The Dermatology Life Quality Index: A Useful Measure for Individuals With Radiation Skin Reactions in Scottish Cancer Centres

17.00
Hdl Handle:
http://hdl.handle.net/10755/165422
Category:
Abstract
Type:
Presentation
Title:
The Dermatology Life Quality Index: A Useful Measure for Individuals With Radiation Skin Reactions in Scottish Cancer Centres
Author(s):
MacBride, S.
Author Details:
S. MacBride, Edinburgh Cancer Centre, Scotland, United Kingdom
Abstract:
PURPOSE: The impact of radiation skin reactions on quality of life is poorly researched, yet such reactions appear to cause much distress for individuals undergoing radical radiotherapy. The aim of this study is to ascertain the impact of radiation skin reactions on quality of life for individuals with cancer. The study also tested the DLQI for its utility and sensitivity with individuals in this care setting. The DLQI was developed by Finlay & Khan (1994) as a simple practical questionnaire for routine clinical use in individuals with skin diseases. The 10-item questionnaire measures quality of life in six sub-categories: symptoms and feelings, daily activities, leisure, work/school, personal relationships, and treatment. Development and reliability testing included individuals with a wide variety of non-malignant chronic skin conditions and a small number with basal cell carcinoma. METHOD: This research is part of a randomized controlled clinical trial – the Radiation Oncology Skin Evaluation Study, funded by the Chief Scientists Office within the Scottish Executive for two years ending October 2002. 360 individuals, from two Scottish Cancer Centres, undergoing radical radiotherapy to the breast, head & neck, and anorectal regions have been recruited. The study compares the effectiveness of two initial treatments versus no treatment, in reducing frequency and severity of erythematous reactions. For those who develop a moist desquamation, two wound dressing products will be compared with the outcome measure ‘time to healing’. Measures employed include the EORTC/RTOG scale, erythema meter, the DLQI, a weekly diary card designed to assess distress, and a record of additional financial costs. The DLQI was administered at baseline then at weekly intervals throughout radiotherapy and for two weeks after, unless moist desquamation was identified where it would continue to be administered weekly until skin healing was complete. RESULTS: Interim analysis suggests that data quality is good, and that the study is of adequate size to detect statistically significant differences between the treatments. Final results will be presented, demonstrating the performance of the DLQI in comparison with other measures used in the study. The results from this study will provide information about the extent of the problem for individuals. In addition, the study will test the sensitivity of a measure, which may have direct clinical applicability.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Dermatology Life Quality Index: A Useful Measure for Individuals With Radiation Skin Reactions in Scottish Cancer Centresen_GB
dc.contributor.authorMacBride, S.en_US
dc.author.detailsS. MacBride, Edinburgh Cancer Centre, Scotland, United Kingdomen_US
dc.identifier.urihttp://hdl.handle.net/10755/165422-
dc.description.abstractPURPOSE: The impact of radiation skin reactions on quality of life is poorly researched, yet such reactions appear to cause much distress for individuals undergoing radical radiotherapy. The aim of this study is to ascertain the impact of radiation skin reactions on quality of life for individuals with cancer. The study also tested the DLQI for its utility and sensitivity with individuals in this care setting. The DLQI was developed by Finlay & Khan (1994) as a simple practical questionnaire for routine clinical use in individuals with skin diseases. The 10-item questionnaire measures quality of life in six sub-categories: symptoms and feelings, daily activities, leisure, work/school, personal relationships, and treatment. Development and reliability testing included individuals with a wide variety of non-malignant chronic skin conditions and a small number with basal cell carcinoma. METHOD: This research is part of a randomized controlled clinical trial – the Radiation Oncology Skin Evaluation Study, funded by the Chief Scientists Office within the Scottish Executive for two years ending October 2002. 360 individuals, from two Scottish Cancer Centres, undergoing radical radiotherapy to the breast, head & neck, and anorectal regions have been recruited. The study compares the effectiveness of two initial treatments versus no treatment, in reducing frequency and severity of erythematous reactions. For those who develop a moist desquamation, two wound dressing products will be compared with the outcome measure ‘time to healing’. Measures employed include the EORTC/RTOG scale, erythema meter, the DLQI, a weekly diary card designed to assess distress, and a record of additional financial costs. The DLQI was administered at baseline then at weekly intervals throughout radiotherapy and for two weeks after, unless moist desquamation was identified where it would continue to be administered weekly until skin healing was complete. RESULTS: Interim analysis suggests that data quality is good, and that the study is of adequate size to detect statistically significant differences between the treatments. Final results will be presented, demonstrating the performance of the DLQI in comparison with other measures used in the study. The results from this study will provide information about the extent of the problem for individuals. In addition, the study will test the sensitivity of a measure, which may have direct clinical applicability.en_GB
dc.date.available2011-10-27T12:18:15Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:18:15Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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