Evidence map›Paper›PMID 40753193›Full record

ArticleBMC medical research methodology2025

A scoping review of statistical methods used to report EORTC QLQ-C30 quality of life scores measured longitudinally.

Rosie A Harris, Chris A Rogers, Jessica Harris, Eric Lim

Abstract readScoping Review
In one paragraph

Article in BMC medical research methodology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Methodology of analysis of cognitive impairment in longitudinal randomized clinical trials in oncology: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Methodological considerations in longitudinal symptom assessment during chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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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

4 authors.

Rosie A HarrisBristol Trials Centre, Bristol Medical School, University of Bristol, Bristol, UK. rosie.harris@bristol.ac.uk.
Chris A RogersBristol Trials Centre, Bristol Medical School, University of Bristol, Bristol, UK.
Jessica HarrisBristol Trials Centre, Bristol Medical School, University of Bristol, Bristol, UK.
Eric LimRoyal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Funding

National Institute for Health and Care Research NIHR302761
6 · The paper itself

Abstract

backgroundThe European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-C30) is often used in cancer studies to assess patient reported quality of life over time. A number of challenges are faced when analysing scores derived from this questionnaire, and a multitude of statistical methods can be used. Whilst methods exist to overcome issues such as non-independence of repeated measurements and informative dropout, it is unclear how often these are implemented in practice. The aim of this scoping review was to comprehensively describe the statistical methods used to analyse longitudinal quality of life scores derived from the QLQ-C30 questionnaire.

methodsTwo databases, MEDLINE and Embase, were searched for randomised controlled trials and prospective observational studies presenting statistical analyses of QLQ-C30 scores collected over time. Only studies published in English between 1 January 2021 and 31 December 2022 were included. Studies not reporting the statistical methods used were excluded. A REDCap database was developed to store extracted information and results are presented as descriptive summaries.

resultsTwo-hundred and seventy-one eligible studies were identified including 161 parallel group randomised controlled trials and 84 cohort studies. A linear mixed effects model was the most utilized analysis method, applied in 121/271 (45%) studies, followed by time to event analyses (54/271, 20%) and t-tests (44/271, 16%). Nearly one third of studies did not apply any longitudinal analysis method (82/271, 30%). Missing data due to death was accounted for in 23/271 (8%) studies. Statistical approaches did not differ greatly depending on the design of the study.

conclusionsThere is no current consensus on the statistical method to analyse repeated QLQ-C30 scores. Many studies continue to ignore the longitudinal structure of repeated measures data, which could impact the interpretation of the data and conclusions drawn.

Indexed as

NeoplasmsPsychometricsQuality of LifeData Interpretation, StatisticalHumansLongitudinal StudiesModels, StatisticalRandomized Controlled Trials as TopicSurveys and QuestionnairesEORTC QLQ-C30LongitudinalQuality of lifeReviewStatistical analysisStatistical methodology

Identifiers

PMID40753193
PMCPMC12318403

What OpenQuestion holds

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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.