Top

Gepubliceerd in:

28-10-2019

Development and clinimetric properties of the Dutch Breast Edema Questionnaire (BrEQ-Dutch version) to diagnose the presence of breast edema in breast cancer patients

Auteurs: Hanne Verbelen, Tessa De Vrieze, Timia Van Soom, Jill Meirte, Mireille Van Goethem, Godelieve Hufkens, Wiebren Tjalma, Nick Gebruers

Gepubliceerd in: Quality of Life Research | Uitgave 2/2020

Abstract

Purpose

To develop a diagnostic tool, the Breast Edema Questionnaire (BrEQ) and to determine its clinimetric properties.

Methods

The BrEQ was developed based on information from literature, experts and breast edema patients. Content validity, construct validity, test–retest reliability, internal consistency and cut-off point were investigated in a group of breast cancer patients. Construct validity made up two parts; convergent and known-groups validity. Convergent validity was tested by correlating the BrEQ with skin thickness measured with ultrasound (US).

Results

In part 1 of the BrEQ, symptoms of breast edema were scored from 0 to 10: pain, heaviness, swelling, tensed skin, redness, pitting sign, enlarged skin pores and hardness. Taking into account the International Classification of Functioning, Disability and Health, several activity limitations and participation restrictions were scored from 0 to 10 in part 2. Clinimetric properties of part 1 were examined in 55 patients. US showed that 35 women had breast edema. Content validity was good. Regarding convergent validity, all breast symptoms correlated moderately with skin thickness. The total symptom score had a strong correlation with skin thickness. Concerning known-groups validity, patients with breast edema had a higher total symptom score. Test–retest reliability ranged between moderate and strong. The internal consistency was good for all items and the total symptom score. We identified that a score cut-off point of ≥ 8.5 discriminates between patients with breast edema and those without.

Conclusion

Part 1 of the BrEQ-Dutch version is a valid and reliable tool for assessing clinical indicators of breast edema.

vorige artikel Development of a tool to assess oral health-related quality of life in patients hospitalised in critical care

Alleen toegankelijk voor geautoriseerde gebruikers

Lazovich, S., Solomon, C. C., Thomas, D. B., Moe, R. E., & White, E. (1999). Breast conservation therapy in the United States following the 1990 National Institutes of Health Consensus Development Conference on the treatment of patients with early stage invasive breast carcinoma. Cancer,86(4), 628–637.CrossRef

Olivotto, I. A., Weir, L. M., Kim-Sing, C., Bajdik, C. D., Trevisan, C. H., Doll, C. M., et al. (1996). Late cosmetic results of short fractionation for breast conservation. Radiotherapy and Oncology,41(1), 7–13.CrossRef

Verbelen, H., Gebruers, N., Beyers, T., De Monie, A. C., & Tjalma, W. (2014). Breast edema in breast cancer patients following breast-conserving surgery and radiotherapy: A systematic review. Breast Cancer Research and Treatment,147(3), 463–471.CrossRef

Harsolia, A., Kestin, L., Grills, I., Wallace, M., Jolly, S., Jones, C., et al. (2007). Intensity-modulated radiotherapy results in significant decrease in clinical toxicities compared with conventional wedge-based breast radiotherapy. International Journal of Radiation Oncology Biology Physics,68(5), 1375–1380.CrossRef

Adriaenssens, N., Belsack, D., Buyl, R., Ruggiero, L., Breucq, C., De Mey, J., et al. (2012). Ultrasound elastography as an objective diagnostic measurement tool for lymphoedema of the treated breast in breast cancer patients following breast conserving surgery and radiotherapy. Radiology and Oncology,46(4), 284–295.CrossRef

Adriaenssens, N., Verbelen, H., Lievens, P., & Lamote, J. (2012). Lymphedema of the operated and irradiated breast in breast cancer patients following breast conserving surgery and radiotherapy. Lymphology,45(4), 154–164.PubMed

Pezner, R. D., Patterson, M. P., Hill, L. R., Desai, K. R., Vora, N., & Lipsett, J. A. (1985). Breast edema in patients treated conservatively for stage I and II breast cancer. International Journal of Radiation Oncology Biology Physics,11(10), 1765–1768.CrossRef

Clarke, D., Martinez, A., Cox, R. S., & Goffinet, D. R. (1982). Breast edema following staging axillary node dissection in patients with breast carcinoma treated by radical radiotherapy. Cancer,49(11), 2295–2299.CrossRef

Delay, E., Gosset, J., Toussoun, G., Delaporte, T., & Delbaere, M. (2008). Post-treatment sequelae after breast cancer conservative surgery. Annales de chirurgie plastique et esthétique,53(2), 135–152.CrossRef

10.

Toledano, A., Garaud, P., Serin, D., Fourquet, A., Bosset, J. F., Breteau, N., et al. (2006). Concurrent administration of adjuvant chemotherapy and radiotherapy after breast-conserving surgery enhances late toxicities: Long-term results of the ARCOSEIN multicenter randomized study. International Journal of Radiation Oncology Biology Physics,65(2), 324–332.CrossRef

11.

Vuorela, A. L., Harju, E., & Jakobsson, M. (1989). Mammographic and palpation findings in the irradiated spared breast. Anticancer Research,9(4), 1217–1221.PubMed

12.

