The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties
Introduction Patients, clinicians and researchers seek an easy, reproducible and valid measure of postoperative recovery. The six-minute walk test (6MWT) is a low-cost measure of physical function, which is a relevant dimension of recovery. The aim of the present study was to contribute further evid...
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| Veröffentlicht in: | Surgical endoscopy 2016-06, Vol.30 (6), p.2199-2206 |
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| creator | Pecorelli, Nicolò Fiore, Julio F. Gillis, Chelsia Awasthi, Rashami Mappin-Kasirer, Benjamin Niculiseanu, Petru Fried, Gerald M. Carli, Francesco Feldman, Liane S. |
| description | Introduction
Patients, clinicians and researchers seek an easy, reproducible and valid measure of postoperative recovery. The six-minute walk test (6MWT) is a low-cost measure of physical function, which is a relevant dimension of recovery. The aim of the present study was to contribute further evidence for the validity of the 6MWT as a measure of postoperative recovery after colorectal surgery.
Methods
This study involved a sample of 174 patients enrolled in three previous randomized controlled trials. Construct validity was assessed by testing the hypotheses that the distance walked in 6 min (6MWD) at 4 weeks after surgery is greater (1) in younger versus older patients, (2) in patients with higher preoperative physical status versus lower, (3) after laparoscopic versus open surgery, (4) in patients without postoperative complications versus with postoperative complications; and that 6MWD (5) correlates cross-sectionally with self-reported physical activity as measured with a questionnaire (CHAMPS). Statistical analysis was performed using linear regression and Spearman’s correlation. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to guide the formulation of hypotheses and reporting of results.
Results
One hundred and fifty-one patients who completed the 6MWT at 4 weeks after surgery were included in the analysis. All hypotheses tested for construct validity were supported by the data. Older age, poorer physical status, open surgery and occurrence of postoperative complications were associated with clinically relevant reduction in 6MWD (>19 m). There was a moderate positive correlation between 6MWD and patient-reported physical activity (
r
= 0.46).
Conclusions
This study contributes further evidence for the construct validity of the 6MWT as a measure of postoperative recovery after colorectal surgery. Results from this study support the use of the 6MWT as an outcome measure in studies evaluating interventions aimed to improve postoperative recovery. |
| doi_str_mv | 10.1007/s00464-015-4478-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1793566503</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1793566503</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-eca94af6f58317be9fe3295312276448b5e55b67a8a4f81e704166d92753a2e03</originalsourceid><addsrcrecordid>eNp1kctO3TAQhi3UqhygD9BNZakbNqYeX5PuKlQuElI3sLZ8whhCk_jUdig8BO9cRweqComVrZlvvrH1E_IJ-BFwbr9mzpVRjINmStmGwQ5ZgZKCCQHNO7LireRM2Fbtkr2c73jFW9AfyK4wErgWzYo8Xd4izf0DG_tpLkj_-OEXLZgL9Zl6OqLPc0IaA93EXOIGky_9PdKEXbzH9Eh9KJhoF4dYS8UPtZPrpY_TNxrmVG5rFx981fuluJj6kl_EI06FbtLiLT3mA_I--CHjx-dzn1yd_Lg8PmMXP0_Pj79fsE7JpjDsfKt8MEE3Euwa24BStFqCENYo1aw1ar021jdehQbQcgXGXLfCaukFcrlPDrfeuvr3XH_rxj53OAx-wjhnB7aV2hjNZUW_vELv4pym-rqFEpYbA4sQtlSXYs4Jg9ukfvTp0QF3S1Zum5WrWbklKwd15vOzeV6PeP1v4iWcCogtkGtrusH03-o3rX8BsDGg8Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1792706610</pqid></control><display><type>article</type><title>The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Pecorelli, Nicolò ; Fiore, Julio F. ; Gillis, Chelsia ; Awasthi, Rashami ; Mappin-Kasirer, Benjamin ; Niculiseanu, Petru ; Fried, Gerald M. ; Carli, Francesco ; Feldman, Liane S.</creator><creatorcontrib>Pecorelli, Nicolò ; Fiore, Julio F. ; Gillis, Chelsia ; Awasthi, Rashami ; Mappin-Kasirer, Benjamin ; Niculiseanu, Petru ; Fried, Gerald M. ; Carli, Francesco ; Feldman, Liane S.</creatorcontrib><description>Introduction
Patients, clinicians and researchers seek an easy, reproducible and valid measure of postoperative recovery. The six-minute walk test (6MWT) is a low-cost measure of physical function, which is a relevant dimension of recovery. The aim of the present study was to contribute further evidence for the validity of the 6MWT as a measure of postoperative recovery after colorectal surgery.
