French translation and validation of the cross-cultural adaptation of the MSTS functional assessment questionnaire completed after tumor surgery.

Autor: Mallet J; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France. Electronic address: julien.mallet28@gmail.com., El Kinani M; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France., Crenn V; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France; Inserm UMR 1238, Sarcome et remodelage des tissus calcifiés, faculté de médecine, 1, rue Gaston-Veil, 44035 Nantes, France., Ageneau P; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France., Berchoud J; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France., Varenne Y; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France., Waast D; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France., Le Nail LR; Clinique chirurgicale orthopédique et traumatologique, CHU de Tours, Tours, France., Hardouin JB; Inserm, université Bretagne-Loire - université de Nantes - université de Tours, UMR U1246 SPHERE, Methods in patient-centered outcomes and health research, Nantes, France; Unit of Methodology and Biostatistics, University Hospital of Nantes, Nantes, France., Gouin F; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France; Centre de lutte contre le cancer Léon-Bérard, département de chirurgie, Lyon, France., Brulefert K; Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France; Inserm UMR 1238, Sarcome et remodelage des tissus calcifiés, faculté de médecine, 1, rue Gaston-Veil, 44035 Nantes, France.
Jazyk: angličtina
Zdroj: Orthopaedics & traumatology, surgery & research : OTSR [Orthop Traumatol Surg Res] 2023 May; Vol. 109 (3), pp. 103574. Date of Electronic Publication: 2023 Feb 07.
DOI: 10.1016/j.otsr.2023.103574
Abstrakt: Introduction: Malignant tumors of the extremities are uncommon. Their surgical treatment, whether conservative or not, may cause sequelae. Functional assessment of patients is essential for research purposes, but also follow-ups and adaptation of treatments. The Musculoskeletal Tumor Society Rating Scale (MSTS) is a disease-specific functional scoring system often used in English literature. Currently, no studies have been published on a valid French translation of the MSTS, whether for the lower or upper extremities. We, therefore, conducted a prospective study to answer the following questions: (1) Are the proposed adapted French versions of the MSTS valid? (2) Do the psychometric properties of the two versions obtained make their use relevant?
Materials and Methods: The translation and cross-cultural adaptation were carried out following the recommendations of Beaton and Guillemin to obtain two versions: one for patients who had undergone upper extremity surgery (MSTS-UE) and one for those who had undergone lower extremity surgery (MSTS-LE). A prospective multicenter cohort study was then carried out to analyze the psychometric properties of these two versions.
Results: A total of 250 patients from 3 referral centers were enrolled in this study. A confirmatory factor analysis (CFA) demonstrated that the two French versions of the MSTS (MSTS-LE and MSTS-UE) were a good fit with a root mean square error of approximation (RMSEA)<0.08 and a comparative fit index (CFI)>0.90. The psychometric properties of the two versions were validated with internal consistency (Cronbach alpha>0.7), convergent validity of each item with its score (> 0.4), and sufficient criterion validity (Pearson correlation coefficient>0.4). The discriminant validity analysis showed that there was a significant correlation between each version and the performance status (PS) (p<0.05).
Conclusion: This study produced a French version of the MSTS scoring system and validated the psychometric properties of the two versions obtained (MSTS-UE and MSTS-LE). Therefore, the French MSTS scoring system is a valid measurement that can be used in international studies.
Level of Evidence: I.
(Copyright © 2023. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
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