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Table 8 Studies on relationship between quality of life data and survival in patients with other cancers

From: Quality of life data as prognostic indicators of survival in cancer patients: an overview of the literature from 1982 to 2008

Author(s)

Year

Sample

HRQOL measure(s)

Results*

Andrykowski et al. [92]

1994

42 leukemia

Depressed mood + Functional QOL + MAC

Anxious preoccupation and functional QOL were independent predictors of survival.

Tannock et al. [93]

1996

161 symptomatic hormone-resistant prostate

EORTC QLQ-C30 + QLQ-PR25 + PROSQOLI

Appetite loss, pain, and physical functioning were associated with survival.

Wisloff and Hjorth [94]

1997

468 multiple myeloma

EORTC QLQ-C30

Physical functioning was independent prognostic factor of survival.

Meyers et al. [95]

2000

80 brain (recurrent glioblastoma multiforme or anaplastic astrocytoma)

FACT-Br + ADL

Measures of QOL and ADL were not independently related to survival.

Jerkeman et al. [96]

2001

95 aggressive lymphoma

EORTC QLQ-C30

Pretreatment global QOL was an independent prognostic marker of overall survival.

Roychowdury et al. [97]

2003

364 locally advanced and metastatic bladder

EORTC QLQ-C30

Longer survival was associated with high physical functioning, low role functioning and no anorexia.

Sehlen et al. [98]

2003

153 brain tumors

FACT-G

The FACT-G sum score was a significant predictor of survival.

Collette et al. [99]

2004

391 symptomatic metastatic hormone-resistant prostate cancer

EORTC QLQ-C30

Insomnia and appetite loss were significant independent predictors of survival.

Monk et al. [100]

2005

179 advanced cancer of cervix

FACT-G + Cervix subscale + FACT/GOG-Ntx+ BPI

Baseline FACT-Cx (FACT-G + Cervix subscale) scores was associated with survival.

Brown et al. [101]

2005

273 brain (high grade gloima)

LASA scales (to measure overall QOL)+ FACT-Br + Fatigue (SDS) + Sleep (ESS) + depression (POMS-SF)+ Mental health (MMSE)

Changes in QOL measures over time were not found to be associated with survival.

Brown et al. [102]

2006

194 brain (high grade glioma)

LASA scales (to measure overall QOL)+ FACT-Br + Fatigue (SDS) + Sleep (ESS) + depression (POMS-SF) + Mental health (MMSE)

Fatigue was significant independent predictor of survival.

Yeo et al. [103]

2006

233 unresectable hepatocellular

EORTC QLQ-C30

Appetite loss, physical and role functioning scores were significant predictor of survival.

Lis et al. [104]

2006

55 pancreatic cancer

Ferrans and Powers QLI

Health and physical subscale was marginally significant predictor of survival.

Dubois et al. [105]

2006

202 refractory multiple myeloma

EORTC QLQ-C30 + QLQ-MY24 + FACIT-F + FACT/GOG-Ntx

Fatigue was significant predictor of survival.

Sullivan et al. [106]

2006

809 metastatic hormon-refractory prostate

EORTC QLQ-C30 + FACT-P

Baseline QOL scores (global QOL, physical, role, and social functioning and pain, fatigue and appetite loss) were significant predictors of survival.

Mauer et al. [107]

2007

247 brain (anaplastic oligodenroglimas)

EORTC QLQ-C30 + EORTC QLQ-BN20

Emotional functioning, communication deficit, future uncertainty, and weakness of legs were significant prognostic of survival. Baseline QOL scores added little to clinical factors to predict survival.

Mauer et al. [108]

2007

490 brain (new diagnosed glioblastoma)

EORTC QLQ-C30 + QLQ-BN20

Cognitive functioning, global health status, and social functioning were significant prognostic factors of survival. Baseline QOL scores added little to clinical factors to predict survival.

Fielding and Wong [44]

2007

358 liver and lung

FACT-G

Global QOL scores did not predict survival in liver and lung cancer. Physical well-being and appetite predicted survival in lung cancer.

Viala et al. [109]

2007

202 multiple myeloma

EORTC QLQ-C30, EORTC QLQ-MY24, FACIT-F, FACT/GOG-Ntx

14 out of 21 patient-reported outcomes were significant predictors of mortality. Clinical plus PRO data increased the predictive power.

Bonnetain et al. [110]

2008

538 advanced hepatocellular carcinoma

Spitzer QLI

Baseline QOL was independent prognostic factor for survival.

Carey et al. [111]

2008

244 advanced ovarian cancer

EORTC QLQ-C30

Performance status and global QOL scores at baseline were prognostic factors for both progression-free survival and overall survival.

Gupta et al. [112]

2008

90 ovarian cancer

Ferrans and Powers QLI

No statistically significant prognostic association of patient satisfaction with QOL was observed with survival.

Robinson et al. [113]

2008

86 pancreatic cancer

FACIT-F+ FAACT + BPI + SF-36

Fatigue strongly predicted survival.

Strasser-Weippl and Ludwig [114]

2008

92 multiple myeloma

EORTC QLQ-C30

Role, emotional, cognitive and social functioning but not physical functioning and global QOL were found to be independent prognostic factors of overall survival.

  1. Abbreviations: ADL: Activities of Daily Living; BPI: Brief Pain Inventory; EORTC QLQ-C30: European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire; EORTC QLQ-BN20: EORTC Brain Cancer specific Quality of Life Questionnaire; EORTC QLQ-MY24: EORTC Myeloma specific Quality of Life Questionnaire; EORTC QLQ-PR25: EORTC Prostate Cancer specific Quality of Life Questionnaire; ESS: Epworth Sleepiness Scale; FACIT-F: Functional Assessment of Chronic Illness Therapy-Fatigue scale; FACT-Br: Functional Assessment of Cancer Therapy-Brain module; FACT-G: Functional Assessment of Cancer Therapy-General module; FACT-P: Functional Assessment of Chronic Illness Therapy-Prostate module; FAACT: Functional Assessment of Anorexia/Cachexia Therapy; FACT/GOG-Ntx: FACT Gynecologic Oncology Group Neurotoxicity scale; LASA: Linear Analog Self Assessment; MAC: Mental Adjustment to Cancer Scale; MMSE: Folstein Mini-Mental State Examination; POMS-SF: Profile of Mood State-Short Form; PRO: patient-reported outcomes; PROSQOL: Prostate Cancer-Specific Quality-of-Life Instrument; QLI: Quality of Life Index; QOL: quality of life; SDS: Symptom Distress Scale; SF-36: 36-item Short Form Health Survey
  2. * All results obtained from multivariate analyses after controlling for one or more demographic and known biomedical prognostic factors.