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   <subfield code="a">Anxiety and worry when coping with cancer treatment: agreement between patient and proxy responses</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[Ana Hermont, Ana Scarpelli, Saul Paiva, Sheyla Auad, Isabela Pordeus]</subfield>
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   <subfield code="a">Purpose: Assess agreement between proxy respondents (caregivers) and children/adolescents related to the impact of cancer on children's/adolescents' health-related quality of life, with respect to anxiety and worry issues. Methods: A cross-sectional study was conducted among 83 Brazilian children/adolescents, of both genders, diagnosed with cancer, aged 5-18years and their proxy respondents. Anxiety and worry were assessed through items of the instrument Pediatric Quality of Life Inventory™ Cancer Module Scale. Participants were recruited from the pediatric hematology/oncology centers at two public hospitals. All individuals were receiving medical care. Descriptive statistics were performed as well as a weighted kappa coefficient, Spearman's correlation coefficient, Wilcoxon signed-rank test and Bland-Altman plots. The magnitude of the difference between the mean scores obtained from children/adolescents and that of their proxy respondents was evaluated through effect size. Results: The proxy respondents underestimated the feelings of worry among children (8-12years) (p&lt;0.001; effect size 0.71) and overestimated adolescents' (13-18years) treatment anxiety (p&lt;0.05; effect size 0.57). The comparison between the three age groups (5-7, 8-12, 13-18years) showed a tendency for children/adolescents to report increasing feelings of worry as they got older. In the ‘treatment anxiety' subscale, there was a tendency for proxy respondents to present higher mean scores, revealing that proxy respondents believed the children's/adolescents' treatment anxiety decreased as they aged. Conclusions: Discrepancies between the reports of children/adolescents and their proxy respondents were observed. Children's/adolescents' reports should not be ignored nor replaced by proxy reports; both reports should be analyzed together.</subfield>
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   <subfield code="a">Springer International Publishing Switzerland, 2014</subfield>
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   <subfield code="a">Quality of life</subfield>
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   <subfield code="a">Neoplasms</subfield>
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   <subfield code="u">Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, 31270-901, Belo Horizonte, MG, Brazil</subfield>
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   <subfield code="a">Metadata rights reserved</subfield>
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