Validation of a German translation of the CARE questionnaire and its implementation as electronic PROM to assess patient-reported postoperative convalescence and recovery after major urological surgery
Purpose To validate a German translation of the convalescence and recovery evaluation (CARE) as an electronic patientreported outcome measure (ePROM) and use it to assess recovery after major urological surgery. - Methods The CARE questionnaire was provided to patients scheduled for major urologic...
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| Hauptverfasser: | , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
8 May 2021
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| In: |
World journal of urology
Year: 2021, Jahrgang: 39, Heft: 10, Pages: 3979-3991 |
| ISSN: | 1433-8726 |
| DOI: | 10.1007/s00345-021-03713-6 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00345-021-03713-6 Verlag, kostenfrei, Volltext: https://link.springer.com/10.1007/s00345-021-03713-6 
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| Verfasserangaben: | Frederik Wessels, Maximilian Lenhart, Manuel Neuberger, Julia Mühlbauer, Johannes Huber, Johannes Breyer, Philipp Nuhn, Maurice S.Michel, Julian Koenig & Maximilian C.Kriegmair |
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| 245 | 1 | 0 | |a Validation of a German translation of the CARE questionnaire and its implementation as electronic PROM to assess patient-reported postoperative convalescence and recovery after major urological surgery |c Frederik Wessels, Maximilian Lenhart, Manuel Neuberger, Julia Mühlbauer, Johannes Huber, Johannes Breyer, Philipp Nuhn, Maurice S.Michel, Julian Koenig & Maximilian C.Kriegmair |
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| 520 | |a Purpose To validate a German translation of the convalescence and recovery evaluation (CARE) as an electronic patientreported outcome measure (ePROM) and use it to assess recovery after major urological surgery. - Methods The CARE questionnaire was provided to patients scheduled for major urological surgery preoperatively, at discharge and 6 weeks postoperatively, using an ePROM system. Cronbach’s alpha, inter-scale correlations and confirmatory factor analysis (CFA) were used to validate the translation. Mixed linear regression models were used to identify factors influencing CARE results, and a multivariable logistic regression analysis was done to determine the predictive value of CARE results on quality of life (QoL). - Results A total of 283 patients undergoing prostatectomy (n = 146, 51%), partial/radical nephrectomy (n = 70, 25%) or cystectomy (n = 67, 24%) responded to the survey. Internal consistency was high (α = 0.649-0.920) and the CFA showed a factor loading > 0.5 in 17/27 items. Significant main effects were found for the time of survey and type of surgery, while a time by type interaction was only found for the gastrointestinal subscale ( (24) = 30.37, p < 0.0001) and the total CARE score (TCS) ( (24) = 13.47, p = 0.009) for cystectomy patients, meaning a greater score decrease at discharge and lower level of recovery at follow-up. Complications demonstrated a significant negative effect on the TCS ( (22) = 8.61, p = 0.014). A high TCS at discharge was an independent predictor of a high QLQ-C30 QoL score at follow-up (OR = 5.26, 95%-CI 1.42-19.37, p = 0.013). - Conclusion This German translation of the CARE can serve as a valid ePROM to measure recovery and predict QoL after major urological surgery. | ||
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