| Validation of a physical activity questionnaire (CHAMPS) as an indicator of postoperative recovery after laparoscopic cholecystectomy. | |
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MedLine Citation:
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PMID: 19541008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although many surgical innovations are said to "shorten recovery," recovery has not been consistently defined or measured. The goal of this study was to assess the validity of a physical activity questionnaire (The Community Health Activities Model Program for Seniors [CHAMPS]) as an indicator of postoperative recovery. METHODS: CHAMPS includes 41 questions asking the subject to estimate the time spent on a range of activities in the previous week; responses are converted into kcal/kg/wk. Patients scheduled for laparoscopic cholecystectomy were assessed preoperatively, 1 week and 1 month postoperatively (sensitivity to change). To assess construct validity, results were compared with other measures used to estimate recovery, including pain (VAS), health-related quality of life (SF-36), and complications. CHAMPS was also compared with a measure of exercise capacity, the 6-minute walk test (6MWT). Data expressed as median (IQR). RESULTS: A total of 50 patients, 72% female, mean (SD) age 51 (17) years, participated. CHAMPS-estimated energy expenditure decreased from 42 [25-64] preop to 18 [9-30] kcal/kg/wk (P < .001) 1 week postoperatively. It remained below baseline at 30 [16-61] kcal/kg/wk 1 month postoperatively (P = .042). At all time points, SF-36 Physical Function, pain with movement, and 6MWT distance significantly correlated with CHAMPS. At 1 month, physical activity was lower in patients reporting complications (16 [10-32] vs 42 [18-77], P < .01). CONCLUSION: Evidence is provided for construct validity for a physical activity questionnaire as a measure of surgical recovery. |
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Authors:
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Liane S Feldman; Pepa Kaneva; Sebastian Demyttenaere; Franco Carli; Gerald M Fried; Nancy E Mayo |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Validation Studies |
Journal Detail:
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Title: Surgery Volume: 146 ISSN: 1532-7361 ISO Abbreviation: Surgery Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-22 Completed Date: 2009-07-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: United States |
Other Details:
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Languages: eng Pagination: 31-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, McGill University, Montreal, Quebec, Canada. liane.feldman@muhc.mcgill.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cholecystectomy, Laparoscopic* Cross-Sectional Studies Energy Metabolism / physiology Female Health Surveys* Humans Interviews as Topic Longitudinal Studies Male Middle Aged Motor Activity / physiology* Postoperative Period Recovery of Function / physiology* Walking / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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