Chinese adaptation and validation of the chronic rhinosinusitis‐patient‐reported outcome: Assessment of health‐related quality‐of‐life

Background The chronic rhinosinusitis patient‐reported outcome (CRS‐PRO) is a recently published disease‐specific questionnaire designed for CRS patients, with fewer entries and ease of completion. This study aimed to translate the CRS‐PRO questionnaire into Chinese and assess its reliability, valid...

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Veröffentlicht in:International forum of allergy & rhinology 2024-05, Vol.14 (5), p.950-960
Hauptverfasser: Chen, Jiani, Hu, Li, Zhang, Chen, Shi, Le, Zhang, Qianqian, Zhou, Yumin, Cheng, Fuying, Gao, Yingqi, Li, Houyong, Wang, Dehui, Wang, Huan, Sun, Xicai
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container_title International forum of allergy & rhinology
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creator Chen, Jiani
Hu, Li
Zhang, Chen
Shi, Le
Zhang, Qianqian
Zhou, Yumin
Cheng, Fuying
Gao, Yingqi
Li, Houyong
Wang, Dehui
Wang, Huan
Sun, Xicai
description Background The chronic rhinosinusitis patient‐reported outcome (CRS‐PRO) is a recently published disease‐specific questionnaire designed for CRS patients, with fewer entries and ease of completion. This study aimed to translate the CRS‐PRO questionnaire into Chinese and assess its reliability, validity, and responsiveness to provide Chinese patients with a more concise and efficient subjective assessment instrument. Methods The Chinese version of the CRS‐PRO was created through forward‐backward translations and cultural adaptation. Here, 168 CRS patients (118 patients CRS with nasal polyps [CRSwNP] and 50 patients with CRS without nasal polyps [CRSsNP]) and 43 healthy individuals were enrolled. All participants completed the CRS‐PRO, 22‐item Sinonasal Outcome Test (SNOT‐22), and EuroQol five dimensions questionnaire (EQ‐5D) questionnaires preoperatively as well as 3 and 6 months after surgery. Results The Chinese version of the CRS‐PRO demonstrated good internal consistency, with a Cronbach's α of 0.813. It also exhibited a higher criterion validity (r = 0.65, p 
doi_str_mv 10.1002/alr.23285
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This study aimed to translate the CRS‐PRO questionnaire into Chinese and assess its reliability, validity, and responsiveness to provide Chinese patients with a more concise and efficient subjective assessment instrument. Methods The Chinese version of the CRS‐PRO was created through forward‐backward translations and cultural adaptation. Here, 168 CRS patients (118 patients CRS with nasal polyps [CRSwNP] and 50 patients with CRS without nasal polyps [CRSsNP]) and 43 healthy individuals were enrolled. All participants completed the CRS‐PRO, 22‐item Sinonasal Outcome Test (SNOT‐22), and EuroQol five dimensions questionnaire (EQ‐5D) questionnaires preoperatively as well as 3 and 6 months after surgery. Results The Chinese version of the CRS‐PRO demonstrated good internal consistency, with a Cronbach's α of 0.813. It also exhibited a higher criterion validity (r = 0.65, p &lt; 0.05) than the SNOT‐22. A moderate association was found between the CRS‐PRO and objective indicators such as the Lund–Mackay and endoscopic scores. Furthermore, the CRS‐PRO, like the SNOT‐22, could clearly distinguish CRS patients from healthy subjects (p &lt; 0.01), as well as between the CRSwNP and CRSsNP subtypes (p &lt; 0.01). Additionally, changes in the CRS‐PRO exhibited a larger effect size compared to changes in the SNOT‐22 (Cohen's d = 1.05 and 0.93 vs. 0.71 and 0.90 for 3 and 6 months, respectively, all p &lt; 0.01). Conclusions The Chinese version of the CRS‐PRO is a concise, reliable, and responsive instrument that can be utilized as a novel subjective evaluation tool for future clinical practice.</description><identifier>ISSN: 2042-6976</identifier><identifier>EISSN: 2042-6984</identifier><identifier>DOI: 10.1002/alr.23285</identifier><identifier>PMID: 37823234</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adaptation ; Adult ; Aged ; China ; Chronic Disease ; Female ; Humans ; Male ; Middle Aged ; Nasal Polyps - diagnosis ; Patient Reported Outcome Measures ; Patients ; Polyps ; Quality of Life ; Questionnaires ; Reproducibility of Results ; Rhinosinusitis ; Rhinosinusitis - diagnosis ; Sino‐Nasal Outcome Test ; sinusitis ; Surveys and Questionnaires ; translations</subject><ispartof>International forum of allergy &amp; rhinology, 2024-05, Vol.14 (5), p.950-960</ispartof><rights>2023 ARS‐AAOA, LLC.