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Fastner G, Reitsamer R, Menzel C, Glück S, Kopp M, Peintinger F, Sedlmayer F. 3 poster IPSILATERAL BREAST TUMOR RECURRENCE RATES IN BREAST CANCER PATIENTS TREATED WITH PREOPERATIVE CHEMOTHERAPY, BREAST CONSERVING SURGERY AND INTRAOPERATIVE RADIOTHERAPY WITH ELECTRONS. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)70126-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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McDaid D, Bonin E, Park A, Hegerl U, Arensman E, Kopp M, Gusmao R. Making the case for investing in suicide prevention interventions: estimating the economic impact of suicide and non-fatal self harm events. Inj Prev 2011. [DOI: 10.1136/ip.2010.029215.916] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Reitsamer R, Kopp M, Fastner G, Menzel C, Glueck S, Merz F, Kopp P, Deutschmann H, Sedlmayer F. Abstract P4-10-06: 10-Years Results of Intraoperative Electron Radiotherapy (IOERT) in Boost Modality in Breast Cancer Patients Treated with Breast Conserving Surgery. Cancer Res 2010. [DOI: 10.1158/0008-5472.sabcs10-p4-10-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction:
The aim of this nonrandomized study was to compare the ipsilateral breast tumor recurrence rates in patients with invasive breast cancer, who had been treated with breast conserving surgery and whole breast irradiation and conventional boost or intraoperative electron radiotherapy boost (IOERT).
Patients and Methods:
378 patients were included in the study, 188 patients in group 1 (conventional boost) and 190 patients in group 2 (IOERT boost). Patients were comparable with regard to age, menopausal status, tumor size, histological type, grading and axillary lymph node status. Included were patients with invasive breast cancer pT1 and pT2, N0, N1, N2, M0, and breast conserving surgery with clear margins >3mm. Excluded were patients with DCIS only, patients with invasive breast cancers larger than pT2, patients after primary systemic therapy and patients with multicentric disease. All patients (group 1 and group 2) received postoperative whole breast irradiation of 51-56.1 Gy. Group 1 received postoperative electron boost irradiation of 12 Gy after whole breast irradiation and group 2 received one intraoperative electron boost of 9 Gy in a single fraction during surgery before whole breast irradiation. Results:
The 10-years actuarial rates of ipsilateral breast tumor recurrence (IBTR), true local recurrence (TLR), distant recurrence (DR) and disease free survival (DFS) were 7.1% (95%CI, 3.2-11.0%), 4.8% (95%CI, 1.5-8.0%), 14,2% (95%CI, 9.1-19.4%) and 82.4% respectively in group1 and 2.7% (95%CI, 0.0-5.9%, P=0.062), 0.7% (95%CI, 0.0-2.0%, P=0.016), 13.6% (95%CI, 5.0-22.2%, P=0.90) and 84.0% (P= 0.76) respectively in group 2.
Conclusion:
Patients treated with IOERT boost and whole breast irradiation achieve excellent local control rates at 10 years and exhibit statistically significant decreased true local recurrence rates compared to patients treated with whole breast irradiation and conventional electron boost.
Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr P4-10-06.
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Ruedl G, Sommersacher R, Woldrich T, Kopp M, Nachbauer W, Burtscher M. Durchschnittsgeschwindigkeit von Wintersportlern in Abhängigkeit verschiedener Einflussfaktoren. SPORTVERLETZUNG-SPORTSCHADEN 2010; 24:150-3. [DOI: 10.1055/s-0029-1245578] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kopp M, Szekely A, Bagi M. The Hungarian alliance against depression: strengthening social capital in the intervention region. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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56
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Varnik P, Sisask M, Vrnik A, Laido Z, Maise U, Ibelshuser A, Van Audenhove C, Reynders A, Kocalevent RD, Kopp M, Dosa A, Arensman E, Coffey C, Van der Feltz-Cornelis CM, Gusmo R, Hegerl U. Suicide registration procedures and practices in Europe. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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57
