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. 2022 Jan 14;16(12):2300–2311. doi: 10.1002/1878-0261.13169

Table 1.

Pros and cons with different measures to assess progress in cancer control. Included are our most preferred measures although we realize several outcomes are useful. We advise the reader to read the table horizontally.

Measure Definition Pros and cons

Standardized mortality rate

Standardized incidence rate

Number of individuals who develop the cancer or die of the cancer divided by total number at risk with each stratum (defined by age and sex) assigned weight from a defined external (hypothetical) population

Pros: Takes competing risk into consideration

Allows unconfounded comparison with populations with a different age and/or sex distribution

Con: Is hypothetical and will differ for any specific population depending on the standard population

Net survival Probability of surviving beyond a given time in the hypothetical scenario where cancer is the only possible cause of death. This is the target measure of ‘cause‐specific survival’ and ‘relative survival’

Pros: Independent of mortality due to causes other than cancer, so is ideal for comparing survival between different populations or over time within the same population.

Cons: Complicated definition. Hypothetical scenario is not optimal in clinical setting

EORTC QLQ‐XX Cancer site specific modules to connect to the EORTC QLQ‐C30/ QLQ‐C15‐PAL

Pros: Symptoms and problems commonly occurring in the site‐specific cancer diagnosis. Modules for many different cancer diagnoses are available

Cons: With core questionnaire together with a site‐specific module there will be 40‐60 items to reply to. Not possible to compare with other groups of people

EORTC QLQ‐C30/QLQ‐C15‐PAL Cancer disease‐specific questionnaire with a palliative version

Pros: Functions and symptoms common among cancer patients in general. All cancer patients. Connected with site‐specific modules

Con: Not possible to compare with other groups of people

In addition to the abovementioned EORTC questionnaires

SF‐36/12

RAND‐36

or EQ‐5D

Generic quality‐of‐life questionnaires

Pro: Independent on health status. Compare different groups of people

Cos: Lack clinically important aspects of a patients’ health

EQ‐5D Commonly used in health‐economic evaluations and QALY* analyses