Torregrosa Lilian, Guevara Oscar, Perez-Rivera Carlos, Lozada-Martinez Ivan David, Saavedra Carlos, Pedraza Mauricio, Aparicio Steven, Narvaez-Rojas Alexis Rafael, Cabrera-Vargas Luis Felipe
Department of Surgery, Pontificia Universidad Javeriana, Bogotá, Colombia.
Department of Hepatobiliary Surgery, Universidad Nacional de Colombia, Bogotá, Colombia.
SAGE Open Med. 2023 Mar 23;11:20503121231162339. doi: 10.1177/20503121231162339. eCollection 2023.
To evaluate and validate the medically necessary and time sensitive score by testing the variables, in order to create a surgical preoperative score for procedure prioritization in COVID-19 pandemic in Colombia.
A multicenter retrospective cross-sectional study of instrument validation with a cultural adaptation and translation into the Spanish language was carried out in Bogota, Colombia. Patients over 18 years of age who had undergone elective procedures of general surgery and subspecialties were included. The translation of the medically necessary and time sensitive score into Spanish was performed independently by two bilingual surgeons fluent in both English and Spanish. A final version of the Spanish questionnaire (MeNTS Col) for testing was then produced by an expert committee. After translation and cultural adaptation, it was submitted to evaluate the psychometric properties of the medically necessary and time sensitive score. Cronbach's α was used to represent and evaluate the internal consistency and assess reliability.
A total of 172 patients were included, with a median age of 54 years; of which 96 (55.8%) patients were females. The vast majority of patients were treated for general surgery ( = 60) and colon and rectal surgery ( = 31). The evaluation of the internal consistency of the scale items in Spanish version was measured, and values of 0.5 for 0.8 were obtained. In the reliability and validation process, Cronbach's α values in all items remained higher than 0.7. The new MeNTS Col model was analyzed, and a result of 0.91 was obtained.
The Spanish version of the medically necessary and time sensitive, the MeNTS Col score, and its respective Spanish translation perform similarly to the original version. Therefore, they can be useful and reproducible in Latin American countries.
通过对变量进行测试来评估和验证医疗必要性和时间敏感性评分，以便为哥伦比亚新冠疫情期间手术优先级制定创建一个外科术前评分。
在哥伦比亚波哥大开展了一项多中心回顾性横断面仪器验证研究，并进行了文化适应和西班牙语翻译。纳入年龄超过18岁且接受过普通外科及亚专科择期手术的患者。由两名精通英语和西班牙语的双语外科医生独立完成医疗必要性和时间敏感性评分的西班牙语翻译。然后由一个专家委员会制作用于测试的西班牙语问卷最终版本（MeNTS Col）。在翻译和文化适应后，提交该问卷以评估医疗必要性和时间敏感性评分的心理测量特性。使用克朗巴哈α系数来表示和评估内部一致性并评估可靠性。
共纳入172例患者，中位年龄为54岁；其中96例（55.8%）为女性。绝大多数患者接受普通外科治疗（n = 60）和结肠直肠手术（n = 31）。对西班牙语版本量表项目的内部一致性进行评估，得到的克朗巴哈α值在0.5至0.8之间。在可靠性和验证过程中，所有项目的克朗巴哈α值均高于0.7。对新的MeNTS Col模型进行分析，得到的结果为0.91。
医疗必要性和时间敏感性评分的西班牙语版本MeNTS Col评分及其各自的西班牙语翻译与原始版本表现相似。因此，它们在拉丁美洲国家可能有用且可重复使用。