</rights><rights>2024 ARS‐AAOA, LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3485-9e9396d1ee9c85d13cf3ace4e16a92e1c83a199a03b0d07702b0995dd06db73a3</cites><orcidid>0000-0003-0346-3193</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falr.23285$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falr.23285$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37823234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Jiani</creatorcontrib><creatorcontrib>Hu, Li</creatorcontrib><creatorcontrib>Zhang, Chen</creatorcontrib><creatorcontrib>Shi, Le</creatorcontrib><creatorcontrib>Zhang, Qianqian</creatorcontrib><creatorcontrib>Zhou, Yumin</creatorcontrib><creatorcontrib>Cheng, Fuying</creatorcontrib><creatorcontrib>Gao, Yingqi</creatorcontrib><creatorcontrib>Li, Houyong</creatorcontrib><creatorcontrib>Wang, Dehui</creatorcontrib><creatorcontrib>Wang, Huan</creatorcontrib><creatorcontrib>Sun, Xicai</creatorcontrib><title>Chinese adaptation and validation of the chronic rhinosinusitis‐patient‐reported outcome: Assessment of health‐related quality‐of‐life</title><title>International forum of allergy &amp; rhinology</title><addtitle>Int Forum Allergy Rhinol</addtitle><description>Background The chronic rhinosinusitis patient‐reported outcome (CRS‐PRO) is a recently published disease‐specific questionnaire designed for CRS patients, with fewer entries and ease of completion. This study aimed to translate the CRS‐PRO questionnaire into Chinese and assess its reliability, validity, and responsiveness to provide Chinese patients with a more concise and efficient subjective assessment instrument. Methods The Chinese version of the CRS‐PRO was created through forward‐backward translations and cultural adaptation. Here, 168 CRS patients (118 patients CRS with nasal polyps [CRSwNP] and 50 patients with CRS without nasal polyps [CRSsNP]) and 43 healthy individuals were enrolled. All participants completed the CRS‐PRO, 22‐item Sinonasal Outcome Test (SNOT‐22), and EuroQol five dimensions questionnaire (EQ‐5D) questionnaires preoperatively as well as 3 and 6 months after surgery. Results The Chinese version of the CRS‐PRO demonstrated good internal consistency, with a Cronbach's α of 0.813. It also exhibited a higher criterion validity (r = 0.65, p &lt; 0.05) than the SNOT‐22. A moderate association was found between the CRS‐PRO and objective indicators such as the Lund–Mackay and endoscopic scores. Furthermore, the CRS‐PRO, like the SNOT‐22, could clearly distinguish CRS patients from healthy subjects (p &lt; 0.01), as well as between the CRSwNP and CRSsNP subtypes (p &lt; 0.01). Additionally, changes in the CRS‐PRO exhibited a larger effect size compared to changes in the SNOT‐22 (Cohen's d = 1.05 and 0.93 vs. 0.71 and 0.90 for 3 and 6 months, respectively, all p &lt; 0.01). Conclusions The Chinese version of the CRS‐PRO is a concise, reliable, and responsive instrument that can be utilized as a novel subjective evaluation tool for future clinical practice.</description><subject>Adaptation</subject><subject>Adult</subject><subject>Aged</subject><subject>China</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Polyps - diagnosis</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Polyps</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Reproducibility of Results</subject><subject>Rhinosinusitis</subject><subject>Rhinosinusitis - diagnosis</subject><subject>Sino‐Nasal Outcome Test</subject><subject>sinusitis</subject><subject>Surveys and Questionnaires</subject><subject>translations</subject><issn>2042-6976</issn><issn>2042-6984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctq3DAUhkVJaEIyi75AMXSTLCbRzRd1NwzpBQYCIV0LjXSMFWTLkeSG2eUR8ox9kmriaRaFaCEdSd_5JPgR-kTwFcGYXisXriijTfkBnVLM6bISDT96q-vqBC1ifMB5lKQsSf0RnbC6yS2Mn6KXdWcHiFAoo8akkvVDoQZT_FbOmnnr2yJ1UOgu-MHqIuQGH-0wRZts_PP8MmYMhpSrAKMPCUzhp6R9D1-LVYwQY5-v95oOlEvdK-jUnnuc8jNpl098mydnWzhHx61yERaH9Qz9-nZzv_6x3Nx-_7lebZaa8aZcChBMVIYACN2UhjDdMqWBA6mUoEB0wxQRQmG2xQbXNaZbLERpDK7MtmaKnaGL2TsG_zhBTLK3UYNzagA_RUmbuqo45rjK6Jf_0Ac_hSH_TjLMuRCioXvqcqZ08DEGaOUYbK_CThIs90nJnJR8TSqznw_GaduDeSP_5ZKB6xl4sg5275vkanM3K_8CmiqklQ</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Chen, Jiani</creator><creator>Hu, Li</creator><creator>Zhang, Chen</creator><creator>Shi, Le</creator><creator>Zhang, Qianqian</creator><creator>Zhou, Yumin</creator><creator>Cheng, Fuying</creator><creator>Gao, Yingqi</creator><creator>Li, Houyong</creator><creator>Wang, Dehui</creator><creator>Wang, Huan</creator><creator>Sun, Xicai</creator><general>Wiley Subscription Services, Inc</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>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0346-3193</orcidid></search><sort><creationdate>202405</creationdate><title>Chinese adaptation and validation of the chronic rhinosinusitis‐patient‐reported outcome: Assessment of health‐related quality‐of‐life</title><author>Chen, Jiani ; Hu, Li ; Zhang, Chen ; Shi, Le ; Zhang, Qianqian ; Zhou, Yumin ; Cheng, Fuying ; Gao, Yingqi ; Li, Houyong ; Wang, Dehui ; Wang, Huan ; Sun, Xicai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3485-9e9396d1ee9c85d13cf3ace4e16a92e1c83a199a03b0d07702b0995dd06db73a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adaptation</topic><topic>Adult</topic><topic>Aged</topic><topic>China</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Polyps - diagnosis</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Polyps</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Reproducibility of Results</topic><topic>Rhinosinusitis</topic><topic>Rhinosinusitis - diagnosis</topic><topic>Sino‐Nasal Outcome Test</topic><topic>sinusitis</topic><topic>Surveys and Questionnaires</topic><topic>translations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Jiani</creatorcontrib><creatorcontrib>Hu, Li</creatorcontrib><creatorcontrib>Zhang, Chen</creatorcontrib><creatorcontrib>Shi, Le</creatorcontrib><creatorcontrib>Zhang, Qianqian</creatorcontrib><creatorcontrib>Zhou, Yumin</creatorcontrib><creatorcontrib>Cheng, Fuying</creatorcontrib><creatorcontrib>Gao, Yingqi</creatorcontrib><creatorcontrib>Li, Houyong</creatorcontrib><creatorcontrib>Wang, Dehui</creatorcontrib><creatorcontrib>Wang, Huan</creatorcontrib><creatorcontrib>Sun, Xicai</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 Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International forum of allergy &amp; rhinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Jiani</au><au>Hu, Li</au><au>Zhang, Chen</au><au>Shi, Le</au><au>Zhang, Qianqian</au><au>Zhou, Yumin</au><au>Cheng, Fuying</au><au>Gao, Yingqi</au><au>Li, Houyong</au><au>Wang, Dehui</au><au>Wang, Huan</au><au>Sun, Xicai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chinese adaptation and validation of the chronic rhinosinusitis‐patient‐reported outcome: Assessment of health‐related quality‐of‐life</atitle><jtitle>International forum of allergy &amp; rhinology</jtitle><addtitle>Int Forum Allergy Rhinol</addtitle><date>2024-05</date><risdate>2024</risdate><volume>14</volume><issue>5</issue><spage>950</spage><epage>960</epage><pages>950-960</pages><issn>2042-6976</issn><eissn>2042-6984</eissn><abstract>Background The chronic rhinosinusitis patient‐reported outcome (CRS‐PRO) is a recently published disease‐specific questionnaire designed for CRS patients, with fewer entries and ease of completion. This study aimed to translate the CRS‐PRO questionnaire into Chinese and assess its reliability, validity, and responsiveness to provide Chinese patients with a more concise and efficient subjective assessment instrument. Methods The Chinese version of the CRS‐PRO was created through forward‐backward translations and cultural adaptation. Here, 168 CRS patients (118 patients CRS with nasal polyps [CRSwNP] and 50 patients with CRS without nasal polyps [CRSsNP]) and 43 healthy individuals were enrolled. All participants completed the CRS‐PRO, 22‐item Sinonasal Outcome Test (SNOT‐22), and EuroQol five dimensions questionnaire (EQ‐5D) questionnaires preoperatively as well as 3 and 6 months after surgery. Results The Chinese version of the CRS‐PRO demonstrated good internal consistency, with a Cronbach's α of 0.813. It also exhibited a higher criterion validity (r = 0.65, p &lt; 0.05) than the SNOT‐22. A moderate association was found between the CRS‐PRO and objective indicators such as the Lund–Mackay and endoscopic scores. Furthermore, the CRS‐PRO, like the SNOT‐22, could clearly distinguish CRS patients from healthy subjects (p &lt; 0.01), as well as between the CRSwNP and CRSsNP subtypes (p &lt; 0.01). Additionally, changes in the CRS‐PRO exhibited a larger effect size compared to changes in the SNOT‐22 (Cohen's d = 1.05 and 0.93 vs. 0.71 and 0.90 for 3 and 6 months, respectively, all p &lt; 0.01). Conclusions The Chinese version of the CRS‐PRO is a concise, reliable, and responsive instrument that can be utilized as a novel subjective evaluation tool for future clinical practice.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37823234</pmid><doi>10.1002/alr.23285</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0346-3193</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adaptation
Adult
Aged
China
Chronic Disease
Female
Humans
Male
Middle Aged
Nasal Polyps - diagnosis
Patient Reported Outcome Measures
Patients
Polyps
Quality of Life
Questionnaires
Reproducibility of Results
Rhinosinusitis
Rhinosinusitis - diagnosis
Sino‐Nasal Outcome Test
sinusitis
Surveys and Questionnaires
translations
title Chinese adaptation and validation of the chronic rhinosinusitis‐patient‐reported outcome: Assessment of health‐related quality‐of‐life
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