Validation of the Turkish version of the Quality of Recovery-40 questionnaire

Serkan Karaman, Semih Arici, Serkan Dogru, Tugba Karaman, Hakan Tapar, Ziya Kaya, Mustafa Suren, Mehtap Gurler Balta, Serkan Karaman, Semih Arici, Serkan Dogru, Tugba Karaman, Hakan Tapar, Ziya Kaya, Mustafa Suren, Mehtap Gurler Balta

Abstract

Background: The Quality of Recovery-40 questionnaire (QoR-40) is a self-rated questionnaire used to assess the postoperative recovery quality and health status of patients in the early stages following surgery; however, there is no Turkish version of the QoR-40. The aim of this study was to assess the reliability, validity, and responsiveness of the Turkish version of the QoR-40 (QoR-40 T).

Methods: After the approval of the ethics committee, a total of 137 patients completed the questionnaire during the preoperative period, on the third day, and one month after surgery. The quality of life was evaluated by using a health-related quality of life questionnaire (Short-Form Health Survey-36; SF-36) on the third day and one month after surgery. Reliability, feasibility, and validity were assessed to validate the QoR-40 T.

Results: The Cronbach's alpha of the global QoR-40 T on the third day after surgery was 0.936. A positive moderate correlation was obtained between the physical comfort, emotional state, physical independence, and pain dimensions of the QoR-40 T and the physical component summary, mental health, physical functioning, and bodily pain subscales of the SF-36 on the third day after surgery, respectively (physical comfort - physical component summary, ρ = 0.292, p = 0.001; emotional state - mental health, ρ = 0.252, p = 0.003; physical independence - physical functioning, ρ = 0.340, p < 0.01; pain - bodily pain, ρ = 0.381, p < 0.01). The standardized responsive mean of the total QoR-40 T was 0.62.

Conclusions: The QoR-40 T showed satisfactory reliability and validity in evaluating the quality of recovery after surgery in the Turkish population.

References

    1. Myles PS, Weitkamp B, Jones K, Melick J, Hensen S. Validity and relibility of a postoperative quality of recovery score: the QoR-40. Br J Anaesth. 2000;84:11–15. doi: 10.1093/oxfordjournals.bja.a013366.
    1. Gornall B, Myles PS, Smith C, Burke JA, Leslie K, Pereira MJ, Bost JE, Kluivers KB, Idvall E, Tanaka Y, Forbes A. The measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth. 2013;111:161–169. doi: 10.1093/bja/aet014.
    1. Myles PS, Viira D, Hunt JO. Quality of life at three years after cardiac surgery: relationship with preoperative status and qaulity of recovery. Anaesth Intensive Care. 2006;34:176–183.
    1. Myles PS, Hunt JO, Fletcher H, Solly R, Woodward D, Kelly S. Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery. Anesthesiology. 2001;95:862–867. doi: 10.1097/00000542-200110000-00013.
    1. Leslie K, Troedel S, Irwin K, Pearce F, Ugoni A, Gillies R, Pemberton E, Dharmage S. Quality of recovery from anesthesia in neurosurgical patients. Anesthesiology. 2003;99:1158–1165. doi: 10.1097/00000542-200311000-00024.
    1. Buchanan FF, Myles PS, Cicuttini F. Effect of patient on general anaesthesia and recovery. Br J Anaesth. 2011;106:832–839. doi: 10.1093/bja/aer094.
    1. Bost JE, Williams BA, Bottegal MT, Dang Q, Rubio DM. The 8-item short-form health survey and the physical comfort composite score of the quality of recovery 40-item scale provide the most responsive assessments of pain, physical function, and mental function during the first 4 days after ambulatory knee surgery with regional anesthesia. Anesth Analg. 2007;105:1693–1700. doi: 10.1213/01.ane.0000287659.14893.65.
    1. Ridley SA, Chrispin PS, Scotton H, Rogers J, Lloyd D. Changes in quality of life after intensive care: comparison with normal data. Anaesthesia. 1997;52:195–202. doi: 10.1111/j.1365-2044.1997.073-az0068.x.
    1. Hoffman SN, TenBrook JA, Wolf MP, Pauker SG, Salem DN, Wong JB. A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: one- to eight-year outcomes. J Am Coll Cardiol. 2003;41:1293–1304. doi: 10.1016/S0735-1097(03)00157-8.
    1. Rumsfeld JS, Magid DJ, Plomondon ME, Sacks J, Henderson W, Hlatky M, Sethi G, Morrison DA. Veterans affairs angina with extremely serious operative mortality (AWESOME) ınvestigators: health-related quality of life after percutaneous coronary intervention versus coronary bypass surgery in high-risk patients with medically refractory ischemia. J Am Coll Cardiol. 2003;41:1732–1738. doi: 10.1016/S0735-1097(03)00330-9.
    1. Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, Gandek B, Wagner A, Aaronson N, Bech P. Translating health status questionnaires and evaluating their quality: the IQOLA project approach: ınternational quality of life assessment. J Clin Epidemiol. 1998;51:913–923. doi: 10.1016/S0895-4356(98)00082-1.
    1. Peterson RA. A meta-analysis of Cronbach’s coefficient alpha. J Consum Res. 1994;21:381–391. doi: 10.1086/209405.
    1. Katz JN, Larson MG, Philips CB, Fossel AH, Liang MH. Comparative measurement sensitivity of short and longer health status instruments. Med Care. 1992;30:917–925. doi: 10.1097/00005650-199210000-00004.
    1. Tanaka Y, Wakita T, Fukuhara S, Nishiwada M, Inoue S, Kawaguchi M, Furuya H. Validation of the Japanese version of the quality of racovery score QoR-40. J Anesth. 2011;25:509–515. doi: 10.1007/s00540-011-1151-2.

Source: PubMed

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