Abstract

The International Classification of Functioning, Disability, and Health (ICF) aims at standardization, but its applicability requires consistent instruments. In Brazil, invasive therapeutic approaches are frequent, leading to functional alterations. The current study thus aimed to identify and discuss instruments capable of measuring ICF core set codes for breast cancer. The review included ICF studies in women with breast cancer diagnosis and studies with the objective of translating and validating instruments for the Brazilian population, and consistent with the codes. Review studies, systematic or not, were excluded. Eight instruments were selected, and the WHOQOL-Bref was the most comprehensive. The use of various instruments showed 19 coinciding codes, and the instruments as a whole covered 58 of the total of 81 codes. The use of multiple instruments is time-consuming, so new studies are needed to propose parsimonious tools capable of measuring functioning in women treated for breast cancer.

Highlights

  • Functioning is a complex term, the definition of which involves both physical condition and the external conditions that influence it 1,2

  • The current study proposed to identify and review the measurement instruments that have already been translated and validated for the Brazilian population, consistent with the ICF Core Set for breast cancer patients

  • A literature review was conducted, and studies were selected in Portuguese, English, and Spanish based on the LILACS, MEDLINE, and SciELO databases with the following descriptors: breast cancer; international classification of functioning, disability, and health; quality of life; questionnaire; and validation studies

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Summary

Introduction

Functioning is a complex term, the definition of which involves both physical condition and the external conditions that influence it 1,2. The data obtained from the ICF are summarized in codes that include anatomical and physiological changes; task performance in a standard and habitual setting; the facilitating or limiting impact of the physical and social world’s characteristics and of attitude; and the impact of individual attributes 1. The contextual and personal factors involved in the definition of functioning vary between groups, and in order to guarantee the classification’s comparability, translations of the ICF should preserve to the maximum its original reliability and accuracy, thereby allowing interaction between the biomedical and social models 2,3

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