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Evaluating the Validity and Reliability of Persian Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Colorectal Cancer (Eortc Qlq-Cr29)



Khazaeli N1 ; Golshiri P2 ; Farajzadegan Z2 ; Hemati S3 ; Amouheidari A4 ; Hakimian MR5 ; Emami MH6 ; Gholamrezaei A6
Authors
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Authors Affiliations
  1. 1. Medical Students' Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Community and Preventive Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Radiotherapy-Oncology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Isfahan Milad Hospital, Isfahan, Iran
  5. 5. Poursina Hakim Research Institution, Isfahan, Iran
  6. 6. Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2014

Abstract

Background: The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Colorectal Cancer (EORTC QLQ-CR29) is developed to specifically evaluate the quality of life in patients with colorectal cancer. In this study, we aimed to validate the QLQ-CR29 in Iranian patients with Persian language linguistically and to determine its psychometric properties. Methods: This was a linguistic validation study. The QLQ-CR29 was translated by standard forward-backward translation method. After a pilot study with 15 patients, 100 patients with colorectal cancer completed the QLQ-CR29 along with the EORTC QLQ-C30 and the MD Anderson Symptom Inventory (MDASI) and the psychometric properties of the QLQ-CR29 were evaluated. Findings: A hundred of patients with colorectal cancer participated in the main study with the mean age of 60.4 ± 13.4 year; 64% were men. Cronbach's alpha was 0.89 for the whole QLQ-CR29 and ranged from 0.65 to 0.98 for the subscales. In all the multi-item subscales, the correlation of the item with its corresponding subscale was above 0.4 (r = 0.7 to 0.9). There was a moderate to strong significant correlation between the functional subscales of the QLQ-CR29 and the QLQ-C30 subscales (r = 0.3 to 0.6). In addition, most of the QLQ-CR29 subscales were correlated with MDASI severity and interference subscales (r = 0.2 to 0.5). Conclusion: According to these results, the psychometric properties of the Persian version of the EORTC QLQ-CR29 are acceptable in Iranian society. This questionnaire can be applied for more precise evaluation of quality of life in patients with colorectal cancer in the future studies.
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