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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

International validation of the EORTC CAT Core: a new adaptive instrument for measuring core quality of life domains in cancer.

Morten Aa Petersen, Neil K Aaronson, Thierry Conroy, Anna Costantini, Johannes M Giesinger, Eva Hammerlid, Bernhard Holzner, Colin D Johnson, Jacobien M Kieffer, Marieke van Leeuwen and 8 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Article
  3. Psychometric evaluation of separate anxiety and depression item banks - potential supplements to the EORTC CAT Core.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  4. Article
  5. Article
  6. Evaluating the use of prior information to individualise start item selection for the EORTC CAT core.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  7. Cutaneous melanoma.Nature reviews. Disease primers · 2025
    Review
  8. Article
  9. Article
  10. Development of standard computerised adaptive test (CAT) settings for the EORTC CAT Core.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  11. Article
  12. Development of a diverse set of standard short forms based on the EORTC CAT Core item banks.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  13. Article
  14. Article
  15. Linking the European Organisation for Research and Treatment of Cancer Item Library to the Common Terminology Criteria for Adverse Events.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Quality of Life in Patients with Gynecological Cancers: A Web-Based Study.Asian Pacific journal of cancer prevention : APJCP · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Morten Aa PetersenThe Research Unit, Department of Palliative Medicine, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Bispebjerg bakke 23B, 2400, Copenhagen NV, Denmark. Morten.Aagaard.Petersen@regionh.dk.ORCID http://orcid.org/0000-0002-3117-632X
Neil K AaronsonDivision of Psychosocial Research & Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Thierry ConroyAPEMAC, EA4360 and Medical Oncology Department, Institut de cancérologie de Lorraine, Université de Lorraine, Vandoeuvre-lès-Nancy, France.
Anna CostantiniPsychoncology Unit, Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
Johannes M GiesingerDepartment of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Innsbruck, Austria.
Eva HammerlidDepartment of Otolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Göteborg University, Göteborg, Sweden.
Bernhard HolznerDepartment of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Innsbruck, Austria.
Colin D JohnsonSurgical Unit, Faculty of Medicine, University of Southampton, Southampton, UK.
Jacobien M KiefferDivision of Psychosocial Research & Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marieke van LeeuwenDivision of Psychosocial Research & Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Sandra NolteDivision of Psychosomatic Medicine, Medical Department, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
John K RamageDepartment of Gastroenterology, Hampshire Hospitals NHS Trust, Kings College Hospital ENETS Centre of Excellence, Basingstoke, UK.
Krzysztof A TomaszewskiFaculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland.
Annika WaldmannInstitute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany.
Teresa YoungEast & North Hertfordshire NHS Trust Incorporating Mount Vernon Cancer Centre, Middlesex, Northwood, UK.
Paola ZottiScientific Directorate, Centro Di Riferimento Oncologico Di Aviano (CRO) IRCCS, Aviano, Italy.
Mogens GroenvoldThe Research Unit, Department of Palliative Medicine, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Bispebjerg bakke 23B, 2400, Copenhagen NV, Denmark.
European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group

Funding

EORTC Quality of Life Group 007/2012 EXT
6 · The paper itself

Abstract

backgroundThe European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group (QLG) has developed computerised adaptive tests (CATs) for the 14 functional and symptom domains of the EORTC QLQ-C30 quality of life questionnaire. This is expected to optimise measurement precision, relevance to patients and flexibility. Here, we present the first international validation of the EORTC CAT Core.

methodsA heterogeneous sample of 699 cancer patients scheduled for chemotherapy and/or radiotherapy was recruited across seven European countries. The EORTC CAT Core and all QLQ-C30 items were administered to participants before and after initiating treatment. Correlations between CAT and QLQ-C30 scores and floor/ceiling effects were calculated. Using several grouping variables, relative validity (cross-sectional known groups difference), responsiveness (changes over time) and relative sample size requirements of the CAT compared to the QLQ-C30 were estimated.

resultsCorrelations of the CAT and QLQ-C30 ranged from 0.81 to 0.93 across domains. The mean relative reduction in floor and ceiling effects using the CAT was 42% (range 3-99%). Analyses of known groups validity and responsiveness indicated that, across domains, mean sample size requirements for the CAT were 72% and 70%, respectively, of those using the QLQ-C30.

conclusionsThe EORTC CAT Core measures the same domains as the QLQ-C30 with reduced floor/ceiling effects. The CAT generally facilitated the use of smaller samples (about 30% smaller on average) without loss of power compared to the QLQ-C30. Based on this study, the EORTC QLG will release the EORTC CAT Core for general use.

Indexed as

AdultAgedAlgorithmsComputersCross-Sectional StudiesEuropeFemaleHumansMaleMiddle AgedNeoplasmsPsychometricsQuality of LifeSample SizeSurveys and Questionnaires

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.