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Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Research

Validation of the Turkish version of the quality of recovery-40 questionnaire

Authors: Serkan Karaman, Semih Arici, Serkan Dogru, Tugba Karaman, Hakan Tapar, Ziya Kaya, Mustafa Suren, Mehtap Gurler Balta

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

The Quality of Recovery-40 questionnaire (QoR-40) is a self-rated questionnaire used to assess the postoperative recovery quality and health status of patients in the early stages following surgery; however, there is no Turkish version of the QoR-40. The aim of this study was to assess the reliability, validity, and responsiveness of the Turkish version of the QoR-40 (QoR-40 T).

Methods

After the approval of the ethics committee, a total of 137 patients completed the questionnaire during the preoperative period, on the third day, and one month after surgery. The quality of life was evaluated by using a health-related quality of life questionnaire (Short-Form Health Survey-36; SF-36) on the third day and one month after surgery. Reliability, feasibility, and validity were assessed to validate the QoR-40 T.

Results

The Cronbach’s alpha of the global QoR-40 T on the third day after surgery was 0.936. A positive moderate correlation was obtained between the physical comfort, emotional state, physical independence, and pain dimensions of the QoR-40 T and the physical component summary, mental health, physical functioning, and bodily pain subscales of the SF-36 on the third day after surgery, respectively (physical comfort - physical component summary, ρ = 0.292, p = 0.001; emotional state - mental health, ρ = 0.252, p = 0.003; physical independence - physical functioning, ρ = 0.340, p < 0.01; pain - bodily pain, ρ = 0.381, p < 0.01). The standardized responsive mean of the total QoR-40 T was 0.62.

