Skip to main content
Log in

Validation of the French version of the colorectal-specific quality-of-life questionnaires EORTC QLQ-CR38 and FACT-C

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Background

The aim of this study was to test the psychometric properties of the French version of the European Organization for Research and Treatment (EORTC) quality-of-life colorectal questionnaire (QLQ-CR38) and the functional assessment of cancer therapy-colorectal version 4 (FACT-C).

Method

This prospective study included 209 patients with colorectal cancer: 71 undergoing chemotherapy, 56 radiation, 15 surgery, and 67 survivors. Patients first completed in random order the FACT-C and the EORTC QLQ-CR38 and were asked if they had any preference for either questionnaire. The timing of administration of instruments differed according to patients’ treatment to better assess psychometric properties.

Results

The FACT-C showed good acceptability, good reproducibility and excellent internal consistency. The QLQ-CR38 had lower internal consistency. Patients did not express a preference for one survey over another.

Conclusion

This study confirms the value of the FACT-C and suggests some limits of the QLQ-CR38 for patients with colorectal cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

CCS:

Colorectal cancer subscale

CRC:

Colorectal cancer

EORTC:

European Organization for Research and Treatment

FACT-C:

Functional assessment of cancer therapy-colorectal

FACT-G:

Functional assessment of cancer therapy-general

GHS:

Global health status

ICC:

Intraclass correlation coefficient

KPS:

Karnofsky performance status

QLQ-CR38:

Quality-of-life colorectal questionnaire

QoL:

Quality of life

TOI-C:

Trial outcome index of FACT-C

References

  1. Ferlay, J., et al. (2007). Estimates of the cancer incidence and mortality in Europe in 2006. Annals of Oncology, 18, 581–592.

    Article  PubMed  CAS  Google Scholar 

  2. Aaronson, N. K., 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 the National Cancer Institute, 85, 365–376.

    Article  PubMed  CAS  Google Scholar 

  3. Cella, D. F., et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.

    PubMed  CAS  Google Scholar 

  4. Conroy, T., et al. (2004). French version of FACT-G: Validation and comparison with other cancer-specific instruments. European Journal of Cancer, 40, 2243–2252.

    Article  PubMed  CAS  Google Scholar 

  5. Rodary, C., et al. (2004). Patient preference for either the EORTC QLQ-C30 or the FACIT Quality Of Life (QOL) measures: A study performed in patients suffering from carcinoma of an unknown primary site (CUP). European Journal of Cancer, 40, 521–528.

    Article  PubMed  CAS  Google Scholar 

  6. Costet, N., et al. (2005). Reliability and validity of the Functional Assessment of Cancer Therapy General (FACT-G) in French cancer patients. Quality of Life Research, 14, 1427–1432.

    Article  PubMed  Google Scholar 

  7. Sprangers, M. A., et al. (1999). The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module (QLQ-CR38). European Organization for Research and Treatment of Cancer Study Group on Quality of Life. European Journal of Cancer, 35, 238–247.

    Article  PubMed  CAS  Google Scholar 

  8. Ward, W. L., et al. (1999). Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Quality of Life Research, 8, 181–195.

    Article  PubMed  CAS  Google Scholar 

  9. Lucas, C. P. (1992). The order effect: Reflections on the validity of multiple test presentations. Psychological Medicine, 22, 197–202.

    Article  PubMed  CAS  Google Scholar 

  10. Cull, A., et al. (1994). EORTC Quality of Life Study Group Translation Procedure. Brussels: European Organization for Research and Treatment of Cancer.

    Google Scholar 

  11. Lent, L., et al. (1999). Using cross-cultural input to adapt the Functional Assessment of Chronic Illness Therapy (FACIT) scales. Acta Oncologica, 38, 695–702.

    Article  PubMed  CAS  Google Scholar 

  12. Cella, D. (1997). Manual of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement Syste. Version 4. Evanston IL: Center on Outcomes, Research & Education (CORE), Evanston Northwestern Healthcare and Northwestern University.

    Google Scholar 

  13. Fayers, P., et al. (2001). The EORTC QLQ-C30 Scoring Manual (3rd ed.). Brussels: European Organization for Research and Treatment of Cancer.

    Google Scholar 

  14. Landis, J. R., & Koch, G. G. (1977) The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.

    Article  PubMed  CAS  Google Scholar 

  15. Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.

