Development of the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire.

Autor: Ten Dam E; Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.; Graduate School of Medical Sciences Institute for Drug Exploration, University of Groningen, Groningen, The Netherlands., Feijen RA; Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., van den Berge MJC; Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Hoving EW; Department of Neurosurgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Kuijlen JM; Department of Neurosurgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., van der Laan BFAM; Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Vermeulen KM; Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Krabbe PFM; Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Korsten-Meijer AGW; Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jazyk: angličtina
Zdroj: International forum of allergy & rhinology [Int Forum Allergy Rhinol] 2017 Nov; Vol. 7 (11), pp. 1076-1084. Date of Electronic Publication: 2017 Aug 23.
DOI: 10.1002/alr.22000
Abstrakt: Background: The patients' perspective of health outcomes has become important input for assessing treatment effects. However, existing endoscopic endonasal surgery (EES) instruments are not fully aligned with the concept of health-related quality of life (HRQoL). A prospective cohort study was therefore conducted to develop a suitable quality-of-life tool to assess nasal morbidity after EES: the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire (EES-Q).
Methods: The study included 300 patients: 207 with sinus pathology and 93 with anterior skull base pathology. The EES-Q was administered prior to surgery and postoperatively (2 weeks, 3 months, and 1 year). Psychometric instrument properties were tested and relevant health domains were formulated. Seventy-two items were generated by the conventional psychometric approach. An exploratory factor analysis was used to test construct validity. The optimal number of factors to retain was determined by using the eigenvalues-greater-than-1 rule and scree plot. Orthogonal varimax rotation was used to enhance interpretability. Internal consistency was assessed using the Cronbach α.
Results: The factor analysis yielded a 3-factor solution, representing physical, psychological, and social functioning. The final version of the instrument consisted of 30 items with a high internal consistency (>0.80) for all 3 HRQoL domains.
Conclusions: The EES-Q is a comprehensive, multidimensional, disease-specific instrument. A distinguishing characteristic is that, apart from the physical and psychological domains, the EES-Q also encompasses a social domain. Understanding different HRQoL aspects in patients undergoing EES may help caregivers restore, improve, or preserve the patient's health through individualized care, which depends on identifying their specific needs.
(© 2017 ARS-AAOA, LLC.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje