Responsiveness of the Patient-Reported Outcome Measure-Haemorrhoidal Impact and Satisfaction Score in patients with haemorrhoidal disease.

Autor:	Kuiper SZ; Department of Surgery, Maastricht University, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht, the Netherlands., Dirksen CD; Department of Clinical Epidemiology and Medical Technology Assessment, Care and Public Health, Research Institute (CAPHRI), Maastricht University Medical Centre, Maastricht, the Netherlands., Mitalas L; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands., Clermonts SHEM; Department of Surgery, Medical Centre Leeuwarden, Leeuwarden, the Netherlands., Van Dam KAM; Department of Surgery, Zuyderland Medical Centre, Sittard, the Netherlands., De Witte E; Department of Surgery, Zuyderland Medical Centre, Sittard, the Netherlands., Melenhorst J; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.; Department of Surgery, Maastricht University, School for Oncology and Reproduction (GROW), Maastricht, the Netherlands., Van Kuijk SMJ; Department of Clinical Epidemiology and Medical Technology Assessment, Care and Public Health, Research Institute (CAPHRI), Maastricht University Medical Centre, Maastricht, the Netherlands., Breukink SO; Department of Surgery, Maastricht University, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht, the Netherlands.; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.; Department of Surgery, Maastricht University, School for Oncology and Reproduction (GROW), Maastricht, the Netherlands., Kimman ML; Department of Clinical Epidemiology and Medical Technology Assessment, Care and Public Health, Research Institute (CAPHRI), Maastricht University Medical Centre, Maastricht, the Netherlands.
Jazyk:	angličtina
Zdroj:	Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland [Colorectal Dis] 2023 Sep; Vol. 25 (9), pp. 1832-1838. Date of Electronic Publication: 2023 Jul 20.
DOI:	10.1111/codi.16668
Abstrakt:	Aim: In this study we aimed to assess the responsiveness of the symptom score of the recently developed Patient-Reported Outcome Measure-Haemorrhoidal Impact and Satisfaction Score (PROM-HISS). Furthermore, the minimally relevant difference (MRD) was determined. Method: The responsiveness of PROM-HISS was tested using a criterion-based (i.e. anchor) and construct-based (i.e. hypotheses testing) approach. Patients with haemorrhoidal disease (HD) completed the PROM-HISS before and 1 week after treatment in hospital. A global self-assessment of change question (SCQ) was administered 1-week after treatment and functioned as the criterion. The following analyses were performed: (1) correlation between the PROM-HISS symptom score and the criterion (SCQ) and (2) hypotheses testing. The MRD was determined as change in symptoms of the subgroup reporting 'somewhat fewer complaints' on the SCQ. Results: Between February and August 2022, 94 patients with grade II-IV HD from three hospitals were included. The correlation between the SCQ and a change on the PROM-HISS symptom score was 0.595 indicating that an improvement on the SCQ corresponds to an improvement on the PROM-HISS symptom score. As hypothesized, the mean change in PROM-HISS scores was significantly different between subgroups of patients based on their SCQ responses. Patients reporting a small change in HD symptoms on the SCQ corresponded to a mean change of 0.3 on the PROM-HISS symptom score. Conclusion: The PROM-HISS symptom score is a responsive instrument as it identifies change in HD symptoms because of treatment. The estimated MRD of 0.3 can be used to inform clinical research and practice. (© 2023 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.)
Databáze:	MEDLINE
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