Validation of the carolinas comfort scale (CCS) in Brazil: a hernia-specific quality of life questionnaire.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2024-10-01 Epub Date: 2024-06-09 DOI:10.1007/s10029-024-03083-z

Rodrigo Piltcher-da-Silva, Pedro San Martin Soares, Eduardo Ferreira Martins, Laura Fink Wayerbacher, Leandro Totti Cavazzola

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引用次数: 0

Abstract

Introduction: Ventral hernia surgery (VHS) has the intent to promote a better quality of life (QoL). VHS results were evaluated by recurrence incidence in the past, however the concept of Patient-Reported Outcomes Measures has changed this scenario. SF-36 is a generic questionnaire with some limitations on the hernioplasty postoperative evaluation. Disease-specific surveys such Hernia-Related Quality of Life Survey (HerQLes) and Carolinas Comfort Scale (CCS) were developed to improve specificity. The aim of this study was to validate a Brazilian version of the CCS as a QoL questionnaire for patients undergoing VHS in Brazil.

Materials and methods: The study consists of a retrospective cohort that reviewed the medical records of patients who underwent ventral hernia surgery for incisional hernias in the Hospital de Clínicas de Porto Alegre between January 2019 to December 2020. Participants answered both the HerQles questionnaire and the CCS, then we compared the patients' scores between scales. In-personal evaluations or surveys applied by telemedicine were performed. Intraclass correlation coefficient was utilized to assess the consistency of the agreement between the HerQLes and CCS scales.

Results: A sample of 80 patients were evaluated. Most were male (70%), mean age 61.11 years and BMI 28.4. The most common comorbidity was systemic arterial hypertension, one third were smokers and 77.5% of cases were ASA 2. The average HerQLes score was 30.40 and the CCS was 15.46 (SD: 21.81), with an intraclass coefficient of 0.68.

Conclusion: This study suggests that CCS is a good and robust tool for assessing ventral hernia. Tools to measure QoL are increasingly used in the literature, as QoL seems to be important data to assess surgical success, since it shows the perception of the patient about the results of their surgery. Further studies with larger sample sizes should be performed to confirm our findings.

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卡罗莱纳舒适度量表（CCS）在巴西的验证：疝气专用生活质量问卷。

简介腹股沟疝手术（VHS）的目的是提高生活质量（QoL）。过去，腹股沟疝气手术的结果是通过复发率来评估的，但 "患者报告结果测量 "的概念改变了这一情况。SF-36 是一种通用问卷，对疝成形术术后评估有一定的局限性。为了提高特异性，人们开发了疝相关生活质量调查（HerQLes）和卡罗莱纳舒适度量表（CCS）等疾病特异性调查。本研究旨在验证巴西版 CCS 作为巴西接受 VHS 患者生活质量调查问卷的有效性：本研究是一项回顾性队列研究，审查了 2019 年 1 月至 2020 年 12 月期间在阿雷格里港临床医院因切口疝而接受腹股沟疝手术的患者的病历。参与者同时回答了 HerQles 问卷和 CCS 问卷，然后我们比较了患者在两个量表之间的得分。我们进行了面对面评估或远程医疗调查。采用类内相关系数评估 HerQLes 和 CCS 量表之间的一致性：结果：80 名患者接受了评估。大多数患者为男性（70%），平均年龄为 61.11 岁，体重指数为 28.4。最常见的合并症是系统性动脉高血压，三分之一的患者吸烟，77.5%的病例为 ASA 2。HerQLes 的平均得分为 30.40，CCS 的平均得分为 15.46（SD：21.81），类内系数为 0.68：本研究表明，CCS 是评估腹股沟疝的一种良好而可靠的工具。测量 QoL 的工具在文献中的使用越来越多，因为 QoL 似乎是评估手术成功与否的重要数据，因为它显示了患者对手术结果的看法。为证实我们的研究结果，应进一步开展样本量更大的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.