@article{3122277, title = "International validation of the revised European Organisation for Research and Treatment of Cancer Head and Neck Cancer Module, the EORTC QLQ-HN43: Phase IV", author = "Singer, S. and Amdal, C.D. and Hammerlid, E. and Tomaszewska, I.M. and Castro Silva, J. and Mehanna, H. and Santos, M. and Inhestern, J. and Brannan, C. and Yarom, N. and Fullerton, A. and Pinto, M. and Arraras, J.I. and Kiyota, N. and Bonomo, P. and Sherman, A.C. and Baumann, I. and Galalae, R. and Fernandez Gonzalez, L. and Nicolatou-Galitis, O. and Abdel-Hafeez, Z. and Raber-Durlacher, J. and Schmalz, C. and Zotti, P. and Boehm, A. and Hofmeister, D. and Krejovic Trivic, S. and Loo, S. and Chie, W.-C. and Bjordal, K. and Brokstad Herlofson, B. and Grégoire, V. and Licitra, L. and on behalf of the EORTC Quality of Life and the EORTC Head and Neck Cancer Groups", journal = "Head and Neck Oncology", year = "2019", volume = "41", number = "6", pages = "1725-1737", publisher = "John Wiley and Sons Inc", doi = "10.1002/hed.25609", keywords = "aged; clinical trial; complication; Europe; female; head and neck tumor; human; male; middle aged; multimodality cancer therapy; phase 4 clinical trial; prospective study; psychology; psychometry; quality of life; questionnaire; reproducibility; sensitivity and specificity; very elderly, Aged; Aged, 80 and over; Combined Modality Therapy; Europe; Female; Head and Neck Neoplasms; Humans; Male; Middle Aged; Outcome Assessment, Health Care; Prospective Studies; Psychometrics; Quality of Life; Reproducibility of Results; Sensitivity and Specificity; Surveys and Questionnaires", abstract = "Background: We validated the new European Organisation for Research and Treatment of Cancer Quality of Life Head and Neck Module (EORTC QLQ-HN43). Methods: We enrolled 812 patients with head and neck cancer from 18 countries. Group 1 completed the questionnaire before therapy, and 3 and 6 months later. In group 2 (survivors), we determined test–retest reliability using intraclass correlation coefficients (ICC). Internal consistency was assessed using Cronbach's Alpha, the scale structure with confirmatory factor analysis, and discriminant validity with known-group comparisons. Results: Cronbach's alpha was >0.70 in 10 of the 12 multi-item scales. All standardized factor loadings exceeded 0.40. The ICC was >0.70 in all but two scales. Differences in scale scores between known-groups were >10 points in 17 of the 19 scales. Sensitivity to change was found to be sufficient in 18 scales. Conclusions: Evidence supports the reliability and validity of the EORTC QLQ-HN43 as a measure of quality of life. © 2019 Wiley Periodicals, Inc." }