    Article  Google Scholar 

  16. Camilleri-Brennan, J., & Steele, R.J. (2001) The impact of recurrent rectal cancer on quality of life. European Journal of Surgical Oncology, 27, 349–353.

    Article  PubMed  CAS  Google Scholar 

  17. Allal, A. S., et al. (2005). Assessment of quality of life in patients with rectal cancer treated by preoperative radiotherapy: a longitudinal prospective study. International Journal of Radiation Oncology, Biology, Physics, 61, 1129–1135.

    PubMed  Google Scholar 

  18. Rauch, P., et al. (2004). Quality of life among disease-free survivors of rectal cancer. Journal of Clinical Oncology, 22, 354–360.

    Article  PubMed  Google Scholar 

  19. Guren, M. G., et al. (2005). Quality of life and functional outcome following anterior or abdominoperineal resection for rectal cancer. European Journal of Surgical Oncology, 31, 735–742.

    Article  PubMed  CAS  Google Scholar 

  20. Tjandra, J. J., et al. (2001). Phase II clinical trial of preoperative combined chemoradiation for T3 and T4 resectable rectal cancer: Preliminary results. Diseases of the Colon and Rectum, 44, 1113–1122.

    Article  PubMed  CAS  Google Scholar 

  21. Camilleri-Brennan, J., & Steele, R. J. (2002). Objective assessment of morbidity and quality of life after surgery for low rectal cancer. Colorectal Disease, 4, 61–66.

    Article  PubMed  Google Scholar 

  22. Gujral, S., et al. (2007). Assessing quality of life in patients with colorectal cancer: An update of the EORTC quality of life questionnaire. European Journal of Cancer, 43, 1564–1573.

    Article  PubMed  CAS  Google Scholar 

  23. Blazeby, J. M., et al. (2004). Clinical and psychometric validation of a questionnaire module, the EORTC QLQ-STO 22, to assess quality of life in patients with gastric cancer. European Journal of Cancer, 40, 2260–2268.

    Article  PubMed  CAS  Google Scholar 

  24. Yoo, H. J., et al. (2005). Quality of life in colorectal cancer patients with colectomy and the validation of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C), Version 4. Journal of Pain and Symptom Management, 30, 24–32.

    Article  PubMed  Google Scholar 

  25. Tsunoda, A., et al. (2007). Validation of the Japanese version of EORTC QLQ-CR38. Quality of Life Research [Epub ahead of print].

  26. Kavadas, V., et al. (2003). Development of an EORTC disease-specific quality of life questionnaire for use in patients with liver metastases from colorectal cancer. European Journal of Cancer, 39, 1259–1263.

    Article  PubMed  CAS  Google Scholar 

  27. Yost, K. J., et al. (2005). Minimally important differences were estimated for the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) instrument using a combination of distribution- and anchor-based approaches. Journal of Clinical Epidemiology, 58, 1241–1251.

    Article  PubMed  CAS  Google Scholar 

  28. Anthony, T., et al. (2003). The association of pretreatment health-related quality of life with surgical complications for patients undergoing open surgical resection for colorectal cancer. Annals of Surgery, 238, 690–696.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We gratefully acknowledge J. Blazeby, C. Carnin, P. Bataillard, E. Petit, and E Lesieu for assistance with patient interviews and the physicians M.C. Kaminsky, P. Rauch, D. Peiffert, G. Créhange, P. Maingon, G. Truc, J. Fraisse, J. Cuisenier, B. Chauffert, E. Désandes, and J.M. Tortuyaux who helped recruit patients. We also thank Sonya Eremenco, Evanston, Illinois, for permission to use the FACT-C, and the EORTC QoL Group, Brussels, for permission to use the EORTC QLQ-C30 and QLQ-CR38 questionnaires. This study was supported by grants from the French Ministry of Health Clinical Research Hospital Program (PHRC 2004) and the cancéropole Grand-Est.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christine Rotonda.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rotonda, C., Conroy, T., Mercier, M. et al. Validation of the French version of the colorectal-specific quality-of-life questionnaires EORTC QLQ-CR38 and FACT-C. Qual Life Res 17, 437–445 (2008). https://doi.org/10.1007/s11136-008-9322-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-008-9322-9

Keywords

Navigation