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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2015

01-12-2015 | Gastrointestinal Oncology

Development and Validation of a Disease-Specific Instrument to Measure Diet-Targeted Quality of Life for Postoperative Patients with Esophagogastric Cancer

Authors: Michitaka Honda, MD, Takafumi Wakita, PhD, Yoshihiro Onishi, PhD, Souya Nunobe, MD, Akinori Miura, MD, Tatsuto Nishigori, MD, Hiroshi Kusanagi, MD, Takatsugu Yamamoto, MD, Alexander Boddy, MD, Shunichi Fukuhara, MD

Published in: Annals of Surgical Oncology | Special Issue 3/2015

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Abstract

Background

Patients who have undergone esophagectomy or gastrectomy have certain dietary limitations because of changes to the alimentary tract. This study attempted to develop a psychometric scale, named “Esophago-Gastric surgery and Quality of Dietary life (EGQ-D),” for assessment of impact of upper gastrointestinal surgery on diet-targeted quality of life.

Methods

Using qualitative methods, the study team interviewed both patients and surgeons involved in esophagogastric cancer surgery, and we prepared an item pool and a draft scale. To evaluate the scale’s psychometric reliability and validity, a survey involving a large number of patients was conducted. Items for the final scale were selected by factor analysis and item response theory. Cronbach’s alpha was used for assessment of reliability, and correlations with the short form (SF)-12, esophagus and stomach surgery symptom scale (ES4), and nutritional indicators were analyzed to assess the criterion-related validity.

Results

Through multifaceted discussion and the pilot study, a draft questionnaire comprising 14 items was prepared, and a total of 316 patients were enrolled. On the basis of factor analysis and item response theory, six items were excluded, and the remaining eight items demonstrated strong unidimensionality for the final scale. Cronbach’s alpha was 0.895. There were significant associations with all the subscale scores for SF-12, ES4, and nutritional indicators.

Conclusions

The EGQ-D scale has good contents and psychometric validity and can be used to evaluate disease-specific instrument to measure diet-targeted quality of life for postoperative patients with esophagogastric cancer.
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Metadata
Title
Development and Validation of a Disease-Specific Instrument to Measure Diet-Targeted Quality of Life for Postoperative Patients with Esophagogastric Cancer
Authors
Michitaka Honda, MD
Takafumi Wakita, PhD
Yoshihiro Onishi, PhD
Souya Nunobe, MD
Akinori Miura, MD
Tatsuto Nishigori, MD
Hiroshi Kusanagi, MD
Takatsugu Yamamoto, MD
Alexander Boddy, MD
Shunichi Fukuhara, MD
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2015
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-015-4696-8

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