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Erschienen in: Quality of Life Research 5/2012

01.06.2012

Symptom assessment in ambulatory oncology: initial validation of the nurse-developed Modified Ambulatory Care Flow Sheet (MACFS)

verfasst von: Susan Horsman, Karin Olson, Heather Au, Sunita Ghosh

Erschienen in: Quality of Life Research | Ausgabe 5/2012

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Abstract

Purpose

This paper reports relationships between symptoms assessed using a newly developed instrument for assessing patient-reported symptoms, the Modified Ambulatory Care Flow Sheet (MACFS), and other symptom assessment measures.

Methods

Using a cross-sectional design, patients on active treatment for colorectal cancer were recruited in an ambulatory setting of a tertiary care cancer center in western Canada. Participants completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire—Cancer 30, the Rotterdam Symptom Checklist Modified, Linear analog scales for pain and coping, and the MACFS, all at a single time point.

Results

We found moderate to strong correlations between the MACFS scores and scores on the other symptom measures used. The correlations were not as strong when using the MACFS symptom change scores, as when using the MACFS scores for the presence or absence of a particular symptom.

Conclusions

The MACFS reflects the symptom experience of colorectal cancer patients. Further evaluation in more diverse populations and of the relationship between MACFS symptom scores and quality of life will improve our understanding of the MACFS and of the cancer patient treatment experience.
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Literatur
1.
Zurück zum Zitat Doward, L. C., & McKenna, S. P. (2004). Defining patient-reported outcomes. Value in Health, 7(S), S4–S8. Doward, L. C., & McKenna, S. P. (2004). Defining patient-reported outcomes. Value in Health, 7(S), S4–S8.
2.
Zurück zum Zitat Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta: Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta: Centers for Disease Control and Prevention.
3.
Zurück zum Zitat de Kort, S. J., Willemse, P. H. B., Habraken, J. M., de Haes, H. C. J. M., Willems, D. L., & Richel, D. J. (2006). Quality of life versus prolongation of life in patients treated with chemotherapy in advanced colorectal cancer: A review of randomized controlled clinical trials. European Journal of Cancer, 42(7), 835–845.PubMedCrossRef de Kort, S. J., Willemse, P. H. B., Habraken, J. M., de Haes, H. C. J. M., Willems, D. L., & Richel, D. J. (2006). Quality of life versus prolongation of life in patients treated with chemotherapy in advanced colorectal cancer: A review of randomized controlled clinical trials. European Journal of Cancer, 42(7), 835–845.PubMedCrossRef
4.
Zurück zum Zitat Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H. (2004). Quality of life in patients with colorectal cancer 1 year after diagnosis compared with the general population: A population-based study. Journal of Clinical Oncology, 22(23), 4777–4784.CrossRef Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H. (2004). Quality of life in patients with colorectal cancer 1 year after diagnosis compared with the general population: A population-based study. Journal of Clinical Oncology, 22(23), 4777–4784.CrossRef
5.
Zurück zum Zitat Efficace, F., Bottomley, A., Vanvoorden, V., & Blazeby, J. M. (2004). Methodological issues in assessing health-related quality of life of colorectal cancer patients in randomised controlled trials. European Journal of Cancer, 40(2), 187–197.PubMedCrossRef Efficace, F., Bottomley, A., Vanvoorden, V., & Blazeby, J. M. (2004). Methodological issues in assessing health-related quality of life of colorectal cancer patients in randomised controlled trials. European Journal of Cancer, 40(2), 187–197.PubMedCrossRef
6.
Zurück zum Zitat Armstrong, T. (2003). Symptoms experience: A concept analysis. Oncology Nursing Forum, 30(4), 601–606.PubMedCrossRef Armstrong, T. (2003). Symptoms experience: A concept analysis. Oncology Nursing Forum, 30(4), 601–606.PubMedCrossRef
