Validation of the Japanese version of the EORTC hepatocellular carcinoma-specific quality of life questionnaire module (QLQ-HCC18).
BACKGROUND
This Study Examined The Measurement Properties Of The Japanese Version Of The European Organisation for Research and Treatment of Cancer (EORTC) Hepatocellular Carcinoma-Specific Quality of Life Questionnaire (QLQ-HCC18).


METHODS
EORTC quality of life (QOL) translation guidelines were followed to create a Japanese version of the EORTC QLQ-HCC18. This was then administered to 192 patients with hepatocellular carcinoma along with the EORTC QLQ-C30 and FACT-Hep questionnaires. Tests for reliability and validity were conducted including comparison of scores between the EORTC and FACT questionnaire and detailed assessment of the new scales and items in clinically distinct groups of patients.


RESULTS
Multi-trait scaling analysis confirmed three putative scales in the QLQ-HCC18, fatigue, fever and nutrition. Cronbach's alpha for these scales were between 0.68 and 0.78. The QLQ-HCC18 scales correlated with scales measuring similar items in the FACT-Hep and the questionnaire was stable over time with an intra-class correlation score of 0.70 for almost all scales. The questionnaire had the ability to distinguish between patients with different Karnofsky Performance Status, and Child-Pugh liver function class.


CONCLUSIONS
The Japanese version of EORTC QLQ-HCC18 is a reliable supplementary measure to use with EORTC QLQ-C30 to measure QOL in Japanese patients with hepatocellular carcinoma.
Department of Adult Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. naokom-tky@umin.ac.jp
Naoko
N
Mikoshiba
Ryosuke
R
Tateishi
Makoto
M
Tanaka
Tomoko
T
Sakai
Jane M
JM
Blazeby
Norihiro
N
Kokudo
Kazuhiko
K
Koike
Keiko
K
Kazuma
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D015897:Comorbidity; D005260:Female; D006801:Humans; D007390:International Agencies; D007564:Japan; D008113:Liver Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D011594:Psychometrics / Q000295:instrumentation*; D011788:Quality of Life; D015203:Reproducibility of Results; D012111:Residence Characteristics; D012647:Self-Assessment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires / Q000592:standards*; D014175:Translating