Comparison of Two Instruments to Assess the Impact of Cachexia on Quality of Life in Women with Cervical Cancer.

Cancer-associated cachexia (CAC) is common in cervical cancer (CC) patients. This condition affects the Health-related quality of life (HRQL). This study aims to assess the impact of CAC on HRQL, comparing the Quality of Life Questionnaire (QLQ) QLQ-C30/QLQ-CAX24 and the Functional assessment of ano...

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Published in:Nutrition & Cancer Vol. 78; no. 6; pp. 410 - 423
Main Authors: Luvián-Morales, Julissa, Galvan-Cota, Luis Daniel, Galvan-Cota, Luis David, Castro-Eguiluz, Denisse, Oñate-Ocaña, Luis F.
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2026
Online Access:View this record in EBSCOhost
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      dt: 2026
      vid: 78
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        194088381
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        10.1080/01635581.2026.2658765
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        atl: Comparison of Two Instruments to Assess the Impact of Cachexia on Quality of Life in Women with Cervical Cancer.
      aug:
        au:
          Luvián-Morales, Julissa
          Galvan-Cota, Luis Daniel
          Galvan-Cota, Luis David
          Castro-Eguiluz, Denisse
          Oñate-Ocaña, Luis F.
        affil: Instituto Nacional de Cancerología (INCan), Modelo Integral para la Atención del Cáncer Cervicouterino Localmente Avanzado y Avanzado (MICAELA), Mexico City, Mexico
      sug:
        subj:
          Cervix Neoplasms Complications
          Cachexia Psychosocial Factors
          Quality of Life Evaluation
          Human
          Female
          Cancer Patients Psychosocial Factors
          Comparative Studies
          Questionnaires
          Overall Survival
          Prospective Studies
          Mexico
          Middle Age
          Scales
          Spearman's Rank Correlation Coefficient
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Kaplan-Meier Estimator
          Log-Rank Test
          Cox Proportional Hazards Model
          Data Analysis Software
          Middle Aged: 45-64 years
          Female
      ab: Cancer-associated cachexia (CAC) is common in cervical cancer (CC) patients. This condition affects the Health-related quality of life (HRQL). This study aims to assess the impact of CAC on HRQL, comparing the Quality of Life Questionnaire (QLQ) QLQ-C30/QLQ-CAX24 and the Functional assessment of anorexia/cachexia therapy (FAACT) instruments. A cohort of CC patients answered the QLQ-C30/QLQ-CAX24 and the FAACT instruments between October 2020 and October 2021. The psychometric/clinimetric characteristics of the instruments were compared. 244 CC patients were included in the study. Correlations between scales ranged from 0.008 to 0.81. The summary score of QLQ-C30 correlated well with the FAACT total score (r = 0.684) and the FAACT Physical Well-being subscale (r = 0.81). The correlation with five nutritional parameters and prognostic indices was poor (r < 0.364). Most symptom scales of the QLQ-CAX24 presented a floor effect, and those of the FAACT did not. The Nausea/vomiting score of the QLQ-C30, and the Loss of control and Forced to eat scales of the QLQ-CAX24 were independently associated with overall survival. The QLQ-C30/QLQ-CAX24 and FAACT instruments differ substantially, but some scales are comparable. We propose an algorithm to select the appropriate instrument to asses HRQL for a research protocol.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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