Highlights
- •The patient perspective is increasingly important to improve the quality of recovery.
- •Patient-reported outcome measures provide their own health through questionnaires.
- •The QoR-15 questionnaire has been validated to several languages but not Spanish.
- •The QoR-15E questionnaire has similar characteristics to those of the original tool.
- •The QoR-15E questionnaire is valid and reliable for Spanish-speaking patients.
Abstract
Background
The postoperative QoR-15 questionnaire may improve the detection of postoperative
complications on an early basis and contribute to optimize treatment and recovery.
No validated Spanish QoR-15 questionnaire has been available to date.
Methods
The Spanish QoR-15 questionnaire (QoR-15E), carried out by official bilingual translators,
was administered to 242 adult patients undergoing elective surgery before and 24 h
after surgery. Patients were asked about their perceived quality of general recovery
using a visual analogue scale (VAS). A random subgroup of 36 patients completed a
third questionnaire 30–60 min after having completed the first one, and under the
same conditions.
Results
The Pearson correlation coefficient between QoR-15E and the VAS score was 0.759. Cronbach's alpha was 0.856 in the postoperative period. Reliability by the split-half
method was 0.781. Test-retest correlation coefficient was 0.998. Cohen's d was 0.94.
The mean time to complete the preoperative questionnaire was 2.9 ± 0.5 min.
Conclusions
The QoR-15E is valid and reliable for assessing postoperative quality of recovery
in Spanish-speaking patients, with psychometric and interpretative features similar
to those of the original instrument.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Consumption and social welfare. Surgical interventions performed in hospitals of the Spanish national health system.https://www.mscbs.gob.es/estadEstudios/sanidadDatos/tablas/tabla26.htmDate: 2020Date accessed: August 19, 2021
- Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort.Br J Anaesth. 2018; 120: 705-711https://doi.org/10.1016/j.bja.2017.12.037
- Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes.Am J Surg. 2016; 212: 151-159https://doi.org/10.1016/j.amjsurg.2015.03.023
- A clinical pathway in a post-anaesthesia care unit to reduce length of stay, mortality and unplanned intensive care unit admission.Eur J Anaesthesiol. 2011; 28: 859-866https://doi.org/10.1097/EJA.0b013e328347dff5
- Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: patient-centred outcomes.Br J Anaesth. 2019; 123: 664-670https://doi.org/10.1016/j.bja.2019.07.020
- Patient involvement in the development of patient-reported outcome measures: a scoping review.Health Expect. 2017; 20: 11-23https://doi.org/10.1111/hex.12442
- American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway [published correction appears in Anesth Analg. 2018 Nov;127(5):e95].Anesth Analg. 2018; 126 (1874-82)https://doi.org/10.1213/ANE.0000000000002758
- Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15.Anesthesiology. 2013; 118: 1332-1340https://doi.org/10.1097/ALN.0b013e318289b84b
- Translation and validation of the Danish version of the postoperative quality of recovery score QoR-15.Acta Anaesthesiol Scand. 2015; 59: 912-920https://doi.org/10.1111/aas.12525
- Quality of recovery after anesthesia: validation of the Portuguese version of the 'quality of recovery 15' questionnaire.Acta Med Port. 2015; 28: 567-574https://doi.org/10.20344/amp.6129
- Validation of the Chinese version of the quality of recovery-15 score and its comparison with the post-operative quality recovery scale.Patient. 2016; 9: 251-259https://doi.org/10.1007/s40271-015-0148-6
- Validation of the Swedish version of Quality of Recovery score -15: a multicentre, cohort study.Acta Anaesthesiol Scand. 2018; 62: 893-902https://doi.org/10.1111/aas.13086
- Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population.Br J Anaesth. 2020; 124: 761-767https://doi.org/10.1016/j.bja.2020.03.011
- Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline.J Eval Clin Pract. 2011; 17: 268-274https://doi.org/10.1111/j.1365-2753.2010.01434.x
- Evaluation of health interview surveys and health examination surveys in the European union.Eur J Publ Health. 2003; 13: 67-72https://doi.org/10.1093/eurpub/13.suppl_1.67
- Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation.Value Health. 2005; 8: 94-104https://doi.org/10.1111/j.1524-4733.2005.04054.x
- Routine preoperative tests for elective surgery (NICE Guideline 45).
- Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults.Anesth Analg. 1999; 88: 83-90https://doi.org/10.1097/00000539-199901000-00016
- How to design and validate A questionnaire: a guide.Curr Clin Pharmacol. 2018; 13: 210-215https://doi.org/10.2174/1574884713666180807151328
- Development and feasibility of a scale to assess postoperative recovery: the post-operative quality recovery scale.Anesthesiology. 2010; 113: 892-905https://doi.org/10.1097/ALN.0b013e3181d960a9
- Current concepts in validity and reliability for psychometric instruments: theory and application.Am J Med. 2006; 119 (166.e7-16)https://doi.org/10.1016/j.amjmed.2005.10.036
- Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.BMJ. 2007; 335: 806-808https://doi.org/10.1016/j.ijsu.2014.07.013
- Sex differences in speed of emergence and quality of recovery after anaesthesia: cohort study.Br Med J. 2001; 322: 710-711https://doi.org/10.1136/bmj.322.7288.710
- Effect of patient sex on general anaesthesia and recovery.Br J Anaesth. 2011; 106: 832-839https://doi.org/10.1093/bja/aer094
- Sex differences in pain: a brief review of clinical and experimental findings.Br J Anaesth. 2013; 111: 52-58https://doi.org/10.1093/bja/aet127
- A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers.Anesthesiology. 1999; 91: 693-700https://doi.org/10.1097/00000542-199909000-00022
- Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting [published correction appears in Anesth Analg. 2020;131(5):e241].Anesth Analg. 2020; 131: 411-448https://doi.org/10.1213/ANE.0000000000004833
- Measuring quality of recovery in perioperative clinical trials.Curr Opin Anaesthesiol. 2018; 31: 396-401https://doi.org/10.1097/ACO.0000000000000612
- Measurement of quality of recovery using the QoR-40: a quantitative systematic review.Br J Anaesth. 2013; 111: 161-169https://doi.org/10.1093/bja/aet014
- Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10,811 patients.Br J Anaesth. 2000; 84: 6-10https://doi.org/10.1093/oxfordjournals.bja.a013383
- Minimal clinically important difference for three quality of recovery scales.Anesthesiology. 2016; 125: 39-45https://doi.org/10.1097/ALN.0000000000001158
- Validity and reliability of a postoperative quality of recovery score: the QoR-40.Br J Anaesth. 2000; 84: 11-15https://doi.org/10.1093/oxfordjournals.bja.a013366
- Measuring quality of recovery-15 after day case surgery.Br J Anaesth. 2016; 116: 241-248https://doi.org/10.1093/bja/aev413
- Systematic review of the QoR-15 score, a patient- reported outcome measure measuring quality of recovery after surgery and anaesthesia.Br J Anaesth. 2018; 120: 28-36https://doi.org/10.1016/j.bja.2017.11.013
- El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos [The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments].Gac Sanit. 2005; 19: 135-150https://doi.org/10.1157/13074369
- Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery.Anesthesiology. 2001; 95: 862-867https://doi.org/10.1097/00000542-200110000-00013
- Methods and timing in the assessment of postoperative recovery: a scoping review.Br J Anaesth. 2022; 129: 92-103https://doi.org/10.1016/j.bja.2022.04.015
Article info
Publication history
Published online: November 16, 2022
Accepted:
November 10,
2022
Received in revised form:
November 8,
2022
Received:
September 23,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
