Table 1.
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 |