7.
Zurück zum Zitat Brown, V. (2001). The development and evaluation of an instrument to assess the adverse effects of cytotoxic chemotherapy. No. SPGS 608. Worthing, UK: NHS Executive South East Research Project Grant Scheme. Brown, V. (2001). The development and evaluation of an instrument to assess the adverse effects of cytotoxic chemotherapy. No. SPGS 608. Worthing, UK: NHS Executive South East Research Project Grant Scheme.
8.
Zurück zum Zitat Dodd, M., Miaskowski, C., & Paul, S. (2001). Symptom clusters and their effect on the functional status of patients with cancer. Oncology Nursing Forum, 28(3), 465–470.PubMed Dodd, M., Miaskowski, C., & Paul, S. (2001). Symptom clusters and their effect on the functional status of patients with cancer. Oncology Nursing Forum, 28(3), 465–470.PubMed
9.
Zurück zum Zitat Miaskowski, C., Dodd, M., & Lee, K. (2004). Symptom clusters: The new frontier in symptom management research. Journal of The National Cancer Institute Monographs, 32, 17–21. Miaskowski, C., Dodd, M., & Lee, K. (2004). Symptom clusters: The new frontier in symptom management research. Journal of The National Cancer Institute Monographs, 32, 17–21.
10.
Zurück zum Zitat Greenghalgh, J., Long, A. F., & Flynn, R. (2005). The use of patient reported outcome measure in routine clinical practice: Lack of impact or lack of theory? Social Science and Medicine, 60(4), 833–843.CrossRef Greenghalgh, J., Long, A. F., & Flynn, R. (2005). The use of patient reported outcome measure in routine clinical practice: Lack of impact or lack of theory? Social Science and Medicine, 60(4), 833–843.CrossRef
11.
Zurück zum Zitat Bliven, D., Kaufman, S., & Spertus, J. (2001). Electronic collection of health-related quality of life data: Validity, time benefits and patient preference. Quality of Life Research, 10, 15–22.PubMedCrossRef Bliven, D., Kaufman, S., & Spertus, J. (2001). Electronic collection of health-related quality of life data: Validity, time benefits and patient preference. Quality of Life Research, 10, 15–22.PubMedCrossRef
12.
Zurück zum Zitat Sloan, J. A., Aaronson, N., Cappelleri, J. C., Fairclough, D. L. D. H., Varricchio, C. D. S. N., & The Clinical Significance Consensus Meeting Group. (2002). Assessing the clinical significance of single items relative to summated scores. Report. Mayo Clinic Proceedings, 77(5), 479–487.PubMed Sloan, J. A., Aaronson, N., Cappelleri, J. C., Fairclough, D. L. D. H., Varricchio, C. D. S. N., & The Clinical Significance Consensus Meeting Group. (2002). Assessing the clinical significance of single items relative to summated scores. Report. Mayo Clinic Proceedings, 77(5), 479–487.PubMed
13.
Zurück zum Zitat Osoba, O., Aaronson, N., Zee, B., Sprangers, M., & Te Velde, A. (1997). Modification of the EORTC QLQ-C30 (version 2.0) based on content validity and reliability testing in large samples of patients with cancer. Quality of Life Research, 6(2), 103–108.PubMedCrossRef Osoba, O., Aaronson, N., Zee, B., Sprangers, M., & Te Velde, A. (1997). Modification of the EORTC QLQ-C30 (version 2.0) based on content validity and reliability testing in large samples of patients with cancer. Quality of Life Research, 6(2), 103–108.PubMedCrossRef
14.
Zurück zum Zitat Velikova, G., & Wright, P. (2005). Individual patient monitoring. In P. Fayers & R. Hays (Eds.), Assessing quality of life in clinical trials (pp. 291–306). Oxford: Oxford University Press. Velikova, G., & Wright, P. (2005). Individual patient monitoring. In P. Fayers & R. Hays (Eds.), Assessing quality of life in clinical trials (pp. 291–306). Oxford: Oxford University Press.
15.
Zurück zum Zitat Dell, R. B., Holleran, S., & Ramakrishnan, R. (2002). Sample size determination. ILAR Journal, 43(4), 207–213.PubMed Dell, R. B., Holleran, S., & Ramakrishnan, R. (2002). Sample size determination. ILAR Journal, 43(4), 207–213.PubMed
16.