Wratten, C. R., O’brien, P. C., Hamilton, C. S., Bill, D., Kilmurray, J., & Denham, J. W. (2007). Breast edema in patients undergoing breast-conserving treatment for breast cancer: Assessment via high frequency ultrasound. The Breast Journal,13(3), 266–273.CrossRef

13.

Goffman, T. E., Laronga, C., Wilson, L., & Elkins, D. (2004). Lymphedema of the arm and breast in irradiated breast cancer patients: Risks in an era of dramatically changing axillary surgery. The Breast Journal,10(5), 405–411.CrossRef

14.

Wratten, C., Kilmurray, J., Wright, S., Back, M., Hamilton, C. S., & Denham, J. W. (2000). Pilot study of high-frequency ultrasound to assess cutaneous oedema in the conservatively managed breast. International Journal of Cancer,301, 295–301.CrossRef

15.

Boynton, P. M., & Greenhalgh, T. (2004). Selecting, designing, and developing your questionnaire. Britisch Medical Journal,328(7451), 1312–1315.CrossRef

16.

Tucker, C. A., Escorpizo, R., Cieza, A., Lai, J. S., Stucki, G., Ustun, T. B., et al. (2014). Mapping the content of the Patient-Reported Outcomes Measurement Information System (PROMIS^®) using the international classification of functioning, health and disability. Quality of Life Research,23(9), 2431–2438.CrossRef

17.

Hawkins, M., Elsworth, G. R., & Osborne, R. H. (2018). Application of validity theory and methodology to patient-reported outcome measures (PROMs): Building an argument for validity. Quality of Life Research,27(7), 1695–1710.CrossRef

18.

Bolarinwa, O. A. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Jounal,22(4), 195–201.CrossRef

19.

Gandek, B., & Ware, J. E. (1998). Methods for validating and norming translations of health status questionnaires: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology,51(11), 953–959.CrossRef

20.

Lowe, N. K., & Ryan-Wenger, N. M. (1992). Beyond Campbell and Fiske: Assessment of convergent and discriminant validity. Research in Nursing & Health,15(1), 67–75.CrossRef

21.

Explorable.com, Wilson, L. T. (2009). Statistical Correlation. Retrieved August 24, 2019, from Explorable.com: https://explorable.com/statistical-correlation.

22.

Devoogdt, N., Van Kampen, M., Geraerts, I., Coremans, T., & Christiaens, M. R. (2011). Lymphoedema functioning, disability and health questionnaire (Lymph-ICF): Reliability and validity. Physical Therapy,91(6), 944–957.CrossRef

23.

Lexell, J. E., & Downham, D. Y. (2005). How to assess the reliability of measurements in rehabilitation. American Journal of Physical Medicin and Rehabilitation,84(9), 719–723.CrossRef

24.

McDowell, I., & Jenkinson, C. (1996). Development standards for health measures. Journal of Health Services, Research and Policy,1(4), 238–246.CrossRef

25.

Bland, J. M., & Altman, D. G. (1997). Cronbach’s alpha. Britisch Medical Journal,314(7080), 572.CrossRef

26.

Carter, J. V., Pan, J., Rai, S. N., & Galandiuk, S. (2016). ROC-ing along: Evaluation and interpretation of receiver operating characteristic curves. Surgery,159(6), 1638–1645.CrossRef

27.

Habibzadeh, F., Habibzadeh, P., & Yadollahie, M. (2016). On determining the most appropriate test cut-off value: The case of tests with continuous results. Biochemia Medica,26(3), 297–307.CrossRef

28.

Safari, S., Baratloo, A., Elfil, M., & Negida, A. (2016). Evidence based emergency medicine; part 5 receiver Operating curve and area under the curve. Emergency,4(2), 111–113.PubMedPubMedCentral

29.

Rönkä, R. H., Pamilo, M. S., von Smitten, K., & Leidenius, M. H. K. (2004). Breast lymphedema after breast conserving treatment. Acta Oncologica,43(6), 551–557.CrossRef

30.

Kelemen, G., Varga, Z., Lázár, G., Thurzó, L., & Kahán, Z. (2012). Cosmetic outcome 1–5 years after breast conservative surgery, irradiation and systemic therapy. Pathology and Oncology Research,18(2), 421–427.CrossRef

Titel: Development and clinimetric properties of the Dutch Breast Edema Questionnaire (BrEQ-Dutch version) to diagnose the presence of breast edema in breast cancer patients
Auteurs: Hanne Verbelen
Tessa De Vrieze
Timia Van Soom
Jill Meirte
Mireille Van Goethem
Godelieve Hufkens
Wiebren Tjalma
Nick Gebruers
Publicatiedatum: 28-10-2019
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 2/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02337-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2020

Contribution of the self-regulation model to understanding the health related quality of life of rheumatoid arthritis patients

Health-related quality of life among Syrian refugees resettled in Sweden

PROMIS Global Health item nonresponse: is it better to impute missing item responses before computing T-scores?

Influence of Diabetes complications and limitations on health-related quality of life: a study in a southeastern Brazilian city

Self-reported depression in cancer survivors versus the general population: a population-based propensity score-matching analysis

Experiences of breast cancer in Arab countries. A thematic synthesis