Document Detail

[Quality of life measurement in the postoperative period in general and gastrointestinal surgery].
MedLine Citation:
PMID:  20471006     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Health related quality of life measurement (HRQL) is widely accepted as an appropriate outcome of surgical care for assessing effectiveness and for risk adjusted outcomes. Nevertheless its use in the immediate postoperative period has show limitations. The aim of this study is to prove that is possible, with a specific new tool, to assess the HRQL during this period.
PATIENTS AND METHODS: The study is designed to create a specific close questionnaire related to the patient's condition after surgery, structured in domains, with the subsequent use of: literature searches, patient interviews (n=30), and a Delphi survey with health care providers. Finally the tool was validated using a pre-test (n=36) and a prospective observational cohort trial (n=250), to assess the discriminant validity for different cohorts of patients, reliability, responsiveness, and convergent validity, and to compare with the widely used generic tool, Short Form 36 (SF-36).
RESULTS: The questionnaire was shown to have good sensitivity to change (single index and domains score), as well as good sensitivity to distinguish cohorts of patients, a high internal consistency (Cronbach's alpha 0.88), absence of redundancy between domains (Spearman's rho range, 0.29-0.84), and good convergent validity with patient opinion. The SF-36 questionnaire showed poor discriminant validity, and lack of convergent validity with patient opinion.
CONCLUSIONS: These results support that the created questionnaire is appropriate to assess HRQL in the immediate postoperative period; and was more specific than SF-36.
Rafael Balongo García; Eduardo Espinosa Guzmán; Pedro Naranjo Rodríguez; Antonio Tejada Gómez; Margarita Rodríguez Pérez; Ana Abreu Sánchez
Publication Detail:
Type:  English Abstract; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2010-05-13
Journal Detail:
Title:  Cirugía española     Volume:  88     ISSN:  1578-147X     ISO Abbreviation:  Cir Esp     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254104     Medline TA:  Cir Esp     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  158-66     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 AEC. Published by Elsevier Espana. All rights reserved.
Hospital Infanta Elena de Huelva, Huelva, España.
Vernacular Title:
Evaluación de la calidad de vida en el periodo postoperatorio inmediato en cirugía general.
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MeSH Terms
Digestive System Surgical Procedures*
General Surgery*
Middle Aged
Postoperative Period
Prospective Studies
Quality of Life*

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