Evidence map›Paper›PMID 40201799›Full record

ArticleEClinicalMedicine2025

Prognostic value of baseline EORTC QLQ-C30 scores for overall survival across 46 clinical trials covering 17 cancer types: a validation study.

Luigi Lim, Abigirl Machingura, Mekdes Taye, Madeline Pe, Corneel Coens, Francesca Martinelli, Ahu Alanya, Stéphanie Antunes, Dongsheng Tu, Ethan Basch and 28 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Appetite loss during chemotherapy is associated with reduced dietary intake and quality of life in patients with gynecologic cancer: a prospective observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
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  11. Models, outcomes, barriers, and facilitators of supportive care in cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  15. 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

38 authors.

Luigi LimEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Abigirl MachinguraEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Mekdes TayeFormerly European Organisation for Research and Treatment of Cancer (EORTC) HQ, Brussels, Belgium.
Madeline PeEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Corneel CoensEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Francesca MartinelliEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Ahu AlanyaEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Stéphanie AntunesEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Dongsheng TuCanadian Cancer Trials Group, Queen's University, Canada.
Ethan BaschLineberger Comprehensive Cancer Center, UNC, USA.
Jolie RingashPrincess Margaret Cancer Centre and the University of Toronto, Canada.
Yvonne BrandbergDepartment of Oncology-Pathology, Karolinska Institutet, Sweden.
Mogens GroenvoldDepartment of Public Health, University of Copenhagen and Palliative Care Research Unit, Bispebjerg/Frederiksberg Hospital, Denmark.
Alexander EggermontPrincess Máxima Center, Utrecht and University Medical Center Utrecht, the Netherlands.
Fatima CardosoBreast Unit, Champalimaud Clinical Center/Champalimaud Foundation, Lisbon, Portugal.
Jan Van MeerbeeckAntwerp University and Antwerp University Hospital, Edegem, Belgium.
Michael KollerCenter for Clinical Studies, University Hospital Regensburg, Regensburg, Germany.
Winette T A Van der GraafDepartment of Medical Oncology, Netherlands Cancer Institute Amsterdam, the Netherlands.
Martin J B TaphoornLeiden University Medical Center and Haaglanden Medical Center, The Hague, the Netherlands.
Johan A F KoekkoekLeiden University Medical Center and Haaglanden Medical Center, The Hague, the Netherlands.
Jaap C ReijneveldDepartment of Neurology, Amsterdam University Medical Centre, Amsterdam, Netherlands & Sein, Heemstede, the Netherlands.
Riccardo SoffiettiAzienda Ospedaliera, Universita di Torino, Italy.
Galina VelikovaLeeds Institute of Medical Research at St James's University, University of Leeds and Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, St James's University Hospital, Leeds, UK.
Andrew BottomleyFormerly European Organisation for Research and Treatment of Cancer (EORTC) HQ, Brussels, Belgium.
Henning FlechtnerDepartment of Child and Adolescent Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Jammbe MusoroEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
EORTC Quality of Life Group
Brain Tumour Group
Breast Cancer Group
Melanoma Group
Lung Cancer Group
Soft Tissue and Bone Sarcoma Group
Radiation Oncology Group
Lymphoma Group
Gastrointestinal Tract Cancer Group
Head and Neck Cancer Group
Genito-Urinary Cancer Group
Gynaecological Cancer Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A pooled data analysis by Quinten et al. (2009) found three European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) health-related quality of life (HRQoL) scales to be prognostic for survival: physical functioning, pain and appetite loss. This study aims to replicate these findings in an independent data set comprising a broader cancer population. Methods: Data were obtained from 46 clinical trials across three cancer research networks conducted between 1996 and 2013 that assessed HRQoL using the EORTC QLQ-C30. A stratified Cox proportional hazards model was employed to assess the prognostic significance of baseline QLQ-C30 scale scores on overall survival, adjusting for socio-demographic and clinical variables. Stepwise model selection was done at 5% significance level. Model stability and prognostic accuracy were evaluated via bootstrapping and the Findings: Data from 16,210 patients reporting HRQoL at baseline, spanning 17 cancer types, was used. The stratified multivariable model confirmed that better physical functioning (hazard ratio [HR], 0.94; 95% confidence interval [CI], 0.93-0.96), lower pain (HR, 1.02; 95% CI, 1.01-1.03), and appetite loss (HR, 1.04; 95% CI, 1.03-1.05) were significantly associated with survival. Additionally, global health status/QoL, dyspnoea, emotional and cognitive functioning were found to be prognostic for survival. This final model, encompassing sociodemographic, clinical, and HRQoL variables, achieved a corrected Interpretation: These results support previous findings that baseline physical functioning, pain, and appetite loss scores, along with four other scales from the EORTC QLQ-C30, predict survival in cancer patients. Funding: EORTC Quality of Life Group.

Indexed as

Cancer clinical trialHealth-related quality of lifePooled dataPrognostic factor analysisSurvivalValidation

Identifiers

PMID40201799
PMCPMC11976232

What OpenQuestion holds

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LicenceCC BY
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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.