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Herz A, Oommen PT, Ott K, Schultz C, Kopp M, Härtel C. Invasive pulmonale Aspergillose unter immunsuppressiver Therapie – zwei Fallberichte. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ruedl G, Pocecco E, Sommersacher R, Gatterer H, Kopp M, Nachbauer W, Burtscher M. Factors associated with self-reported risk-taking behaviour on ski slopes. Br J Sports Med 2010; 44:204-6. [DOI: 10.1136/bjsm.2009.066779] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Reitsamer R, Kopp M, Fastner G, Menzel C, Glueck S, Merz F, Kopp P, Deutschmann H, Peintinger F, Sedlmayer F. 239 10-year results of intraoperative electron radiotherapy (IOERT) in boost modality in breast cancer patients treated with breast conserving surgery. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)70265-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Salavecz G, Chandola T, Pikhart H, Dragano N, Siegrist J, Jöckel KH, Erbel R, Pajak A, Malyutina S, Kubinova R, Marmot M, Bobak M, Kopp M. Work stress and health in Western European and post-communist countries: an East-West comparison study. J Epidemiol Community Health 2010; 64:57-62. [PMID: 19692735 PMCID: PMC3986036 DOI: 10.1136/jech.2008.075978] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND There is evidence that psychosocial factors at work influence the risk of poor health in Western societies, but little is known about the effect of work stress in the former communist countries. The aim of this paper is to compare the association of work stress with self-rated health in Western European and post-communist countries. METHODS Data from four epidemiological studies were used: the HAPIEE study (Poland, Russia and the Czech Republic), the Hungarian Epidemiological Panel (Hungary), the Heinz Nixdorf Recall study (Germany) and the Whitehall II study (UK). The overall sample consisted of 18 494 male and female workers aged 35-65 years. RESULTS High effort-reward imbalance at work was associated with poor self-rated health. The adjusted odds ratios for the highest versus lowest quartile of the effort-reward ratio were 3.8 (95% CI 1.9 to 7.7) in Hungary, 3.6 (95% CI 2.3 to 5.7) in the Czech Republic, 2.5 (95% CI 1.5 to 4.1) in the UK, 2.3 (95% CI 1.6 to 3.5) in Germany, 1.5 (95% CI 1.0 to 2.1) in Poland and 1.4 (95% CI 1.1 to 1.8) in Russia. The differences in odds ratios between countries were statistically significant (p<0.05). A similar pattern was observed for the effect of overcommitment on poor health. CONCLUSION The association of effort-reward imbalance at work and of a high degree of work-related overcommitment with poor self-rated health was seen in all countries, but the size of the effects differed considerably. It does not appear that the effects in Eastern Europe are systematically stronger than in the West.
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Kopp M, Meco S, Oberascher G, Sedlmayer F. 20 oral: Intraoperative Radiotherapy in Advanced Tumours of the Anterior Skull Base. The Results of 30 Patients Over a Eight Year Period. Radiother Oncol 2009. [DOI: 10.1016/s0167-8140(15)34282-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Reitsamer R, Sedlmayer F, Menzel C, Glueck S, Kopp M, Peintinger F. Ipsilateral breast tumor recurrence rates in breast cancer patients treated with preoperative chemotherapy, breast conserving surgery and intraoperative radiotherapy with electrons. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-5156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Abstract #5156
Introduction: Ipsilateral breast tumor recurrence (IBTR) rates are reported to be increased in patients treated with breast conserving surgery after preoperative chemotherapy. Aim of this study was to evaluate the IBTR rate in patients who were treated with preoperative chemotherapy followed by breast conserving surgery and intraoperative radiotherapy with electrons (IOERT).
 Patients and Methods: 84 patients with clinical stage II or III breast cancer were included in the study. Patients received 3 to 6 cycles of anthracyclin/taxane containing preoperative chemotherapy. All patients had breast conserving surgery with sentinel node biopsy and axillary lymph node dissection and received intraoperative radiotherapy with 9 Gy to the 90% reference isodose as an anticipated boost radiation. Whole breast radiotherapy (WBRT) was performed after surgery for all patients.
 Results: Pathologic complete response was achieved in 18/84 (21%) patients. Mean resection volume was 250 ml. After a median follow-up of 30.5 months (range 6 – 77 months) no IBTR could be observed. One patient developed a locoregional recurrence in the axilla and nine patients developed distant disease, five of those died of disease. Three patients developed contralateral breast cancer. 71 patients are alive without evidence of disease.
 Conclusion: Breast conserving surgery with IOERT in boost modality after preoperative chemotherapy is a reliable tool for the prevention of IBTR. The period between IOERT and WBRT is short as no adjuvant chemotherapy is necessary. Cosmetic outcome is excellent.
Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 5156.
