泰文版脊柱肿瘤研究学会结局问卷 2.0 用于评估脊柱转移瘤患者生活质量的有效性和可靠性。
Validity and reliability of the Thai version of the Spine Oncology Study Group Outcomes Questionnaire version 2.0 to assess Quality of Life in Patients with Spinal Metastasis.
机构信息
Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Orthopedic Center, Chulabhorn Hospital, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.
出版信息
Spine J. 2021 Nov;21(11):1920-1924. doi: 10.1016/j.spinee.2021.05.010. Epub 2021 May 16.
BACKGROUND CONTEXT
The Spine Oncology Study Group Outcomes Questionnaire version 2.0 (SOSGOQ2.0) is a spinal metastasis (SM)-specific quality of life (QoL) questionnaire that was previously reported to have good reliability and validity. There is currently no Thai version of the SOSGOQ 2.0. (TH-SOSGOQ2.0).
PURPOSE
To assess the psychometric properties of the TH-SOSGOQ 2.0.
STUDY DESIGN/SETTING: Cross-sectional study. Faculty of Medicine Siriraj Hospital, Mahidol University.
PATIENT SAMPLE
Patients who were confirmed diagnosis of metastatic spinal disease, age 18 to 75 years, and having already undergone surgery and/or radiotherapy for the treatment of spinal metastasis.
OUTCOME MEASURES
Validity and reliability of the TH-SOSGOQ 2.0 to assess QoL in Patients with SM.
METHODS
Using the forward-backward translation technique, the SOSGOQ2.0 was translated into Thai language to create the TH-SOSGOQ2.0. SM patients were prospectively enrolled and evaluated for patient QoL using both the TH-SOSGOQ2.0 and the EQ-5D-5L (Thai version) at baseline and 3 months after treatment. Construct validity was assessed using multi-trait scaling analysis, confirmatory factor analysis, and correlation with EQ-5D-5L. Test-retest reliability was assessed in a subgroup of patients who took the TH-SOSGOQ2.0 two times one week apart.
RESULTS
Sixty-eight patients (mean age: 57 years; 30 males, 38 females) were included. The Cronbach's alpha values for the total score, physical function, neurological function, pain, mental health, social function, and post-therapy domains were 0.87, 0.89, 0.91, 0.84, 0.82, 0.75, and 0.85, respectively. Good reliability was demonstrated (interclass correlation coefficient range: 0.70-0.84), except for the social function domain (0.60). Regarding concurrent validity, the TH-SOSGOQ2.0 domains demonstrated moderate to good correlation with the corresponding EQ-5D-5L 9 (Thai version) domains (range: -0.32 to -0.78). Physical function was the most well-correlated domain with the EQ-5D-5L (Thai version) (-0.77).
CONCLUSIONS
TH-SOSGOQ2.0 demonstrated good reliability and validity for assessing QoL in Thai SM patients.
背景
脊柱肿瘤研究组结局问卷 2.0 版（SOSGOQ2.0）是一种专门用于评估脊柱转移瘤（SM）患者生活质量（QoL）的问卷，其信度和效度先前已有报道。目前，尚没有泰语版的 SOSGOQ 2.0（TH-SOSGOQ2.0）。
目的
评估 TH-SOSGOQ 2.0 的心理测量特性。
研究设计/地点：横断面研究。玛希隆大学 Siriraj 医院医学院。
患者样本
确诊为转移性脊柱疾病，年龄 18 至 75 岁，且已接受手术和/或放疗治疗脊柱转移瘤的患者。
研究结果
评估 TH-SOSGOQ 2.0 评估 SM 患者 QoL 的信度和效度。
方法
采用前后翻译技术，将 SOSGOQ2.0 翻译成泰语，创建 TH-SOSGOQ2.0。前瞻性招募 SM 患者，在基线和治疗后 3 个月，使用 TH-SOSGOQ2.0 和 EQ-5D-5L（泰语版）同时评估患者的 QoL。采用多特质量表分析、验证性因子分析和与 EQ-5D-5L 的相关性评估结构效度。在一周内两次接受 TH-SOSGOQ2.0 测试的亚组患者中评估测试-重测信度。
结果
共纳入 68 例患者（平均年龄：57 岁；男性 30 例，女性 38 例）。总分、躯体功能、神经功能、疼痛、心理健康、社会功能和治疗后域的 Cronbach's α 值分别为 0.87、0.89、0.91、0.84、0.82、0.75 和 0.85。除社会功能域（0.60）外，其他领域均显示出良好的可靠性（组内相关系数范围：0.70-0.84）。关于同时效度，TH-SOSGOQ2.0 各领域与相应的 EQ-5D-5L（泰语版）领域（范围：-0.32 至-0.78）呈中度至高度相关。躯体功能与 EQ-5D-5L（泰语版）相关性最强（-0.77）。
结论
TH-SOSGOQ2.0 用于评估泰国 SM 患者的 QoL 具有良好的信度和效度。
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