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Quality of Life Research
Gepubliceerd in: Quality of Life Research 6/2008

01-08-2008

Development and validation of the convalescence and recovery evaluation (CARE) for measuring quality of life after surgery

Auteurs: Brent K. Hollenbeck, Rodney L. Dunn, J. Stuart Wolf Jr, Martin G. Sanda, David P. Wood, Scott M. Gilbert, Alon Z. Weizer, James E. Montie, John T. Wei

Gepubliceerd in: Quality of Life Research | Uitgave 6/2008

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Abstract

Purpose

To develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.

Method

Instrument content was based on qualitative data ascertained from focus groups of patients and input from an expert panel of clinicians and psychometricians. A draft questionnaire was then piloted and revised, leading to the 27-item Convalescence and Recovery Evaluation (CARE). CARE consists of four individually scored domains, which were identified using factor analysis. Test–retest reliability, internal consistency, and convergent validity were assessed.

Results

Test–retest reliability was high, ranging from 0.78 for the activity domain to >0.88 for all others. Internal consistency varied over time postoperatively but was moderate to high for all domains throughout. Correlations between the four domains of CARE were low (each r ≤ 0.57). Moderate agreement was evident between CARE domains and the appropriate components of validated instruments, providing convergent validity.

Conclusions

CARE is a robust, multi-dimensional measure of convalescence after abdominal and pelvic surgery. CARE can be used to gain a better understanding of the phenomenon of recovery and to measure the impact of new processes of care (e.g., surgical technology adoption) on short-term patient outcomes.
vorige artikel Parent–child agreement across child health-related quality of life instruments: a review of the literature
volgende artikel Measuring breast cancer-specific health-related quality of life in South Asia: psychometric properties of the Sinhala version of the EORTC QLQ-BR23
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Literatuur
1.
Strasberg, S. M., Hertl, M., & Soper, N. J. (1995). An analysis of the problem of biliary injury during laparoscopic cholecystectomy. Journal of the American College of Surgeons, 180(1), 101–125.PubMed
2.
Spodick, D. H. (1975). Numerators without denominators. There is no FDA for the surgeon. Journal of the American Medical Association, 232(1), 35–36.PubMedCrossRef
3.
Pearson, S. D., & Rawlins, M. D. (2005). Quality, innovation, and value for money: NICE and the British National Health Service [see comment]. Journal of the American Medical Association, 294(20), 2618–2622.PubMedCrossRef
4.
Wall, L. L. (2001). Innovation in surgery: Caveat emptor. International Urogynecology Journal, 12(6), 353–354.PubMedCrossRef
5.
Mastroianni, A. C. (2006). Liability, regulation and policy in surgical innovation: the cutting edge of research and therapy. Health Matrix, 16(2), 351–442.PubMed
6.
The National Roundtable on Health Care Quality. (1999). Measuring the quality of health care. Washington D.C.: National Academy Press.
7.
Wei, J. T., Dunn, R. L., Litwin, M. S., Sandler, H. M., & Sanda, M. G. (2000). Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology, 56, 899–905.PubMedCrossRef
8.
Weeks, J. C., Nelson, H., Gelber, S., Sargent, D., Schroeder, G., & Clinical Outcomes of Surgical Therapy (COST) Study Group (2002). Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. Journal of the American Medical Association, 287, 321–328.PubMedCrossRef
9.
Litwin, M. S., Hays, R. D., Fink, A., Ganz, P. A., Leake, B., Leach, G. E., & Brook, R. H. (1995). Quality-of-life outcomes in men treated for localized prostate cancer [comment]. Journal of the American Medical Association, 273, 129–135.PubMedCrossRef
10.
Barkun, J. S., Keyser, E. J., Wexler, M. J., Fried, G. M., Hinchey, E. J., Fernandez, M., & Meakins, J. L. (1999) Short-term outcomes in open vs. laparoscopic herniorrhaphy: confounding impact of worker’s compensation on convalescence. Journal of Gastrointestinal Surgery, 3(6), 575–582.PubMedCrossRef
11.
Neumayer, L., Giobbie-Hurder, A., Jonasson, O., Fitzgibbons, R. Jr., Dunlop, D., Gibbs, J., Reda, D., Henderson, W., & Veterans Affairs Cooperative Studies Program. (2004). Open mesh versus laparoscopic mesh repair of inguinal hernia. New England Journal of Medicine, 350(18), 1819–1827.PubMedCrossRef
12.
Squirrell, D. M., Majeed, A. W., Troy, G., Peacock, J. E., Nicholl, J. P., & Johnson, A. G. (1998). A randomized, prospective, blinded comparison of postoperative pain, metabolic response, and perceived health after laparoscopic and small incision cholecystectomy. Surgery, 123(5), 485–495.PubMedCrossRef