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Rolinck-Werninghaus C, Keil T, Kopp M, Zielen S, Schauer U, von Berg A, Wahn U, Hamelmann E. Specific IgE serum concentration is associated with symptom severity in children with seasonal allergic rhinitis. Allergy 2008; 63:1339-44. [PMID: 18782113 DOI: 10.1111/j.1398-9995.2008.01692.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The impact of allergen-specific and total IgE serum levels before and during the pollen season on symptom severity as well as efficacy of treatment with anti-IgE requires further delineation. METHODS Birch and grass pollen allergic patients aged 6-17 years with seasonal allergic rhinitis (SAR) were analyzed for the association of IgE serum concentration with symptom severity and rescue medication use (combination: symptom load, SL) during the grass pollen season. Reference group A (n = 53) received placebo, while group B (n = 54) received Omalizumab (anti-IgE) monotherapy before and during the grass pollen season. RESULTS Patients on placebo with high baseline specific grass pollen IgE (>50 kU/l) had a significantly higher SL compared with those with low IgE levels (< or =50 kU/l): SL 1.28 vs 0.61, P = 0.015. This association was nonexistent in patients treated with anti-IgE. In contrast, baseline total IgE levels did not correlate with SL in any group. Patients with anti-IgE treatment and high free total IgE levels (>16.7 ng/ml) had a significantly higher SL compared with those with low free total IgE levels (< or =16.7 ng/ml): SL 0.63 vs 0.23, P = 0.031. CONCLUSIONS Baseline specific IgE, but not total IgE, is associated with symptom severity during the pollen season in children with SAR. Likewise, the symptom load in SAR patients with anti-IgE correlates with free total IgE levels. Although further research in larger populations is needed to confirm our findings, our data suggest that specific IgE can be used as a parameter for patient selection for this kind of treatment.
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MESH Headings
- Adolescent
- Anti-Allergic Agents/pharmacology
- Antibodies, Anti-Idiotypic
- Antibodies, Monoclonal/pharmacology
- Antibodies, Monoclonal, Humanized
- Child
- Humans
- Immunoglobulin E/adverse effects
- Immunoglobulin E/biosynthesis
- Immunoglobulin E/blood
- Omalizumab
- Rhinitis, Allergic, Seasonal/diagnosis
- Rhinitis, Allergic, Seasonal/drug therapy
- Rhinitis, Allergic, Seasonal/immunology
- Severity of Illness Index
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Kopp M, Hamelmann E, Bergmann K, Wahn U, Sieder C, Stenglein S, Seyfried S. DUAL study extension 2nd season: Benefit of Omalizumab and SIT over SIT alone maintained for GETE evaluation but not for symptom load. Pneumologie 2008. [DOI: 10.1055/s-2008-1074285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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66
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Bernier R, Kopp M, Trakas B, Stutzenberger F. Production of extracellular enzymes byThermomonospora curvataduring growth on protein-extracted lucerne fibres. ACTA ACUST UNITED AC 2008. [DOI: 10.1111/j.1365-2672.1988.tb01910.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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67
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Huebner J, Franz C, Kopp M. Probiotika - evidenzbasierte Medizin oder alternativmedizinischer Hokuspokus? Dtsch Med Wochenschr 2008; 133:367-9. [DOI: 10.1055/s-2008-1046721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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68
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Fritig B, Kauffmann S, Dumas B, Geoffroy P, Kopp M, Legrand M. Mechanism of the Hypersensitivity Reaction of Plants. CIBA FOUNDATION SYMPOSIUM 133 - PLANT RESISTANCE TO VIRUS 2007. [DOI: 10.1002/9780470513569.ch7] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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69
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Stürz K, Viertler HP, Kopp M, Pfaffenberger N, Günther V. [Quality of partnerships in patients with tinnitus]. HNO 2007; 56:701-6. [PMID: 17874056 DOI: 10.1007/s00106-007-1603-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Chronic tinnitus can massively impair the quality of life of patients affected with this disorder. Whether the constant ringing sounds and head noises heard by the sufferer have a stressful effect on the individual's partner has not been investigated so far. PATIENTS AND METHODS A total of 32 members of the Tyrolean tinnitus self-help group suffering from chronic tinnitus and their partners with whom they shared a common household for a minimum period of 2 years underwent psychological investigation with regard to their subjectively experienced tinnitus-related stress, the quality of their partnership, emotional support they received, style of communication with their partners, and depression. RESULTS Our results show that it is not the extent of subjective tinnitus that is associated with impaired partnership quality, but rather the extent of tinnitus-associated depression. CONCLUSIONS The results suggest that in clinical practice, less emphasis should be placed on the dynamics of family and partnership aspects and more attention should be paid to the possible presence of symptoms of depression and their treatment.
