Hurdle

Expanded Prostate cancer Index Composite (EPIC)

screening

Digital administration of Expanded Prostate cancer Index Composite (EPIC) to collect structured patient inputs for validated score calculation and clinical follow-up.

Expanded Prostate cancer Index Composite (EPIC)

Clinical intent

The Expanded Prostate cancer Index Composite measures health related quality of life among men with prostate cancer [1]. It represents an adaptation of the UCLA Prostate Cancer Index [2]. It is modified to enhance sensitivity to therapy effects by increasing the number of prostate-targeted items to 50 (compared to 20 in the original UCLA-PCI). However, 50 items constitute a lengthy assessment tool and raises questions about feasibility of use in routine clinical care. Therefore, a short 26-item version of EPIC (EPIC-26) was developed to enhance its utility [3]. It contains only 26 items and the same 5 domains as the full version of EPIC: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

Clinical interpretation

In general terms, a higher score represents a better HRQOL.

References

[1] Wei JT, Dunn RL, Litwin MS, Sandler HM, Sanda MG. Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology. 2000;56(6):899-905. doi:10.1016/s0090-4295(00)00858-x
[2] Litwin MS, Hays RD, Fink A, Ganz PA, Leake B, Brook RH. The UCLA Prostate Cancer Index: development, reliability, and validity of a health-related quality of life measure. Med Care. 1998;36(7):1002-1012. doi:10.1097/00005650-199807000-00007
[3] Szymanski KM, Wei JT, Dunn RL, Sanda MG. Development and validation of an abbreviated version of the expanded prostate cancer index composite instrument for measuring health-related quality of life among prostate cancer survivors. Urology. 2010;76(5):1245-1250. doi:10.1016/j.urology.2010.01.027

Pathway

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Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

Expanded Prostate cancer Index Composite (EPIC) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
Over the past 4 weeks, how often have you leaked urine?
Which of the following best describes your urinary control during the last 4 weeks?
How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?
How big a problem, if any, was the dripping or leaking urine for you during the last 4 weeks?
How big a problem, if any, was pain or burning on urination for you during the last 4 weeks?
How big a problem, if any, was bleeding with urination for you during the last 4 weeks?
How big a problem, if any, was a weak urine urine stream or incomplete emptying for you during the last 4 weeks?
How big a problem, if any, was the need to urinate frequently during the day for you during the last 4 weeks?
How big a problem, if any, was urgency to have a bowel movement for you?
How big a problem, if any, was increased frequency of bowel movements for you?
How big a problem, if any, was losing control of your stools for you?
How big a problem, if any, was bloody stools for you?
How big a problem, if any, was abdominal/pelvic/rectal pain for you?
Overall, how big a problem have your bowel habits been for you during the last 4 weeks?
How would you rate your ability to have an erection during the last 4 weeks?
How would you rate your ability to reach an orgasm (climax) during the last 4 weeks?
How would you describe the usual QUALITY of your erections during the last 4 weeks?
How would you describe the FREQUENCY of your erections during the last 4 weeks?
Overall, how would you rate your ability to function sexually during the last 4 weeks?
Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?
How big a problem during the last 4 weeks, if any, was hot flashes for you?
How big a problem during the last 4 weeks, if any, was breast tenderness/enlargement for you?
How big a problem during the last 4 weeks, if any, was feeling depressed for you?
How big a problem during the last 4 weeks, if any, was lack of energy for you?
How big a problem during the last 4 weeks, if any, was change in body weight for you?