Methods
This study involved a sample of 174 patients enrolled in three previous randomized controlled trials. Construct validity was assessed by testing the hypotheses that the distance walked in 6 min (6MWD) at 4 weeks after surgery is greater (1) in younger versus older patients, (2) in patients with higher preoperative physical status versus lower, (3) after laparoscopic versus open surgery, (4) in patients without postoperative complications versus with postoperative complications; and that 6MWD (5) correlates cross-sectionally with self-reported physical activity as measured with a questionnaire (CHAMPS). Statistical analysis was performed using linear regression and Spearman’s correlation. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to guide the formulation of hypotheses and reporting of results.
Results
One hundred and fifty-one patients who completed the 6MWT at 4 weeks after surgery were included in the analysis. All hypotheses tested for construct validity were supported by the data. Older age, poorer physical status, open surgery and occurrence of postoperative complications were associated with clinically relevant reduction in 6MWD (>19 m). There was a moderate positive correlation between 6MWD and patient-reported physical activity (
r
= 0.46).
Conclusions
This study contributes further evidence for the construct validity of the 6MWT as a measure of postoperative recovery after colorectal surgery. Results from this study support the use of the 6MWT as an outcome measure in studies evaluating interventions aimed to improve postoperative recovery.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-015-4478-1</identifier><identifier>PMID: 26310528</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Aged ; Clinical trials ; Colonic Diseases - physiopathology ; Colonic Diseases - surgery ; Colorectal surgery ; Colorectal Surgery - rehabilitation ; Exercise ; Female ; Gastroenterology ; Gynecology ; Health Status Indicators ; Hepatology ; Hospitals ; Humans ; Hypotheses ; Laparoscopy ; Laparoscopy - rehabilitation ; Male ; Medicine ; Medicine & Public Health ; Nutrition ; Outcome Assessment (Health Care) ; Patients ; Physical fitness ; Postoperative Complications - physiopathology ; Postoperative Complications - rehabilitation ; Postoperative Period ; Proctology ; Recovery (Medical) ; Reproducibility of Results ; Surgery ; Surveys and Questionnaires ; Validation studies ; Validity ; Walk Test ; Walking</subject><ispartof>Surgical endoscopy, 2016-06, Vol.30 (6), p.2199-2206</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>Springer Science+Business Media New York 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-eca94af6f58317be9fe3295312276448b5e55b67a8a4f81e704166d92753a2e03</citedby><cites>FETCH-LOGICAL-c438t-eca94af6f58317be9fe3295312276448b5e55b67a8a4f81e704166d92753a2e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-015-4478-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-015-4478-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26310528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pecorelli, Nicolò</creatorcontrib><creatorcontrib>Fiore, Julio F.</creatorcontrib><creatorcontrib>Gillis, Chelsia</creatorcontrib><creatorcontrib>Awasthi, Rashami</creatorcontrib><creatorcontrib>Mappin-Kasirer, Benjamin</creatorcontrib><creatorcontrib>Niculiseanu, Petru</creatorcontrib><creatorcontrib>Fried, Gerald M.</creatorcontrib><creatorcontrib>Carli, Francesco</creatorcontrib><creatorcontrib>Feldman, Liane S.</creatorcontrib><title>The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Introduction
Patients, clinicians and researchers seek an easy, reproducible and valid measure of postoperative recovery. The six-minute walk test (6MWT) is a low-cost measure of physical function, which is a relevant dimension of recovery. The aim of the present study was to contribute further evidence for the validity of the 6MWT as a measure of postoperative recovery after colorectal surgery.