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70
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Kopp M, Seyfried S, Stenglein S, Sieder C, Bergmann K, Wahn U. Efficacy of combination treatment with Omalizumab and specific immunotherapy (Depigoid®) in adult and adolescent patients with seasonal allergic asthma and comorbid seasonal allergic rhinoconjunctivitis. Pneumologie 2007. [DOI: 10.1055/s-2007-973306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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71
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Velikova G, Weis J, Hjermstad MJ, Kopp M, Morris P, Watson M, Sezer O. The EORTC QLQ-HDC29: A supplementary module assessing the quality of life during and after high-dose chemotherapy and stem cell transplantation. Eur J Cancer 2007; 43:87-94. [PMID: 17081744 DOI: 10.1016/j.ejca.2006.09.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2006] [Accepted: 09/19/2006] [Indexed: 11/17/2022]
Abstract
High-dose chemotherapy followed by haematopoietic stem cell transplantation can be associated with high physical and emotional distress levels and reduced quality of life. Systematic prospective measurement of impact of therapy on patient quality of life can aid treatment choices and provide better patient information. We describe the development of a high-dose chemotherapy questionnaire module to supplement the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-C30). Phases 1-3 of module development were conducted in United Kingdom, Germany, Austria and Norway, according to EORTC QOL Group guidelines. Forty-eight quality of life (QOL) issues were generated from the literature searches and interviews with health care professionals (n=24) and patients (n=92). This produced a 50 item provisional module. Further testing in 169 patients resulted in the QLQ-HDC29 module, containing 29 items, conceptualised into six multi-item scales and eight single items. The EORTC QLQ-C30, supplemented by QLQ-HDC29 will provide a comprehensive QOL measure for the international clinical trials of high-dose chemotherapy.
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Lederer W, Kopp M, Hahn O, Kurzthaler I, Traweger C, Kinzl J, Benzer A. Post-duty psychomotor performance in young and senior anaesthetists. Eur J Anaesthesiol 2006; 23:251-6. [PMID: 16430797 DOI: 10.1017/s0265021505002267] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2005] [Indexed: 11/06/2022]
Abstract
BACKGROUND AND OBJECTIVE The level of performance in junior and senior anaesthetists was investigated after 24-h shift working and on-call duties. METHODS Pre- and post-duty psychomotor function, influence on response time, cognitive function and well-being in 23 individuals (13 junior and 12 senior anaesthetists) was assessed before and after 24-h in-house on-call duty. Subjective perception of tiredness and concentration abilities was estimated by applying a visual analogue scale. RESULTS The self-assessed tiredness prior to duty was high in both age groups and significantly increased in senior anaesthetists after night duty (P = 0.01). Post-duty impairment of concentration abilities was reported in both groups. Comparing results from pre- and post-duty psychometric testing showed a comparable decline in junior and senior anaesthetists as well. Assessment of burnout showed a significant lack of personal accomplishment in junior anaesthetists as compared to their older colleagues (P = 0.038). Senior anaesthetists judged their contribution to patient well-being significantly higher than did their younger colleagues (P = 0.035). CONCLUSIONS Although tiredness and subjective impairment of concentration abilities was high in senior anaesthetists after 24-h in-house on-call duty, performance assessed by psychometric testing does not support the hypothesis that senior colleague's performance cannot keep up with routine hospital shift work.
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Holzner B, Bode RK, Hahn EA, Cella D, Kopp M, Sperner-Unterweger B, Kemmler G. Equating EORTC QLQ-C30 and FACT-G scores and its use in oncological research. Eur J Cancer 2006; 42:3169-77. [PMID: 17045472 DOI: 10.1016/j.ejca.2006.08.016] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2006] [Revised: 08/21/2006] [Accepted: 08/22/2006] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To investigate the equivalence of the European Organization for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-C30) and the Functional Assessment for Cancer Therapy-General (FACT-G) on the basis of corresponding subscales, and where appropriate to derive a scheme for converting QLQ-C30 scores into FACT-G scores and vice versa for use in oncological research. METHOD A calibration sample of 737 cancer patients (mean age 51.4+/-7.6 (SD), 63% female, 25% with current chemotherapy) who filled in both quality of life (QOL) questionnaires was used. Both classical test theory and the Rasch measurement model were applied. RESULTS Three of the four subscales common to both QOL instruments (physical, emotional, functional) proved suitable for equating (acceptable inter-correlations of corresponding subscales physical (r=0.77), emotional domain (r=0.60) role/functional (r=0.63) relative to their internal consistency, sufficient unidimensionality of pooled subscales, satisfactory fit to the Rasch model). Conversion tables for these subscales were generated. CONCLUSIONS The conversion tables developed in this study (physical, emotional and functional/role domain) appear promising for the comparison between EORTC QLQ-C30 and FACT-G scores of patient samples.
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Reitsamer R, Peintinger F, Sedlmayer F, Kopp M, Kametriser G, Menzel C. Reduction of ipsilateral breast tumor recurrence rates by intraoperative radiotherapy boost technique and whole breast irradiation. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)80047-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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75
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Reschke K, Kopp M, Ittenson A, Ansorge S, Lehnert H. Influence of chronic hyperprolactinemia on lymphocyte function in patients with prolactinoma. Exp Clin Endocrinol Diabetes 2006. [DOI: 10.1055/s-2006-933092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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