Evidence map›Paper›PMID 42730812›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Caregivers' proxy assessments of health-related quality of life in patients with hematologic malignancies.

Wei Qin, Fenfang Tong, Cong Zeng, Zhaoxin Qian, Yajing Xu

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Wei QinDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Fenfang TongDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Cong ZengDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Zhaoxin QianNational Clinical Research Center for Geriatric Diseases (Xiangya Hospital), Changsha, Hunan, China.
Yajing XuDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China. xyyajingxu@csu.edu.cn.ORCID http://orcid.org/0000-0003-2847-2547

Funding

China Postdoctoral Science Foundation GZC20242050 and 2024M763716Natural Science Foundation of Hunan Province 2025JJ60487
6 · The paper itself

Abstract

objectivePatients with hematologic malignancies are commonly burdened by the disease itself as well as treatment-related side effects, which makes it difficult for them to complete the health-related quality of life (HRQoL) assessments. We aimed to investigate the reliability and influencing factors of caregivers as proxies in measuring HRQoL for patients with hematologic malignancies.

methodsA total of 203 patients with hematologic malignancies and their caregivers were enrolled. Both patients and caregivers independently completed the EuroQol 5-Dimensions 5-Levels (EQ-5D-5L) questionnaire to collect patient self-rated HRQoL and caregiver proxy-rated HRQoL. Additionally, caregivers completed the Generalized Anxiety Disorder 7-Item Scale, Patient Health Questionnaire-9, and Family APGAR Index to evaluate their anxiety symptoms, depression symptoms, and perceptions of family functioning.

resultsThe caregiver proxy-rated HRQoL exhibited strong correlations with patient self-rated HRQoL, in both EQ-5D-5L utility scores (r = 0.679, P < 0.001) and EQ-5D-5L dimensions (correlation coefficients from 0.518 to 0.695, all P < 0.001). The agreement between caregiver proxy-rated and patient self-rated EQ-5D-5L utility scores was good (ICC = 0.730, 95% CI 0.658-0.788). Exact agreement between caregiver proxy ratings and patient self-ratings ranged from 66.5% to 84.2% across EQ-5D-5L dimensions. Greater anxiety symptoms (r = 0.408, P < 0.001) or depression symptoms (r = 0.288, P < 0.001) among caregivers were significantly associated with their overestimation of patients' symptom burden.

conclusionCaregivers may be reliable proxies for assessing HRQoL in patients with hematologic malignancies. However, the anxiety or depression symptoms of caregivers may increase their overestimation in patients' symptom burden.

Indexed as

CaregiversHematologic NeoplasmsProxyQuality of LifeAdultAgedAged, 80 and overAnxietyDepressionFemaleHumansMaleMiddle AgedReproducibility of ResultsSurveys and QuestionnairesCaregiverHealth-related quality of lifeHematologic malignancyProxy assessment

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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.