Compliance is of extreme importance in assessing quality of life since
lost data never can be retrieved. In order to assess this issue in va
rious studies, a cross-sectional study in cured cancer patients, three
prospective trials and a normative study were explored. In the cross-
sectional study 82 per cent of the patients completed the questionnair
es after one reminder. More females than males answered the questionna
ires. The compliance rate varied from 99 per cent to 62 per cent in th
e prospective studies depending upon time after inclusion. It seems th
at compliance decreases during follow up, primarily because of disease
progression. In one of the prospective studies low compliance rate (a
pproximately 30 per cent) was found in the questionnaire assessing rel
igious issues. In the normative study 68 per cent of the population co
mpleted the questionnaire. No gender differences were found, but young
er males and elderly women were poor compliers. In conclusion, our dat
a support that most patients complete quality of life questionnaires.
It seems that patients with inferior education, reduced physical funct
ion and with progressive/terminal disease are low compliers. Introduct
ion of the first quality of life questionnaires to the patients is of
great importance. Detailed information about the study should be given
and the importance of completing the questionnaires should be underli
ned. (C) 1998 John Wiley & Sons, Ltd.