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Selected patient-reported outcome instruments

Selected patient-reported outcome instruments
Name of tool Total question number Domains assessed (number of questions) Time frame Comment
General health scales
EQ-5D (formally EuroQol) 6
  • Physical function (2): mobility, self-care
  • Social functioning (1): usual activities
  • Symptom (1): pain/discomfort
  • Mental functioning (1): anxiety/depression
  • Health state thermometer
Current  
Medical Outcomes Study 36 (MOS SF-36) version 2.0 36
  • General health
  • Comparison to 1 year ago
  • 8 scales/domains: physical functioning, role limitations due to physical issues, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, mental health
  • 2 summary measures that aggregate scales
Past 4 weeks

Healthy and ill individuals

Available in standard (4-week) and acute (1-week) recall versions
Sickness Impact Profile (SIP) 136
  • 2 domains: physical, psychosocial
  • 12 categories: sleep/rest, eating, work, home management, recreation, ambulation, mobility, body care and movement, social interaction, alertness, emotional functioning, communication
Current

For individuals with chronic illness

Shorter version (68 items) also available
Disease-specific QOL scales (for patients with cancer)
European Organisation for Research and Treatment of Cancer (EORTC QLQ-C30) version 3.0 30
  • Global health (2)
  • Functional Scales
    • Physical functioning (5)
    • Role functioning (2)
    • Emotional functioning (4)
    • Cognitive functioning (2)
    • Social functioning (2)
  • Symptoms scales/items
    • Fatigue (3)
    • Nausea/vomiting (2)
    • Pain (2)
    • Global QOL (1 each: dyspnea, insomnia, appetite, constipation, diarrhea, financial)
Past week Any cancer
Functional Assessment of Cancer Therapy-General (FACT-G) version 4 27
  • 4 domains/scales: functional wellbeing, emotional wellbeing, social/family wellbeing, physical wellbeing
Past week Any cancer
Site-specific symptom and functional assessment tools
EORTC QLQ-H&N35 35
  • 7 domains/scales: pain (4), swallowing (4), senses (2), speech (3), social eating (4), social contact (5), sexuality (2)
  • Single items specific to HNC: teeth, trismus, dry mouth, sticky saliva, cough, felt ill, pain killers, nutritional supplements, feeding tube, weight loss, weight gain
Past week

HNC

Designed to be used with EORTC-C30
FACT-H&N (version 4) 39
  • Physical wellbeing (7)
  • Social/family wellbeing (7)
  • Emotional wellbeing (6)
  • Functional wellbeing (7)
  • H&N specific (12)
Past week

HNC

Not tested as thoroughly as FACT-G
University of Washington UW-QOL 16
  • Global health (3)
  • Symptoms (pain, appearance, swallowing, chewing, speech, shoulder, taste, saliva)
  • Function (activity, recreation, mood, anxiety)
Past week HNC
VHNSS version 2.0 50
  • Nutrition (4)
  • Swallowing/eating foods (9)
  • Xerostomia (4)
  • Mucositis (3)
  • Pain (4)
  • Excess mucus (4)
  • Speech/communication (3)
  • Hearing (1)
  • Taste Change (4)
  • Smell (2)
  • Dental health (5)
  • Mucosal sensitivity (5)
  • Range of motion (2)
Past week HNC
MD Anderson Symptom Inventory (MDASI)-HN 28
  • 13 general symptom severity items: pain, fatigue, nausea, sleep, distress, shortness of breath, appetite, drowsiness, dry mouth, sadness, vomiting, memory, numbness or tingling
  • 6 general symptom interference items: general activity, mood, walking ability, normal work, relationships, enjoyment of life
  • 9 HNC treatment related: mucus, swallowing/chewing, choking/coughing, voice/speech, skin, constipation, taste, oral sores, dental health
Current HNC
EQ-5D: EuroQol five dimensions questionnaire; QLQ: quality of life questionnaire; QOL: quality of life; H&N: head and neck; HNC: head and neck cancer; VHNSS: Vanderbilt Head and Neck Symptom Survey.
Graphic 96171 Version 2.0