Health Perceptions and HRQL With Soft-Tissue Sarcoma at 12 Months Post-Op: Using the Wilson-Cleary Model to Evaluate the Measurement Properties of the RNLI and EQ-5D-3L.

IF 1.9 3区 医学 Q3 ONCOLOGY
Nicole J Andersen, Catherine Bergeron, Robert Turcotte, Annett Körner
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引用次数: 0

Abstract

Introduction: It is increasingly apparent that the most used patient-reported outcome measure in health-related quality of life (HRQL) soft-tissue sarcoma research (Toronto Extremity Salvage Score) is limited by its exclusive focus on physical function. It is now recommended that it only be used in combination with other global outcome measures, such as the Reintegration to Normal Living Index (RNLI) and Euroqol-5D-3L (EQ-5D-3L). We assessed the measurement properties of the RNLI and EQ-5D using the Wilson-Cleary Model and sought to better understand health perceptions and HRQL at 12 months post-op.

Methods: Data for this secondary analysis were drawn from an inception cohort of people receiving care for soft-tissue sarcoma at our institution. Inclusion criteria were being ≥ 18 years old and a diagnosis of localized soft-tissue sarcoma (biopsy-confirmed). Measures included the MSTS-87 (pain), RNLI (health perceptions), and EQ-5D-3L (HRQL). RStudio was used to calculate descriptive statistics, assess internal consistency, and evaluate the measurement and structural models.

Results: The study sample (n = 276) was 45% female with a mean age of 56 (18). Internal consistency was high with the RNLI (α = 0.91) and acceptable with EQ-5D-3L (α = 0.74). Findings suggested good model fit with the measurement model (CFI = 0.98, RMSEA = 0.37, SRMR = 0.0) and structural model (CFI = 0.98, RMSEA = 0.37, SRMR = 0.08). Moreover, HRQL appeared most impacted by the ability to engage in daily activities (work/study, home maintenance, family affairs, and leisure).

Conclusion: The RNLI (health perceptions) and EQ-5D (HRQL) appeared to be reliable and valid with this patient group. Findings suggest targets for optimizing soft-tissue sarcoma outcomes are maximizing functional restoration, encouraging participation in fulfilling activities throughout recovery (even if adapted), and routine psychosocial distress monitoring.

术后12个月软组织肉瘤患者的健康感知和HRQL:使用Wilson-Cleary模型评估RNLI和EQ-5D-3L的测量特性
越来越明显的是,在与健康相关的生活质量(HRQL)软组织肉瘤研究中最常用的患者报告的结果测量(Toronto Extremity Salvage Score)受到其只关注身体功能的限制。现在建议仅将其与其他全球结果测量结合使用,如重新融入正常生活指数(RNLI)和Euroqol-5D-3L (EQ-5D-3L)。我们使用Wilson-Cleary模型评估RNLI和EQ-5D的测量特性,并试图更好地了解术后12个月的健康感知和HRQL。方法:这一次要分析的数据来自于在我院接受软组织肉瘤治疗的患者的初始队列。纳入标准为年龄≥18岁,诊断为局限性软组织肉瘤(活检证实)。测量包括MSTS-87(疼痛)、RNLI(健康感知)和EQ-5D-3L (HRQL)。使用RStudio计算描述性统计量,评估内部一致性,评估测量和结构模型。结果:研究样本276例,女性占45%,平均年龄56岁(18岁)。RNLI内部一致性高(α = 0.91), EQ-5D-3L内部一致性可接受(α = 0.74)。结果表明,模型与计量模型(CFI = 0.98, RMSEA = 0.37, SRMR = 0.0)和结构模型(CFI = 0.98, RMSEA = 0.37, SRMR = 0.08)拟合良好。此外,HRQL似乎受到参与日常活动(工作/学习、家庭维护、家庭事务和休闲)的能力的影响最大。结论:RNLI(健康感知)和EQ-5D (HRQL)在该患者组中是可靠和有效的。研究结果表明,优化软组织肉瘤预后的目标是最大限度地恢复功能,鼓励在康复过程中参与有意义的活动(即使适应),以及常规的心理社会困扰监测。
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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
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