To summarize, the current research primarily focuses on the validity and responsiveness testing of QLU-C10D, with no prior investigation into its reliability. The evaluation of QLU-C10D's scale attributes is still at an early stage. Furthermore, considering the influence of cross-cultural disparities, it is plausible that health preferences may vary among different populations. Therefore, employing a utility scoring system that is tailored to the local context can offer a more accurate representation of the quality of life experienced by Chinese cancer patients. In order to enhance the measurement properties of QLU-C10D, this study adopts the widely-utilized EQ-5D-5L as a benchmark scale. The EQ-5D is currently the most extensively employed tool worldwide for capturing health utility values, and its newer version, EQ-5D-5L, surpasses the original EQ-5D-3L in terms of measurement properties


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