Psychometric properties of a questionnaire (HEMO-FISS-QoL) to evaluate the burden associated with haemorrhoidal disease and anal fissures
| Autor: | H Pillant, C. Favreau‐Weltzer, C. Bord, Laurent Siproudhis, G Berdeaux, M. Trompette, C. A. Senejoux, Laurent Abramowitz, Dominique Bouchard, A Zkik |
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| Přispěvatelé: | AP-HP - Hôpital Bichat - Claude Bernard [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Clinique Blomet, Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Pontchaillou [Rennes], CHP Saint Grégoire, Pierre Fabre S.A., Pierre Fabre SA, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Anal Disorder patient-related outcomes Pain Disease Hemorrhoids External validity 03 medical and health sciences 0302 clinical medicine Cost of Illness Cronbach's alpha Quality of life anal fissures Surveys and Questionnaires medicine Humans Haemorrhoids Principal Component Analysis Anal fissure business.industry Pruritus Gastroenterology Construct validity patient‐related outcomes [SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology Original Articles Middle Aged medicine.disease 3. Good health Clinical trial quality of life 030220 oncology & carcinogenesis Physical therapy Female 030211 gastroenterology & hepatology Fissure in Ano Proctology Original Aticle Gastrointestinal Hemorrhage business |
| Zdroj: | Colorectal Disease Colorectal Disease, 2019, 21 (1), pp.48-58. ⟨10.1111/codi.14393⟩ Colorectal Disease, Wiley, 2019, 21 (1), pp.48-58. ⟨10.1111/codi.14393⟩ |
| ISSN: | 1462-8910 1463-1318 |
| DOI: | 10.1111/codi.14393⟩ |
| Popis: | International audience; AIM: Current questionnaires designed to evaluate the burden of haemorrhoidal disease ignore symptoms such as bleeding, pain and itching. A specific questionnaire is needed to evaluate the global impact of anal disorders on patients' daily lives.METHOD: We developed a questionnaire (HEMO-FISS-QoL) to assess the symptom burden of anal disorders and administered it to 256 patients (mean age 46.2 years; men 60.4%) with haemorrhoidal disease (67.2%), anal fissure (29.3%) or both (3.5%). Psychometric properties were evaluated by testing the acceptability, construct validity and reliability of the questionnaire. Principal components and multi-trait analyses were used to identify dimensions and to assess construct validity. Backward Cronbach alpha curves and a graded response model were used to reduce the number of items and modalities. External validity was evaluated against SF-12 and the Psychological Global Well-Being Index (PGWBI) using Spearman's correlation coefficient.RESULTS: Principal component analysis defined four dimensions: physical disorders, psychology, defaecation and sexuality. The number of questions was reduced from 38 to 23. The HEMO-FISS-QoL scores correlated well with those of the SF-12 and PGWBI (P < 0.001). Cronbach's coefficients (all > 0.7) reflected good internal reliability of the different dimensions. The total score increased with the severity of the anal disorders and with their consequences (days off work and personal spending related to the disease).CONCLUSION: The HEMO-FISS-QoL questionnaire reliably evaluates the global impact of haemorrhoids and anal fissures on patients' daily lives. This simple tool may prove useful for treatment evaluation in clinical trials and daily practice. |
| Databáze: | OpenAIRE |
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