Nicole J Andersen, Catherine Bergeron, Robert Turcotte, Annett Körner
{"title":"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","authors":"Nicole J Andersen, Catherine Bergeron, Robert Turcotte, Annett Körner","doi":"10.1002/jso.70101","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"Nicole J Andersen, Catherine Bergeron, Robert Turcotte, Annett Körner\",\"doi\":\"10.1002/jso.70101\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":17111,\"journal\":{\"name\":\"Journal of Surgical Oncology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-09-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jso.70101\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jso.70101","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
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.
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.
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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