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Development and Validation of a Symptom-Focused Quality of Life Questionnaire (KOQUSS-40) for Gastric Cancer Patients after Gastrectomy.


ABSTRACT:

Purpose

Patients who have undergone gastrectomy have unique symptoms that are not appropriately assessed using currently available tools. This study developed and validated a symptom-focused quality of life (QoL) questionnaire for patients who have received gastrectomy for gastric cancer.

Materials and methods

Based on a literature review, patient interviews, and expert consultation by the KOrean QUality of life in Stomach cancer patients Study group (KOQUSS), the initial item pool was developed. Two large-scale developmental studies were then sequentially conducted for exploratory factor analyses for content validity and item reduction. The final item pool was validated in a separate cohort of patients and assessed for internal consistency, test-retest reliability, construct validity, and clinical validity.

Results

The initial questionnaire consisted of 46-items in 12 domains. Data from 465 patients at 11 institutions, followed by 499 patients at 13 institutions, were used to conduct item reduction and exploratory factor analyses. The final questionnaire (KOQUSS-40) comprised 40 items within 11 domains. Validation of KOQUSS-40 was conducted on 413 patients from 12 hospitals. KOQUSS-40 was found to have good model fit. The mean summary score of the KOQUSS-40 was correlated with the EORTC QLQ-C30 and STO22 (correlation coefficients, 0.821 and 0.778, respectively). The KOQUSS-40 score was also correlated with clinical factors, and had acceptable internal consistency (> 0.7). Test-retest reliability was greater than 0.8.

Conclusion

The KOQUSS-40 can be used to assess QoL of gastric cancer patients after gastrectomy and allows for a robust comparison of surgical techniques in clinical trials.

SUBMITTER: Eom BW 

PROVIDER: S-EPMC8291178 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Publications

Development and Validation of a Symptom-Focused Quality of Life Questionnaire (KOQUSS-40) for Gastric Cancer Patients after Gastrectomy.

Eom Bang Wool BW   Lee Joongyub J   Lee In Seob IS   Son Young-Gil YG   Ryu Keun Won KW   Kim Sung Geun SG   Kim Hyoung-Il HI   Kim Young-Woo YW   Kong Seong-Ho SH   Kwon Oh Kyoung OK   Park Ji-Ho JH   An Ji Yeong JY   Kim Chang Hyun CH   Suh Byoung-Jo BJ   Yoon Hong Man HM   Son Myoung Won MW   Park Ji Yeon JY   Park Jong-Min JM   Jeong Sang-Ho SH   Yoo Moon-Won MW   Song Geum Jong GJ   Yang Han-Kwang HK   Suh Yun-Suhk YS   Park Ki Bum KB   Ahn Sang-Hoon SH   Shin Dong Woo DW   Jee Ye Seob YS   Ahn Hye-Seong HS   Lee Sol S   Min Jae Seok JS   In Haejin H   Kim Ahyoung A   Hur Hoon H   Lee Hyuk-Joon HJ  

Cancer research and treatment 20201229 3


<h4>Purpose</h4>Patients who have undergone gastrectomy have unique symptoms that are not appropriately assessed using currently available tools. This study developed and validated a symptom-focused quality of life (QoL) questionnaire for patients who have received gastrectomy for gastric cancer.<h4>Materials and methods</h4>Based on a literature review, patient interviews, and expert consultation by the KOrean QUality of life in Stomach cancer patients Study group (KOQUSS), the initial item poo  ...[more]

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