Methods
This study involved a sample of 174 patients enrolled in three previous randomized controlled trials. Construct validity was assessed by testing the hypotheses that the distance walked in 6 min (6MWD) at 4 weeks after surgery is greater (1) in younger versus older patients, (2) in patients with higher preoperative physical status versus lower, (3) after laparoscopic versus open surgery, (4) in patients without postoperative complications versus with postoperative complications; and that 6MWD (5) correlates cross-sectionally with self-reported physical activity as measured with a questionnaire (CHAMPS). Statistical analysis was performed using linear regression and Spearman’s correlation. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to guide the formulation of hypotheses and reporting of results.
Results
One hundred and fifty-one patients who completed the 6MWT at 4 weeks after surgery were included in the analysis. All hypotheses tested for construct validity were supported by the data. Older age, poorer physical status, open surgery and occurrence of postoperative complications were associated with clinically relevant reduction in 6MWD (>19 m). There was a moderate positive correlation between 6MWD and patient-reported physical activity (
r
= 0.46).
Conclusions
This study contributes further evidence for the construct validity of the 6MWT as a measure of postoperative recovery after colorectal surgery. Results from this study support the use of the 6MWT as an outcome measure in studies evaluating interventions aimed to improve postoperative recovery.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Clinical trials</subject><subject>Colonic Diseases - physiopathology</subject><subject>Colonic Diseases - surgery</subject><subject>Colorectal surgery</subject><subject>Colorectal Surgery - rehabilitation</subject><subject>Exercise</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Health Status Indicators</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Laparoscopy</subject><subject>Laparoscopy - rehabilitation</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nutrition</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - rehabilitation</subject><subject>Postoperative Period</subject><subject>Proctology</subject><subject>Recovery (Medical)</subject><subject>Reproducibility of Results</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Validation studies</subject><subject>Validity</subject><subject>Walk Test</subject><subject>Walking</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctO3TAQhi3UqhygD9BNZakbNqYeX5PuKlQuElI3sLZ8whhCk_jUdig8BO9cRweqComVrZlvvrH1E_IJ-BFwbr9mzpVRjINmStmGwQ5ZgZKCCQHNO7LireRM2Fbtkr2c73jFW9AfyK4wErgWzYo8Xd4izf0DG_tpLkj_-OEXLZgL9Zl6OqLPc0IaA93EXOIGky_9PdKEXbzH9Eh9KJhoF4dYS8UPtZPrpY_TNxrmVG5rFx981fuluJj6kl_EI06FbtLiLT3mA_I--CHjx-dzn1yd_Lg8PmMXP0_Pj79fsE7JpjDsfKt8MEE3Euwa24BStFqCENYo1aw1ar021jdehQbQcgXGXLfCaukFcrlPDrfeuvr3XH_rxj53OAx-wjhnB7aV2hjNZUW_vELv4pym-rqFEpYbA4sQtlSXYs4Jg9ukfvTp0QF3S1Zum5WrWbklKwd15vOzeV6PeP1v4iWcCogtkGtrusH03-o3rX8BsDGg8Q</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Pecorelli, Nicolò</creator><creator>Fiore, Julio F.</creator><creator>Gillis, Chelsia</creator><creator>Awasthi, Rashami</creator><creator>Mappin-Kasirer, Benjamin</creator><creator>Niculiseanu, Petru</creator><creator>Fried, Gerald M.</creator><creator>Carli, Francesco</creator><creator>Feldman, Liane S.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160601</creationdate><title>The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties</title><author>Pecorelli, Nicolò ; Fiore, Julio F. ; Gillis, Chelsia ; Awasthi, Rashami ; Mappin-Kasirer, Benjamin ; Niculiseanu, Petru ; Fried, Gerald M. ; Carli, Francesco ; Feldman, Liane S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-eca94af6f58317be9fe3295312276448b5e55b67a8a4f81e704166d92753a2e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Clinical trials</topic><topic>Colonic Diseases - physiopathology</topic><topic>Colonic Diseases - surgery</topic><topic>Colorectal surgery</topic><topic>Colorectal Surgery - rehabilitation</topic><topic>Exercise</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Health Status Indicators</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Laparoscopy</topic><topic>Laparoscopy - rehabilitation</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nutrition</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - rehabilitation</topic><topic>Postoperative Period</topic><topic>Proctology</topic><topic>Recovery (Medical)</topic><topic>Reproducibility of Results</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Validation studies</topic><topic>Validity</topic><topic>Walk Test</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pecorelli, Nicolò</creatorcontrib><creatorcontrib>Fiore, Julio F.