Lung Cancer Symptom Scale (LCSS) : Sample
Lung Cancer Symptom Scale (LCSS) : Sample
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Lung Cancer Symptom Scale (LCSS)
Overview Information
The LCSS is designed as a site-specific measure of quality of life (QL), particularly for use in clinical
trials. It evaluates six major symptoms associated with lung malignancies and their effect on
overall symptomatic distress, functional activities, and global QL. The philosophy that the trial. It
captures in detail those dimensions most likely to be influenced by therapeutic interventions and
evaluates other dimensions globally. It consists of two scales: one completed by the patient and an
optional one for health care professionals ("counterpart observer") to provide context.
Administration: Face-to-face interview initially for demonstration of visual analogue scale (VAS)
with a simple example question related to the weather, with telephone interview acceptable once
patient is familiar with VAS.
Time to Complete:
Patient scale: 8 minutes initially for demonstration of VAS; 3-5 minutes for
subsequent administrations. Observer scale: 2 minutes.
Number of Items:
Patient scale: 9 Observer scale: 6
Number of QL Dimensions/Domains:
Five, with physical and functional in detail, and others captured globally.
Names of QL Dimensions/Domains:
To measure in depth those areas most relevant to evaluating health interventions, this
instrument concentrates on the physical and functional QL dimensions in patients with
lung cancer. Other dimensions (psychological, social, and spiritual) are captured in less
detail by summation items.
Scaling of items:
Patient scale: 9 visual analogue scales (100 mm horizontal line). Patient puts a mark on
line to indicate intensity of response to the items in question (0 = lowest rating; 100 =
highest rating). Observer scale: 5-point categorical scale (100 = none; 75 = mild; 50 =
moderate; 25 = marked; 0 = severe).
Scoring:
Patient scale: Scores equal length of line marked by patient. An average of the
aggregate score of all 9 items is used for a total score. In addition, a subscore using the
Directions: Please place a mark along each line where it would best describe the
symptoms of your lung cancer DURING THE PAST DAY.
Example Question:
How is the weather today?
As good as it could be As bad as it could be
100 None.
75 Mild; occasional loss of appetite but does not interfere with food intake.
50 Moderate; occasional loss of appetite which occasionally interferes with food intake.
25 Marked; frequent loss of appetite which generally interferes with food intake.
2. Fatigue: (Score:________
100 None.
100 None.
75 Mild; present and increased over a year ago, but not bothersome;
no medications needed.