13.
McKenna, S. P., Doward, L. C., & Whalley, D. (1998). The development and testing of the well-being index for surgical patients (WISP). Quality of Life Research, 7(2), 167–173.PubMedCrossRef
14.
Urbach, D. R., Harnish, J. L., McIlroy, J. H., & Streiner, D. L. (2006). A measure of quality of life after abdominal surgery. Quality of Life Research, 15(6), 1053–1061.PubMedCrossRef
15.
Kleinbeck, S. V. (2000). Self-reported at-home postoperative recovery. Research in Nursing & Health, 23, 461–472.CrossRef
16.
Wolfer, J. A., & Davis, C. A. (1970) Assessment of surgical patients’ preoperative emotional condition and postoperative welfare. Nursing Research, 19, 402–414.PubMedCrossRef
17.
Urbach, D. R., Harnish, J. L., & Long, G. (2005) Short-term health-related quality of life after abdominal surgery: A conceptual framework. Surgical Innovation, 12(3), 243–247.PubMedCrossRef
18.
Strasberg, S. M., & Ludbrook, P. A. (2003). Who oversees innovative practice? Is there a structure that meets the monitoring needs of new techniques? Journal of the American College of Surgeons, 6, 938–948.CrossRef
19.
Leventhal H., Meyer D., & Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman (Ed.), Contributions to medical psychology (pp. 7–30). New York: Pergamon Press.
20.
Leventhal, H. (1983). Behavioral medicine: Psychology in health care. In D. Mechanic (Ed.), Handbook of health, health care, and the health professions (pp. 709–743). New York: Free Press.
21.
Lutz, G. K., Butzlaff, M. E., Atlas, S. J., Keller, R. B., Singer, D. E., & Deyo, R. A. (1999). The relation between expectations and outcomes in surgery for sciatica. Journal of General Internal Medicine, 14(12), 740–744.PubMedCrossRef
22.
Leventhal, H., & Johnson, J. E. (1983). Laboratory and field experimentation: Development of a theory of self-regulation. In P. J. Woolridge, M. H. Schmitt, J. K. Skipper & R. C. Leonard (Eds.), Behavior science and nursing theory (pp. 189–262). St. Louis: Mosby.
23.
Leventhal, H., Nerenz, D. R., & Steele, D. J. (1983). Illness representations and coping with health threats. In A. Baum & J. Singer (Eds.), Handbook of psychology and health (pp. 219–252). Hillsdale, NJ: Erlbaum.
24.
Andreoli, K. G. (1990). Key aspects of recovery. New York: Springer.
25.
McDowell, I., & Newell, C. (1996). Measuring health: A guide to rating scales and questionnaires. Oxford University Press: New York.
26.
Anderson, R. M., Barr, P. A., Edwards, G. J., Funnell, M. M., Fitzgerald, J. T., & Wisdom, K. (1996). Using focus groups to identify psychosocial issues of urban black individuals with diabetes. Diabetes Educator, 22(1), 28–33.PubMedCrossRef
27.
Stewart, D. (1990). Focus groups: Theory and practice. Sage Publications.
28.
Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., & Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1171–1178.PubMedCrossRef
29.
Ware, J. E., & Sherbourne, C. D. (1992) The MOS 36-item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.PubMedCrossRef
30.
McCorkle, R., & Quint-Benoliel, J. (1983) Symptom distress, current concerns and mood disturbance after diagnosis of life-threatening disease. Social Science & Medicine, 17, 431–438.CrossRef
31.
Urbach, D. R. (2005). Measuring quality of life after surgery. Surgical Innovation, 12(2), 161–165.PubMedCrossRef
32.
Mangione, C. M., Goldman, L., Orav, E. J., Marcantonio, E. R., Pedan, A., Ludwig, L. E., Donaldson, M. C., Sugarbaker, D. J., Poss, R., & Lee, T. H. (1997). Health-related quality of life after elective surgery: Measurement of longitudinal changes. Journal of General Internal Medicine, 12(11), 686–697.PubMedCrossRef
33.
Chernew, M. E., Hirth, R. A., & Cutler, D. M. (2003). Increased spending on health care: How much can the United States afford? Health Affairs, 22, 15–25.PubMedCrossRef
34.
Macario, A., Vitez, T. S., Dunn, B., McDonald, T., & Brown, B. (1997). Hospital costs and severity of illness in three types of elective surgery. Anesthesiology, 86, 92–100.PubMedCrossRef
35.
Miller, D. C., Wei, J. T., Dunn, R. L., & Hollenbeck, B. K. (2006). Trends in the diffusion of laparoscopic nephrectomy. Journal of the American Medical Association, 295(21), 2480–2482.PubMedCrossRef
Metagegevens
Titel
Development and validation of the convalescence and recovery evaluation (CARE) for measuring quality of life after surgery
Auteurs
Brent K. Hollenbeck
Rodney L. Dunn
J. Stuart Wolf Jr
Martin G. Sanda
David P. Wood
Scott M. Gilbert
Alon Z. Weizer
James E. Montie
John T. Wei
Publicatiedatum
01-08-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 6/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-008-9366-x

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