashi, Uemura Yukari, Mukai Hirofumi |
担当区分 | 2nd著者 |
発行年月 | 2022/06 |
概要 | PURPOSE:To establish minimal important differences (MIDs) for the European Organisation for Research and Treatment for Cancer Quality of life Questionnaire core 30 (EORTC QLQ-C30) in patients with metastatic breast cancer.METHODS:The dataset was obtained from the SELECT BC-CONFIRM randomized clinical trial. Anchors obtained from patients (transition items) and clinicians (performance status) were used for anchor-based methods. Anchors obtained through 6 months after starting treatment were used for this analysis. Correlation coefficients of anchor and change in QLQ-C30 and effect size were used to qualify for estimating MIDs. Mean change method and generalized estimating equation were applied to estimate MIDs. Distribution-based methods were used for comparison.RESULTS:We analyzed a dataset of 154 metastatic breast cancer patients. MIDs were estimated in 8 of 15 scales of QLQ-C30. Estimated MIDs for within-group improvement varied from 7 to 15 and those for deterioration varied from - 7 to - 17. Estimated MIDs for between-group improvement varied from 5 to 11 and those for deterioration varied from - 5 to - 8 across QLQ-C30 scales. Patient-reported anchors were more susceptible to early changes in health status than clinician-reported anchors.CONCLUSION:We provided the MIDs of the QLQ-C30 using both patient- and clinicians-reported anchors measured in a randomized trial of Japanese patients with metastatic breast cancer. We recommend patient-reported anchors for anchor-based estimation of MID. Our results can aid patients and clinicians, as well as researchers, in the interpretation of QLQ-C30. |
DOI | 10.1007/s11136-021-03074-y |
PMID | 34982354 |