Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia.
Department of Neurology, Virginia Commonwealth University, Richmond, Virginia.
J Peripher Nerv Syst. 2019 Sep;24(3):247-252. doi: 10.1111/jns.12329. Epub 2019 Jul 3.
To date there are only two validations on the Chronic Acquired Polyneuropathy Patient-Reported Index (CAPPRI) questionnaire, both originated from the North America. We sought to translate and validate CAPPRI for use in Serbian patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We included 109 CIDP patients. CAPPRI, short form (36) health survey (SF-36), Medical Research Council Sum Score (MRC-SS), Inflammatory Neuropathy Cause and Treatment (INCAT) sensory and disability scores, Beck Depression Inventory (BDI), and Krupp's Fatigue Severity Scale (FSS) were used. Serbian CAPPRI questionnaire was understandable and the language was appropriate and simple. Calculation demonstrated good person (0.9) and item (0.9) reliability with adequate item (4.1), and person (2.9) separation indices. There was a minor floor effect (13.8%), and no ceiling effect. All items had good fit, except items 2 (pain), 5 (sleeping), and 14 (eating) to some degree. Category responses were well ordered and organized, except item 14 (eating). The CAPPRI score did not vary regarding gender, age, or education. Patients with worse scores on MRC-SS, INCAT sensory score, INCAT disability score, FSS, and BDI had worse scores on CAPPRI (P < .01). The CAPPRI score showed strong correlation with the SF-36 score (rho = -0.76, P < .01). The Serbian version of the CAPPRI is reliable and valid patient-reported index for patients with CIDP, able to differentiate between levels of impairment and disability in this disease.
迄今为止,仅有两项针对慢性获得性多发性神经病患者报告指数(CAPPRI)问卷的验证,均源自北美。我们旨在将 CAPPRI 翻译并验证为适用于患有慢性炎症性脱髓鞘性多发性神经病(CIDP)的塞尔维亚患者。我们纳入了 109 例 CIDP 患者。使用 CAPPRI、简短形式(36)健康调查(SF-36)、医学研究委员会总和评分(MRC-SS)、炎症性神经病病因和治疗(INCAT)感觉和残疾评分、贝克抑郁量表(BDI)和克鲁普疲劳严重程度量表(FSS)。塞尔维亚语 CAPPRI 问卷易于理解,语言适当且简单。计算结果显示,个体(0.9)和项目(0.9)的可靠性良好,项目(4.1)和个体(2.9)分离指数也足够。存在轻微的地板效应(13.8%),但无天花板效应。除了第 2 项(疼痛)、第 5 项(睡眠)和第 14 项(进食)在某种程度上,所有项目的拟合度均较好。类别反应有序且组织良好,除了第 14 项(进食)。CAPPRI 评分与性别、年龄或教育程度无关。MRC-SS、INCAT 感觉评分、INCAT 残疾评分、FSS 和 BDI 评分较差的患者,CAPPRI 评分也较差(P<0.01)。CAPPRI 评分与 SF-36 评分具有很强的相关性(rho=-0.76,P<0.01)。塞尔维亚语版的 CAPPRI 是一种可靠且有效的 CIDP 患者报告指数,能够区分该疾病中损伤和残疾的程度。