Quality of life (QOL) of cancer patients has become the focus of incre
asing research in oncology, and a frequently measured endpoint in clin
ical trials. Very little attention has been paid to the perspective of
physicians on quality of life information, and its role in clinical d
ecision-making. This report describes the findings of research focused
on exploring the perspectives of physicians about quality of life inf
ormation that is available for cancer patients. On the basis of qualit
ative data gathered through in-depth interviews with 60 oncologists in
the first phase of this project, we have developed a self-administere
d questionnaire (MD-QOL survey) designed to assess oncologists' views
on QOL. This survey was administered to an international group of gyne
cologic oncologists. The objectives of this study were to assess the f
ace validity of the initial items in the MD-QOL, to expand the pool of
items, and to assess the feasibility of utilizing a self-administered
questionnaire to assess physicians' perspectives on QOL information.
Twenty-eight oncologists responded to the questionnaire. The majority
of respondents felt that QOL can be measured and that it should be mea
sured from the patient's own perspective. Half of the physicians felt
that currently available QOL information is useful in clinical practic
e. Ninety-three percent of respondents felt that the greatest benefit
of QOL information is 'being able to treat the whole patient'. Forty o
ne percent of respondents felt that length of survival is more importa
nt to patients than quality of life. However, only 7% of the responden
ts felt that the primary job of physicians is to save lives, and that
QOL should not be a predominant concern for physicians. The inclusion
of QOL in randomized trials was perceived as encouraging both patient
and physician participation. The results of this survey are being used
to further explore these critical issues. (C) 1997 by John Wiley & So
ns, Ltd.