Zurück zum Zitat Algina, J., & Olejnik, S. (2003). Sample size tables for correlation analysis with application in partial correlation and multiple regression analysis. Multivariate Behavioral Research, 38(3), 309–323.CrossRef Algina, J., & Olejnik, S. (2003). Sample size tables for correlation analysis with application in partial correlation and multiple regression analysis. Multivariate Behavioral Research, 38(3), 309–323.CrossRef
17.
Zurück zum Zitat Horsman, S., Olson, K., & Au, H. J. (2009). Symptom and quality of life assessment in ambulatory oncology: The evaluation of a clinical assessment tool. Paper presented at the meeting of the international society for quality of life research, New Orleans, LA. Horsman, S., Olson, K., & Au, H. J. (2009). Symptom and quality of life assessment in ambulatory oncology: The evaluation of a clinical assessment tool. Paper presented at the meeting of the international society for quality of life research, New Orleans, LA.
18.
Zurück zum Zitat Horsman, S., & Au, H. J. (2009). The cancer patient in ambulatory oncology: Routine use of PROs into inform patient, nursing and physician interactions. In M. J. Santana & H. J. Au (Chair) Patient reported outcomes in clinical practice: Evolving science and accumulating experience. Symposium conducted at the meeting of the international society for quality of life research, New Orleans, LA. Horsman, S., & Au, H. J. (2009). The cancer patient in ambulatory oncology: Routine use of PROs into inform patient, nursing and physician interactions. In M. J. Santana & H. J. Au (Chair) Patient reported outcomes in clinical practice: Evolving science and accumulating experience. Symposium conducted at the meeting of the international society for quality of life research, New Orleans, LA.
19.
Zurück zum Zitat Horsman, S., & Au, H. J. (2008). A pilot project to assess clinical application of a PRO in ambulatory oncology. Montevideo: Poster session presented at the meeting of the International Society for Quality of Life Research. Horsman, S., & Au, H. J. (2008). A pilot project to assess clinical application of a PRO in ambulatory oncology. Montevideo: Poster session presented at the meeting of the International Society for Quality of Life Research.
20.
Zurück zum Zitat de Haes, J. C. J. M., & Olschewski, M. (1998). Quality of life assessment in a cross-cultural context: Use of the Rotterdam symptom checklist in a multinational randomized trial comparing CMF and Zoladex (Goserlin) treatment in early breast cancer. Annals of Oncology, 9(7), 745–750.PubMedCrossRef de Haes, J. C. J. M., & Olschewski, M. (1998). Quality of life assessment in a cross-cultural context: Use of the Rotterdam symptom checklist in a multinational randomized trial comparing CMF and Zoladex (Goserlin) treatment in early breast cancer. Annals of Oncology, 9(7), 745–750.PubMedCrossRef
21.
Zurück zum Zitat Stein, K. D., Denniston, M., Baker, F., Dent, M., Hann, D. M., Bushhouse, S., et al. (2003). Validation of a modified Rotterdam symptom checklist for use with cancer patients in the United States. Journal of Pain and Symptom Management, 26(5), 975–989.PubMedCrossRef Stein, K. D., Denniston, M., Baker, F., Dent, M., Hann, D. M., Bushhouse, S., et al. (2003). Validation of a modified Rotterdam symptom checklist for use with cancer patients in the United States. Journal of Pain and Symptom Management, 26(5), 975–989.PubMedCrossRef
22.
Zurück zum Zitat Backer, J. H., Bakas, T., Bennett, S., & Pierce, P. K. (2000). Coping with stress. Programs of nursing research. In V. Hill Rice (Ed.), Handbook of stress, coping and health. Implications for nursing research theory and practice. Thousand Oaks, CA: Sage Publications. Backer, J. H., Bakas, T., Bennett, S., & Pierce, P. K. (2000). Coping with stress. Programs of nursing research. In V. Hill Rice (Ed.), Handbook of stress, coping and health. Implications for nursing research theory and practice. Thousand Oaks, CA: Sage Publications.
23.
