International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study

Background: Although patients experience radiation proctitis post radiotherapy no internationally tested instruments exist to measure these symptoms. This Phase IV study tested the scale structure, reliability and validity and cross-cultural applicability of the EORTC proctitis module (QLQ-PRT23) in...

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Main Authors: Halkett, Georgia, Wigley, C., Aoun, Samar, Portaluri, M., Tramacere, F., Livi, L., Detti, B., Arcangeli, S., Lund, J., Kristensen, A., McFadden, N., Grun, A., Bydder, S., Sackerer, I., Greimel, E., Spry, N., EORTC Quality of Life Group
Format: Journal Article
Published: BioMed Central 2018
Online Access:https://ro-journal.biomedcentral.com/
http://hdl.handle.net/20.500.11937/71050
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author Halkett, Georgia
Wigley, C.
Aoun, Samar
Portaluri, M.
Tramacere, F.
Livi, L.
Detti, B.
Arcangeli, S.
Lund, J.
Kristensen, A.
McFadden, N.
Grun, A.
Bydder, S.
Sackerer, I.
Greimel, E.
Spry, N.
EORTC Quality of Life Group
author_facet Halkett, Georgia
Wigley, C.
Aoun, Samar
Portaluri, M.
Tramacere, F.
Livi, L.
Detti, B.
Arcangeli, S.
Lund, J.
Kristensen, A.
McFadden, N.
Grun, A.
Bydder, S.
Sackerer, I.
Greimel, E.
Spry, N.
EORTC Quality of Life Group
author_sort Halkett, Georgia
building Curtin Institutional Repository
collection Online Access
description Background: Although patients experience radiation proctitis post radiotherapy no internationally tested instruments exist to measure these symptoms. This Phase IV study tested the scale structure, reliability and validity and cross-cultural applicability of the EORTC proctitis module (QLQ-PRT23) in patients who were receiving pelvic radiotherapy. Methods: Patients (n = 358) from six countries completed the EORTC QLQ-C30, QLQ-PRT23 and EORTC Quality of Life Group debriefing questions. Clinicians completed the EORTC Radiation Therapy Oncology Group scale. Questionnaires were completed at four time-points. The module’s scale structure was examined and validated using standard psychometric analysis techniques. Results: Three items were dropped from the module (QLQ-PRT23 → QLQ-PRT20). Factor analysis identified five factors in the module: bowel control; bloating and gas; emotional function/lifestyle; pain; and leakage. Inter-item correlations were within r = 0.3–0.7. Test-Retest reliability was high. All multi-item scales discriminated between patients showing symptoms and those without symptomology. The module discriminated symptoms from the clinician completed scoring and for age, gender and comorbidities. Conclusion: The EORTC QLQ-PRT20 is designed to be used in addition to the EORTC QLQ-C30 to measure quality of life in patients who receive pelvic radiotherapy. The EORTC QLQ-PRT20 is quick to complete, acceptable to patients, has good content validity and high reliability. Trial registration: Australian and New Zealand Clinical Trials Registry (ANZCTR) ACTRN12609000972224.
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institution Curtin University Malaysia
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last_indexed 2025-11-14T10:46:34Z
publishDate 2018
publisher BioMed Central
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spelling curtin-20.500.11937-710502019-09-24T08:15:45Z International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study Halkett, Georgia Wigley, C. Aoun, Samar Portaluri, M. Tramacere, F. Livi, L. Detti, B. Arcangeli, S. Lund, J. Kristensen, A. McFadden, N. Grun, A. Bydder, S. Sackerer, I. Greimel, E. Spry, N. EORTC Quality of Life Group Background: Although patients experience radiation proctitis post radiotherapy no internationally tested instruments exist to measure these symptoms. This Phase IV study tested the scale structure, reliability and validity and cross-cultural applicability of the EORTC proctitis module (QLQ-PRT23) in patients who were receiving pelvic radiotherapy. Methods: Patients (n = 358) from six countries completed the EORTC QLQ-C30, QLQ-PRT23 and EORTC Quality of Life Group debriefing questions. Clinicians completed the EORTC Radiation Therapy Oncology Group scale. Questionnaires were completed at four time-points. The module’s scale structure was examined and validated using standard psychometric analysis techniques. Results: Three items were dropped from the module (QLQ-PRT23 → QLQ-PRT20). Factor analysis identified five factors in the module: bowel control; bloating and gas; emotional function/lifestyle; pain; and leakage. Inter-item correlations were within r = 0.3–0.7. Test-Retest reliability was high. All multi-item scales discriminated between patients showing symptoms and those without symptomology. The module discriminated symptoms from the clinician completed scoring and for age, gender and comorbidities. Conclusion: The EORTC QLQ-PRT20 is designed to be used in addition to the EORTC QLQ-C30 to measure quality of life in patients who receive pelvic radiotherapy. The EORTC QLQ-PRT20 is quick to complete, acceptable to patients, has good content validity and high reliability. Trial registration: Australian and New Zealand Clinical Trials Registry (ANZCTR) ACTRN12609000972224. 2018 Journal Article http://hdl.handle.net/20.500.11937/71050 10.1186/s13014-018-1107-x https://ro-journal.biomedcentral.com/ http://creativecommons.org/licenses/by/4.0/ BioMed Central fulltext
spellingShingle Halkett, Georgia
Wigley, C.
Aoun, Samar
Portaluri, M.
Tramacere, F.
Livi, L.
Detti, B.
Arcangeli, S.
Lund, J.
Kristensen, A.
McFadden, N.
Grun, A.
Bydder, S.
Sackerer, I.
Greimel, E.
Spry, N.
EORTC Quality of Life Group
International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title_full International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title_fullStr International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title_full_unstemmed International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title_short International validation of the EORTC QLQ-PRT20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase IV study
title_sort international validation of the eortc qlq-prt20 module for assessment of quality of life symptoms relating to radiation proctitis: a phase iv study
url https://ro-journal.biomedcentral.com/
http://hdl.handle.net/20.500.11937/71050