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VEINES-QOL/Sym问卷是一种用于深静脉血栓形成的可靠且有效的特定疾病生活质量测量工具。

VEINES-QOL/Sym questionnaire was a reliable and valid disease-specific quality of life measure for deep venous thrombosis.

作者信息

Kahn Susan R, Lamping Donna L, Ducruet Thierry, Arsenault Louise, Miron Marie José, Roussin André, Desmarais Sylvie, Joyal France, Kassis Jeannine, Solymoss Susan, Desjardins Louis, Johri Mira, Shrier Ian

机构信息

Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montreal, Quebec, Canada.

出版信息

J Clin Epidemiol. 2006 Oct;59(10):1049-56. doi: 10.1016/j.jclinepi.2005.10.016. Epub 2006 Jun 23.

Abstract

OBJECTIVE

To assess the validity of VEINES-QOL/Sym, a patient-reported questionnaire to evaluate quality of life and symptoms in patients with deep venous thrombosis (DVT).

STUDY DESIGN AND SETTING

Psychometric study within the Venous Thrombosis Outcomes (VETO) Study, a prospective cohort study of long-term outcomes after DVT. A total of 359 English- and French-speaking patients with acute, objectively diagnosed DVT were recruited at seven hospitals in Quebec, Canada. The VEINES-QOL/Sym questionnaire, a 26-item patient-reported measure that generates separate summary scores for symptoms (VEINES-Sym) and quality of life (VEINES-QOL) was evaluated for acceptability, reliability, validity, and responsiveness in VETO Study subjects.

RESULTS

Standard psychometric tests confirmed the acceptability (missing data, item endorsement frequencies, floor and ceiling effects), reliability (internal consistency, item-total and inter-item correlations, test-retest), validity (content, construct, convergent, discriminant, known groups), and responsiveness to clinical change of the VEINES-QOL/Sym in patients with DVT.

CONCLUSION

The VEINES-QOL/Sym is a practical and scientifically sound patient-reported measure of outcomes that was developed using gold-standard methods. VEINES-QOL/Sym is valid and reliable for use as a measure of quality of life and symptoms in patients with acute DVT and provides a rigorous tool to allow more comprehensive evaluation of outcomes in clinical trials and epidemiological studies of patients with DVT.

摘要

目的

评估患者报告的静脉疾病生活质量/症状问卷(VEINES-QOL/Sym)在评估深静脉血栓形成(DVT)患者生活质量和症状方面的有效性。

研究设计与背景

在静脉血栓形成结局(VETO)研究中进行的心理测量学研究,这是一项关于DVT后长期结局的前瞻性队列研究。在加拿大魁北克的七家医院招募了总共359名讲英语和法语的急性、经客观诊断为DVT的患者。对VEINES-QOL/Sym问卷进行了评估,该问卷包含26个项目,由患者报告,可分别生成症状(VEINES-Sym)和生活质量(VEINES-QOL)的汇总评分,以评估VETO研究对象中的可接受性、可靠性、有效性和反应性。

结果

标准心理测量学测试证实了VEINES-QOL/Sym在DVT患者中的可接受性(缺失数据、项目认可频率、地板效应和天花板效应)、可靠性(内部一致性、项目总分和项目间相关性、重测)、有效性(内容、结构、收敛性、判别性、已知组)以及对临床变化的反应性。

结论

VEINES-QOL/Sym是一种实用且科学合理的患者报告结局测量工具,采用了金标准方法开发。VEINES-QOL/Sym在急性DVT患者中作为生活质量和症状的测量工具是有效且可靠的,并提供了一个严格的工具,以便在DVT患者的临床试验和流行病学研究中更全面地评估结局。

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