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The National Cancer Institute has recently completed a series of systematic reviews on health-related quality of life in cancer and prostate cancer. The objectives of the reviews were to provide a synthesis of the recent literature on health-related quality of life in cancer and prostate cancer, to identify areas for future research, and to provide guidance for clinical practice. The reviews concluded that not only is there a lack of consensus about the conceptualization, measurement, and interpretation of health-related quality of life in cancer, but also that the gaps in the literature often make it difficult to determine which areas of quality of life are most affected by the disease, and which interventions are most effective in improving quality of life in cancer patients. There is an urgent need to develop more quality of life instruments, to study the relationship between quality of life and clinical outcomes, and to better understand the complex relationship between quality of life, disease progression, and treatment. The reviews also concluded that quality of life instruments used in cancer clinical trials need to be carefully chosen so that the intended population groups can be targeted for inclusion in the trials. (12)

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