Zurück zum Zitat Aaronson, N., Ahmedzai, S., Bergman, B. et al. (1993). The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of National Cancer Institute [serial online], 85, 365–375. Aaronson, N., Ahmedzai, S., Bergman, B. et al. (1993). The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of National Cancer Institute [serial online], 85, 365–375.
24.
Zurück zum Zitat Osoba, D., Rodrigues, G., Myles, J., Zee, B., & Pater, J. (1998). Interpreting the significance of changes in health-related quality of life scores. Journal of Clinical Oncology, 16, 139–144.PubMed Osoba, D., Rodrigues, G., Myles, J., Zee, B., & Pater, J. (1998). Interpreting the significance of changes in health-related quality of life scores. Journal of Clinical Oncology, 16, 139–144.PubMed
25.
Zurück zum Zitat Salkind, N. J. (2006). Statistics for people who (think they) hate statistics. Thousand Oaks, CA: Sage Publications. Salkind, N. J. (2006). Statistics for people who (think they) hate statistics. Thousand Oaks, CA: Sage Publications.
26.
Zurück zum Zitat SPSS for Windows Vista. (2007). Rel. 17.0.1. Chicago: SPSS Inc. SPSS for Windows Vista. (2007). Rel. 17.0.1. Chicago: SPSS Inc.
27.
Zurück zum Zitat Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H. (2006). Restrictions in quality of life in colorectal cancer patients over three years after diagnosis: A population based study. European Journal of Cancer, 42(12), 1848–1857.PubMedCrossRef Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H. (2006). Restrictions in quality of life in colorectal cancer patients over three years after diagnosis: A population based study. European Journal of Cancer, 42(12), 1848–1857.PubMedCrossRef
28.
Zurück zum Zitat Gotay, C., & Wilson, M. (1998). Use of quality of life outcome assessments in current cancer clinical trials. Evaluation of Health Professions, 21, 157–178.CrossRef Gotay, C., & Wilson, M. (1998). Use of quality of life outcome assessments in current cancer clinical trials. Evaluation of Health Professions, 21, 157–178.CrossRef
29.
Zurück zum Zitat MacDonald, S., Linton, S., & Jansson-Fröjmark, M. (2008). Reconstructing the past on the original pain recall assessment form (OPRA). The Journal of Pain, 10(8), 809–817.CrossRef MacDonald, S., Linton, S., & Jansson-Fröjmark, M. (2008). Reconstructing the past on the original pain recall assessment form (OPRA). The Journal of Pain, 10(8), 809–817.CrossRef
30.
Zurück zum Zitat Hermansen-Kobulnicky, C., Wiederholt, J., & Chewning, B. (2004). Adverse effect monitoring: Opportunity for patient care and pharmacy practice. Journal of American Pharmaceutical Association, 44, 75–88.CrossRef Hermansen-Kobulnicky, C., Wiederholt, J., & Chewning, B. (2004). Adverse effect monitoring: Opportunity for patient care and pharmacy practice. Journal of American Pharmaceutical Association, 44, 75–88.CrossRef
31.
Zurück zum Zitat Ballatori, E., & Roila, F. (2003). Impact of nausea and vomiting on quality of life in cancer patients during chemotherapy. Health Qual Life Outcomes, 1, 46.PubMedCrossRef Ballatori, E., & Roila, F. (2003). Impact of nausea and vomiting on quality of life in cancer patients during chemotherapy. Health Qual Life Outcomes, 1, 46.PubMedCrossRef
32.
Zurück zum Zitat Stull, D. E., Kline Leidy, N., Parasuraman, B., & Chassany, O. (2009). Optimal review periods for patient-reported outcomes: Challenges and potential solutions. Current Medical Research and Opinions, 25(4), 929–942.CrossRef Stull, D. E., Kline Leidy, N., Parasuraman, B., & Chassany, O. (2009). Optimal review periods for patient-reported outcomes: Challenges and potential solutions. Current Medical Research and Opinions, 25(4), 929–942.CrossRef
Metadaten
Titel
Symptom assessment in ambulatory oncology: initial validation of the nurse-developed Modified Ambulatory Care Flow Sheet (MACFS)
verfasst von
Susan Horsman
Karin Olson
Heather Au
Sunita Ghosh
Publikationsdatum
01.06.2012
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 5/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9998-0

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