Abstract
Purpose Assessing the health-related quality of life (HRQOL)
of cancer patients with cachexia is particularly important because
treatments for cachexia are currently aimed at palliation
and treatment efficacy must be measured in ways other than
survival. The aim of this systematic review was to evaluate
HRQOL assessment in cancer patients with cachexia.
Methods Using guidance from the Centre for Reviews and
Dissemination, relevant databases were searched from January
1980 to January 2012 with terms relating to cancer,
cachexia and HRQOL for papers including adult cancer
patients with cachexia or documented weight loss at baseline.
Results We found one cachexia-specific instrument, the
Functional Assessment of Anorexia/Cachexia Therapy, but
the tool has not been fully validated, does not cover all the
relevant domains and the consensus-based standards for the
selection of health status measurement instruments checklist
highlighted a number of weaknesses in the methodological
quality of the validation study. Sixty-seven studies assessed
HRQOL in cachectic or weight-losing cancer patients. Most
used generic cancer HRQOL instruments, limiting the amount
of useful information they provide. A modified version of the
Efficace minimumdata checklist demonstrated that the quality
of reporting on HRQOL tool use was inadequate in many of
the studies. A negative relationship between HRQOL and
weight loss was found in 23 of the 27 studies which directly
examined this.
Conclusion There is a pressing need for a well-designed
HRQOL tool for use with thi
AbstractPurpose Assessing the health-related quality of life (HRQOL)of cancer patients with cachexia is particularly important becausetreatments for cachexia are currently aimed at palliationand treatment efficacy must be measured in ways other thansurvival. The aim of this systematic review was to evaluateHRQOL assessment in cancer patients with cachexia.Methods Using guidance from the Centre for Reviews andDissemination, relevant databases were searched from January1980 to January 2012 with terms relating to cancer,cachexia and HRQOL for papers including adult cancerpatients with cachexia or documented weight loss at baseline.Results We found one cachexia-specific instrument, theFunctional Assessment of Anorexia/Cachexia Therapy, butthe tool has not been fully validated, does not cover all therelevant domains and the consensus-based standards for theselection of health status measurement instruments checklisthighlighted a number of weaknesses in the methodologicalquality of the validation study. Sixty-seven studies assessedHRQOL in cachectic or weight-losing cancer patients. Mostused generic cancer HRQOL instruments, limiting the amountof useful information they provide. A modified version of theEfficace minimumdata checklist demonstrated that the qualityof reporting on HRQOL tool use was inadequate in many ofthe studies. A negative relationship between HRQOL andweight loss was found in 23 of the 27 studies which directlyexamined this.
Conclusion There is a pressing need for a well-designed
HRQOL tool for use with thi
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