Quality of life assessment in patients with nonmelanoma skin cancer - psychometric validation of the EORTC QLQ-C30 questionnaire

J Dtsch Dermatol Ges. 2017 Nov;15(11):1090-1100. doi: 10.1111/ddg.13357.

Abstract

Background: Nonmelanoma skin cancer (NMSC) is a chronic and sometimes difficult-to-treat condition affecting the quality of life (QL). The present study was conducted to investigate whether the European Organization for Research and Treatment of Cancer (EORTC) core QL Questionnaire - Cancer (QLQ-C30) is a suitable tool for the assessment of QL in patients with NMSC.

Patients and methods: In order to define the psychometric properties of the questionnaire, the QLQ-C30 and the Dermatology Life Quality Index (DLQI) were handed out to 172 patients of the Department of Dermatology at the University Hospital Regensburg, Germany.

Results: Internal consistencies of all multi-item scales (except one) were acceptable, with Cronbach's alpha ranging from 0.71 to 0.93. The hypothesized scale structure was supported by item/scale and interscale correlations within the QLQ-C30. Related scales of the QLQ-C30 and the DLQI correlated significantly, thus establishing construct validity. At the same time, the proportion of substantial correlations (6 % ≥ 0.40) indicated that the two questionnaires assessed distinct components of QL. The QLQ-C30 significantly differentiated between clinically distinct patient groups, indicating that severe clinical conditions were associated with greater impairment in physical, role, and cognitive functioning (p ≤ 0.030).

Conclusions: These results confirm the QLQ-C30 to be a suitable tool for the assessment of QL in patients with NMSC.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Bowen's Disease / psychology
  • Carcinoma, Basal Cell / psychology
  • Carcinoma, Squamous Cell / psychology
  • Comorbidity
  • Female
  • Humans
  • Keratosis, Actinic / psychology
  • Male
  • Middle Aged
  • Prospective Studies
  • Psychometrics / statistics & numerical data*
  • Quality of Life / psychology*
  • Skin Neoplasms / psychology*
  • Surveys and Questionnaires*