Conclusions

The QoR-40 T showed satisfactory reliability and validity in evaluating the quality of recovery after surgery in the Turkish population.
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Literature
1.
go back to reference Myles PS, Weitkamp B, Jones K, Melick J, Hensen S: Validity and relibility of a postoperative quality of recovery score: the QoR-40. Br J Anaesth 2000, 84: 11–15. 10.1093/oxfordjournals.bja.a013366CrossRefPubMed Myles PS, Weitkamp B, Jones K, Melick J, Hensen S: Validity and relibility of a postoperative quality of recovery score: the QoR-40. Br J Anaesth 2000, 84: 11–15. 10.1093/oxfordjournals.bja.a013366CrossRefPubMed
2.
go back to reference Gornall B, Myles PS, Smith C, Burke JA, Leslie K, Pereira MJ, Bost JE, Kluivers KB, Idvall E, Tanaka Y, Forbes A: The measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth 2013, 111: 161–169. 10.1093/bja/aet014CrossRefPubMed Gornall B, Myles PS, Smith C, Burke JA, Leslie K, Pereira MJ, Bost JE, Kluivers KB, Idvall E, Tanaka Y, Forbes A: The measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth 2013, 111: 161–169. 10.1093/bja/aet014CrossRefPubMed
3.
go back to reference Myles PS, Viira D, Hunt JO: Quality of life at three years after cardiac surgery: relationship with preoperative status and qaulity of recovery. Anaesth Intensive Care 2006, 34: 176–183.PubMed Myles PS, Viira D, Hunt JO: Quality of life at three years after cardiac surgery: relationship with preoperative status and qaulity of recovery. Anaesth Intensive Care 2006, 34: 176–183.PubMed
4.
go back to reference Myles PS, Hunt JO, Fletcher H, Solly R, Woodward D, Kelly S: Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery. Anesthesiology 2001, 95: 862–867. 10.1097/00000542-200110000-00013CrossRefPubMed Myles PS, Hunt JO, Fletcher H, Solly R, Woodward D, Kelly S: Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery. Anesthesiology 2001, 95: 862–867. 10.1097/00000542-200110000-00013CrossRefPubMed
5.
go back to reference Leslie K, Troedel S, Irwin K, Pearce F, Ugoni A, Gillies R, Pemberton E, Dharmage S: Quality of recovery from anesthesia in neurosurgical patients. Anesthesiology 2003, 99: 1158–1165. 10.1097/00000542-200311000-00024CrossRefPubMed Leslie K, Troedel S, Irwin K, Pearce F, Ugoni A, Gillies R, Pemberton E, Dharmage S: Quality of recovery from anesthesia in neurosurgical patients. Anesthesiology 2003, 99: 1158–1165. 10.1097/00000542-200311000-00024CrossRefPubMed
6.
go back to reference Buchanan FF, Myles PS, Cicuttini F: Effect of patient on general anaesthesia and recovery. Br J Anaesth 2011, 106: 832–839. 10.1093/bja/aer094CrossRefPubMed Buchanan FF, Myles PS, Cicuttini F: Effect of patient on general anaesthesia and recovery. Br J Anaesth 2011, 106: 832–839. 10.1093/bja/aer094CrossRefPubMed
7.
go back to reference Bost JE, Williams BA, Bottegal MT, Dang Q, Rubio DM: The 8-item short-form health survey and the physical comfort composite score of the quality of recovery 40-item scale provide the most responsive assessments of pain, physical function, and mental function during the first 4 days after ambulatory knee surgery with regional anesthesia. Anesth Analg 2007, 105: 1693–1700. 10.1213/01.ane.0000287659.14893.65CrossRefPubMed Bost JE, Williams BA, Bottegal MT, Dang Q, Rubio DM: The 8-item short-form health survey and the physical comfort composite score of the quality of recovery 40-item scale provide the most responsive assessments of pain, physical function, and mental function during the first 4 days after ambulatory knee surgery with regional anesthesia. Anesth Analg 2007, 105: 1693–1700. 10.1213/01.ane.0000287659.14893.65CrossRefPubMed
8.
go back to reference Ridley SA, Chrispin PS, Scotton H, Rogers J, Lloyd D: Changes in quality of life after intensive care: comparison with normal data. Anaesthesia 1997, 52: 195–202. 10.1111/j.1365-2044.1997.073-az0068.xCrossRefPubMed Ridley SA, Chrispin PS, Scotton H, Rogers J, Lloyd D: Changes in quality of life after intensive care: comparison with normal data. Anaesthesia 1997, 52: 195–202. 10.1111/j.1365-2044.1997.073-az0068.xCrossRefPubMed
9.
go back to reference Hoffman SN, TenBrook JA, Wolf MP, Pauker SG, Salem DN, Wong JB: A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: one- to eight-year outcomes. J Am Coll Cardiol 2003, 41: 1293–1304. 10.1016/S0735-1097(03)00157-8CrossRefPubMed Hoffman SN, TenBrook JA, Wolf MP, Pauker SG, Salem DN, Wong JB: A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: one- to eight-year outcomes. J Am Coll Cardiol 2003, 41: 1293–1304. 10.1016/S0735-1097(03)00157-8CrossRefPubMed
10.
go back to reference Rumsfeld JS, Magid DJ, Plomondon ME, Sacks J, Henderson W, Hlatky M, Sethi G, Morrison DA: Veterans affairs angina with extremely serious operative mortality (AWESOME) ınvestigators: health-related quality of life after percutaneous coronary intervention versus coronary bypass surgery in high-risk patients with medically refractory ischemia. J Am Coll Cardiol 2003, 41: 1732–1738. 10.1016/S0735-1097(03)00330-9CrossRefPubMed Rumsfeld JS, Magid DJ, Plomondon ME, Sacks J, Henderson W, Hlatky M, Sethi G, Morrison DA: Veterans affairs angina with extremely serious operative mortality (AWESOME) ınvestigators: health-related quality of life after percutaneous coronary intervention versus coronary bypass surgery in high-risk patients with medically refractory ischemia. J Am Coll Cardiol 2003, 41: 1732–1738. 10.1016/S0735-1097(03)00330-9CrossRefPubMed
11.
go back to reference Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, Gandek B, Wagner A, Aaronson N, Bech P: Translating health status questionnaires and evaluating their quality: the IQOLA project approach: ınternational quality of life assessment. J Clin Epidemiol 1998, 51: 913–923. 10.1016/S0895-4356(98)00082-1CrossRefPubMed Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, Gandek B, Wagner A, Aaronson N, Bech P: Translating health status questionnaires and evaluating their quality: the IQOLA project approach: ınternational quality of life assessment. J Clin Epidemiol 1998, 51: 913–923. 10.1016/S0895-4356(98)00082-1CrossRefPubMed
12.
go back to reference Peterson RA: A meta-analysis of Cronbach’s coefficient alpha. J Consum Res 1994, 21: 381–391. 10.1086/209405CrossRef Peterson RA: A meta-analysis of Cronbach’s coefficient alpha. J Consum Res 1994, 21: 381–391. 10.1086/209405CrossRef
13.
go back to reference Katz JN, Larson MG, Philips CB, Fossel AH, Liang MH: Comparative measurement sensitivity of short and longer health status instruments. Med Care 1992, 30: 917–925. 10.1097/00005650-199210000-00004CrossRefPubMed Katz JN, Larson MG, Philips CB, Fossel AH, Liang MH: Comparative measurement sensitivity of short and longer health status instruments. Med Care 1992, 30: 917–925. 10.1097/00005650-199210000-00004CrossRefPubMed
14.
go back to reference Tanaka Y, Wakita T, Fukuhara S, Nishiwada M, Inoue S, Kawaguchi M, Furuya H: Validation of the Japanese version of the quality of racovery score QoR-40. J Anesth 2011, 25: 509–515. 10.1007/s00540-011-1151-2CrossRefPubMed Tanaka Y, Wakita T, Fukuhara S, Nishiwada M, Inoue S, Kawaguchi M, Furuya H: Validation of the Japanese version of the quality of racovery score QoR-40. J Anesth 2011, 25: 509–515. 10.1007/s00540-011-1151-2CrossRefPubMed
Metadata
Title
Validation of the Turkish version of the quality of recovery-40 questionnaire
Authors
Serkan Karaman
Semih Arici
Serkan Dogru
Tugba Karaman
Hakan Tapar
Ziya Kaya
Mustafa Suren
Mehtap Gurler Balta
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-12-8

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