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Health-Related Quality-of-Life Assessment in Patients With Cutaneous T-Cell Lymphoma
Marie-France Demierre, MD, FRCPC;
Amy Tien, MD;
Donald Miller, ScD
Arch Dermatol. 2005;141:325-330.
Objective To measure and evaluate the health-related quality of life (HRQOL) in patients with cutaneous T-cell lymphoma (CTCL), a visible cutaneous malignancy that may have a profound effect on patients’ lives.
Design Monocenter, cross-sectional study.
Setting The Skin Oncology Program, Department of Dermatology, and the Photopheresis Unit of Boston Medical Center.
Patients A total of 22 adult patients with confirmed CTCL.
Main Outcome Measures (1) Evaluation of general oncologic and skin disease–specific HRQOL using, respectively, the Functional Assessment of Cancer Therapy–General (FACT-G) and Skindex-29 profiles; (2) assessment of HRQOL association with disease stage (early stage, IA-IIA; late stage, IIB-IVB).
Results Patients with more advanced CTCL stages reported more effects on general health (FACT-G), particularly in the physical, emotional, and functional domains (P<.05). Patients with early-stage CTCL reported better skin-specific HRQOL overall (Skindex-29; P = .002) and for each specific domain than did patients with late-stage disease. The Skindex-29 scales had high internal consistency, and the confirmatory factor structure was similar to that of previous studies.
Conclusions The HRQOL of patients with CTCL can be evaluated using the Skindex-29 and FACT-G instruments. Patients with more advanced stages of CTCL had lower HRQOL scores.
Author Affiliations: Department of Dermatology, Boston University School of Medicine (Drs Demierre and Miller); Department of Medicine, Boston University Medical Center (Dr Tien); and Boston University School of Public Health (Dr Miller), Boston, Mass.
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