Clinimetric properties of 3 instruments measuring postoperative recovery in a gynecologic surgical population

Kirsten B. Kluivers; Jan C.M. Hendriks; Ben W.J. Mol; Marlies Y. Bongers; Mark E. Vierhout; Hans A.M. Brölmann; Henrica C.W. de Vet

doi:10.1016/j.surg.2008.03.027

Clinimetric properties of 3 instruments measuring postoperative recovery in a gynecologic surgical population

Kirsten B. Kluivers^*, Jan C.M. Hendriks, Ben W.J. Mol, Marlies Y. Bongers, Mark E. Vierhout, Hans A.M. Brölmann, Henrica C.W. de Vet

^*Corresponding author for this work

Applied Health Sciences

Research output: Contribution to journal › Article › peer-review

41 Citations (Scopus)

Abstract

Background: General, health-related quality-of-life questionnaires and recovery-specific questionnaires have been used to measure recovery in surgical patients. The aim of this study was to evaluate the clinimetric properties of 3 recovery instruments and to examine whether recovery-specific instruments are useful. Methods: The Quality of Recovery-40 (QoR-40), Recovery Index-10 (RI-10), and RAND-36 health survey were used to measure recovery in women undergoing different types of hysterectomy in the first 12 weeks after operation. Construct validity was assessed by testing predefined hypotheses. The changes observed during the postoperative period were used as indicators for responsiveness. Results: One hundred and sixty-one women were included. Response rate and internal consistency were found satisfactory. The highest number of hypotheses used for assessment of construct validity was confirmed in the RI-10. The RI-10 was more responsive compared with the QoR-40 and the RAND-36. Conclusions: Because construct validity and responsiveness were greatest in the RI-10, we conclude that this short recovery-specific instrument is useful in studies evaluating postoperative recovery. We recommend the use of the RI-10, unless the immediate postoperative days are of interest in which the QoR-40 was valid.

Original language	English
Pages (from-to)	12-21
Number of pages	10
Journal	Surgery
Volume	144
Issue number	1
DOIs	https://doi.org/10.1016/j.surg.2008.03.027
Publication status	Published - 1 Jul 2008

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10.1016/j.surg.2008.03.027

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title = "Clinimetric properties of 3 instruments measuring postoperative recovery in a gynecologic surgical population",

abstract = "Background: General, health-related quality-of-life questionnaires and recovery-specific questionnaires have been used to measure recovery in surgical patients. The aim of this study was to evaluate the clinimetric properties of 3 recovery instruments and to examine whether recovery-specific instruments are useful. Methods: The Quality of Recovery-40 (QoR-40), Recovery Index-10 (RI-10), and RAND-36 health survey were used to measure recovery in women undergoing different types of hysterectomy in the first 12 weeks after operation. Construct validity was assessed by testing predefined hypotheses. The changes observed during the postoperative period were used as indicators for responsiveness. Results: One hundred and sixty-one women were included. Response rate and internal consistency were found satisfactory. The highest number of hypotheses used for assessment of construct validity was confirmed in the RI-10. The RI-10 was more responsive compared with the QoR-40 and the RAND-36. Conclusions: Because construct validity and responsiveness were greatest in the RI-10, we conclude that this short recovery-specific instrument is useful in studies evaluating postoperative recovery. We recommend the use of the RI-10, unless the immediate postoperative days are of interest in which the QoR-40 was valid.",

author = "Kluivers, {Kirsten B.} and Hendriks, {Jan C.M.} and Mol, {Ben W.J.} and Bongers, {Marlies Y.} and Vierhout, {Mark E.} and Br{\"o}lmann, {Hans A.M.} and {de Vet}, {Henrica C.W.}",

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doi = "10.1016/j.surg.2008.03.027",

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AU - Kluivers, Kirsten B.

AU - Hendriks, Jan C.M.

AU - Mol, Ben W.J.

AU - Bongers, Marlies Y.

AU - Vierhout, Mark E.

AU - Brölmann, Hans A.M.

AU - de Vet, Henrica C.W.

PY - 2008/7/1

Y1 - 2008/7/1

N2 - Background: General, health-related quality-of-life questionnaires and recovery-specific questionnaires have been used to measure recovery in surgical patients. The aim of this study was to evaluate the clinimetric properties of 3 recovery instruments and to examine whether recovery-specific instruments are useful. Methods: The Quality of Recovery-40 (QoR-40), Recovery Index-10 (RI-10), and RAND-36 health survey were used to measure recovery in women undergoing different types of hysterectomy in the first 12 weeks after operation. Construct validity was assessed by testing predefined hypotheses. The changes observed during the postoperative period were used as indicators for responsiveness. Results: One hundred and sixty-one women were included. Response rate and internal consistency were found satisfactory. The highest number of hypotheses used for assessment of construct validity was confirmed in the RI-10. The RI-10 was more responsive compared with the QoR-40 and the RAND-36. Conclusions: Because construct validity and responsiveness were greatest in the RI-10, we conclude that this short recovery-specific instrument is useful in studies evaluating postoperative recovery. We recommend the use of the RI-10, unless the immediate postoperative days are of interest in which the QoR-40 was valid.

AB - Background: General, health-related quality-of-life questionnaires and recovery-specific questionnaires have been used to measure recovery in surgical patients. The aim of this study was to evaluate the clinimetric properties of 3 recovery instruments and to examine whether recovery-specific instruments are useful. Methods: The Quality of Recovery-40 (QoR-40), Recovery Index-10 (RI-10), and RAND-36 health survey were used to measure recovery in women undergoing different types of hysterectomy in the first 12 weeks after operation. Construct validity was assessed by testing predefined hypotheses. The changes observed during the postoperative period were used as indicators for responsiveness. Results: One hundred and sixty-one women were included. Response rate and internal consistency were found satisfactory. The highest number of hypotheses used for assessment of construct validity was confirmed in the RI-10. The RI-10 was more responsive compared with the QoR-40 and the RAND-36. Conclusions: Because construct validity and responsiveness were greatest in the RI-10, we conclude that this short recovery-specific instrument is useful in studies evaluating postoperative recovery. We recommend the use of the RI-10, unless the immediate postoperative days are of interest in which the QoR-40 was valid.

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JO - Surgery

JF - Surgery

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Clinimetric properties of 3 instruments measuring postoperative recovery in a gynecologic surgical population

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