</creatorcontrib><creatorcontrib>Gillis, Chelsia</creatorcontrib><creatorcontrib>Awasthi, Rashami</creatorcontrib><creatorcontrib>Mappin-Kasirer, Benjamin</creatorcontrib><creatorcontrib>Niculiseanu, Petru</creatorcontrib><creatorcontrib>Fried, Gerald M.</creatorcontrib><creatorcontrib>Carli, Francesco</creatorcontrib><creatorcontrib>Feldman, Liane S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pecorelli, Nicolò</au><au>Fiore, Julio F.</au><au>Gillis, Chelsia</au><au>Awasthi, Rashami</au><au>Mappin-Kasirer, Benjamin</au><au>Niculiseanu, Petru</au><au>Fried, Gerald M.</au><au>Carli, Francesco</au><au>Feldman, Liane S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>30</volume><issue>6</issue><spage>2199</spage><epage>2206</epage><pages>2199-2206</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Introduction
Patients, clinicians and researchers seek an easy, reproducible and valid measure of postoperative recovery. The six-minute walk test (6MWT) is a low-cost measure of physical function, which is a relevant dimension of recovery. The aim of the present study was to contribute further evidence for the validity of the 6MWT as a measure of postoperative recovery after colorectal surgery.
Methods
This study involved a sample of 174 patients enrolled in three previous randomized controlled trials. Construct validity was assessed by testing the hypotheses that the distance walked in 6 min (6MWD) at 4 weeks after surgery is greater (1) in younger versus older patients, (2) in patients with higher preoperative physical status versus lower, (3) after laparoscopic versus open surgery, (4) in patients without postoperative complications versus with postoperative complications; and that 6MWD (5) correlates cross-sectionally with self-reported physical activity as measured with a questionnaire (CHAMPS). Statistical analysis was performed using linear regression and Spearman’s correlation. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to guide the formulation of hypotheses and reporting of results.
Results
One hundred and fifty-one patients who completed the 6MWT at 4 weeks after surgery were included in the analysis. All hypotheses tested for construct validity were supported by the data. Older age, poorer physical status, open surgery and occurrence of postoperative complications were associated with clinically relevant reduction in 6MWD (>19 m). There was a moderate positive correlation between 6MWD and patient-reported physical activity (
r
= 0.46).
Conclusions
This study contributes further evidence for the construct validity of the 6MWT as a measure of postoperative recovery after colorectal surgery. Results from this study support the use of the 6MWT as an outcome measure in studies evaluating interventions aimed to improve postoperative recovery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26310528</pmid><doi>10.1007/s00464-015-4478-1</doi><tpages>8</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2016-06, Vol.30 (6), p.2199-2206 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Aged Clinical trials Colonic Diseases - physiopathology Colonic Diseases - surgery Colorectal surgery Colorectal Surgery - rehabilitation Exercise Female Gastroenterology Gynecology Health Status Indicators Hepatology Hospitals Humans Hypotheses Laparoscopy Laparoscopy - rehabilitation Male Medicine Medicine & Public Health Nutrition Outcome Assessment (Health Care) Patients Physical fitness Postoperative Complications - physiopathology Postoperative Complications - rehabilitation Postoperative Period Proctology Recovery (Medical) Reproducibility of Results Surgery Surveys and Questionnaires Validation studies Validity Walk Test Walking |
| title | The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties |
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