Validation of the Japanese Version of the Low Anterior Resection Syndrome Score
Background The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanes...
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| Veröffentlicht in: | World journal of surgery 2018-08, Vol.42 (8), p.2660-2667 |
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| creator | Akizuki, Emi Matsuno, Hiroshi Satoyoshi, Tetsuta Ishii, Masayuki Usui, Akihiro Ueki, Tomomi Nishidate, Toshihiko Okita, Kenji Mizushima, Tsunekazu Mori, Masaki Takemasa, Ichiro |
| description | Background
The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score.
Methods
The LARS score was translated in Japanese following current international recommendations. A total of 149 rectal cancer patients completed the LARS score questionnaire and were also asked a single question assessing the impact of bowel function on quality of life (QoL). A total of 136 patients answered the LARS score questionnaire twice.
Results
The Japanese LARS score showed high convergent validity, based on its good correlation between the LARS score and QoL (
p
|
| doi_str_mv | 10.1007/s00268-018-4519-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6060820</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2003040737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5867-362d8f7a90aa5216877d292f748e1bbb8dc4bb1d1a90b2b306ddb375bfdfebf63</originalsourceid><addsrcrecordid>eNqFkc1O3DAUhS1UBFPaB2CDInXDJnBtJ7azqQSoFNBISJ2WLi07voGgTDzYmaJ5-3oa_qWKlS3f7xyd60PILoUDCiAPIwATKgeq8qKkVa42yIQWnOWMM_6BTICLIt0p3yYfY7wFoFKA2CLbrCpKEJWakMsr07XODK3vM99kww1mF2ZheoyYXWGIL96n_j476gcMrQ_ZjwTU_1SzVe-Cn2M2q33AT2SzMV3Ezw_nDvl1-u3nyVk-vfx-fnI0zetSCZlzwZxqpKnAmJJRoaR0rGKNLBRSa61ydWEtdTQRllkOwjnLZWkb16BtBN8hX0ffxdLO0dXYD8F0ehHauQkr7U2rX0_69kZf-z86fQAoBslg_8Eg-LslxkHP21hj16Xd_TJqBsChAMllQr-8QW_9MvRpvTXFuGSUF4miI1UHH2PA5ikMBb2uS4916VSXXtelVdLsvdziSfHYTwKqEbhvO1y976h_X8yOT0FVsI7NRm1Msv4aw3Ps_yf6CzEjsZE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2002372134</pqid></control><display><type>article</type><title>Validation of the Japanese Version of the Low Anterior Resection Syndrome Score</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Springer Nature - Complete Springer Journals</source><creator>Akizuki, Emi ; Matsuno, Hiroshi ; Satoyoshi, Tetsuta ; Ishii, Masayuki ; Usui, Akihiro ; Ueki, Tomomi ; Nishidate, Toshihiko ; Okita, Kenji ; Mizushima, Tsunekazu ; Mori, Masaki ; Takemasa, Ichiro</creator><creatorcontrib>Akizuki, Emi ; Matsuno, Hiroshi ; Satoyoshi, Tetsuta ; Ishii, Masayuki ; Usui, Akihiro ; Ueki, Tomomi ; Nishidate, Toshihiko ; Okita, Kenji ; Mizushima, Tsunekazu ; Mori, Masaki ; Takemasa, Ichiro</creatorcontrib><description>Background
The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score.
Methods
The LARS score was translated in Japanese following current international recommendations. A total of 149 rectal cancer patients completed the LARS score questionnaire and were also asked a single question assessing the impact of bowel function on quality of life (QoL). A total of 136 patients answered the LARS score questionnaire twice.
Results
The Japanese LARS score showed high convergent validity, based on its good correlation between the LARS score and QoL (
p
< 0.001). The LARS score was able to discriminate between patients according to the tumor distance to anal verge (
p
< 0.001), type of surgery (
p
< 0.001), and time since surgery (
p
= 0.001). Patients after ultra-low anterior resection and intersphincteric resection showed especially high scores. The score also had high test–retest reliability (intraclass correlation coefficient: 0.87).
Conclusion
The Japanese LARS score is a valid and reliable tool for measuring LARS. The LARS score is appropriate for assessments in postoperative bowel function and international comparison. Using this score, patient-reported outcome measures of LARS in Japanese patients can be shared internationally. Additional validation reports from non-English speaking countries can support the LARS score as a worldwide assessment tool for postoperative bowel dysfunction.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-018-4519-8</identifier><identifier>PMID: 29450698</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Cancer ; Cardiac Surgery ; Colorectal cancer ; Correlation coefficient ; Correlation coefficients ; Defecation - physiology ; Digestive System Surgical Procedures ; Female ; General Surgery ; Humans ; Intestine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Scientific Report ; Patient Outcome Assessment ; Patients ; Quality of Life ; Rectal Neoplasms - physiopathology ; Rectal Neoplasms - psychology ; Rectal Neoplasms - surgery ; Rectum ; Rectum - surgery ; Reliability ; Reproducibility of Results ; Severity of Illness Index ; Surgery ; Surveys and Questionnaires ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2018-08, Vol.42 (8), p.2660-2667</ispartof><rights>The Author(s) 2018</rights><rights>2018 The Author(s)</rights><rights>World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5867-362d8f7a90aa5216877d292f748e1bbb8dc4bb1d1a90b2b306ddb375bfdfebf63</citedby><cites>FETCH-LOGICAL-c5867-362d8f7a90aa5216877d292f748e1bbb8dc4bb1d1a90b2b306ddb375bfdfebf63</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/s00268-018-4519-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-018-4519-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,41467,42536,45553,45554,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29450698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akizuki, Emi</creatorcontrib><creatorcontrib>Matsuno, Hiroshi</creatorcontrib><creatorcontrib>Satoyoshi, Tetsuta</creatorcontrib><creatorcontrib>Ishii, Masayuki</creatorcontrib><creatorcontrib>Usui, Akihiro</creatorcontrib><creatorcontrib>Ueki, Tomomi</creatorcontrib><creatorcontrib>Nishidate, Toshihiko</creatorcontrib><creatorcontrib>Okita, Kenji</creatorcontrib><creatorcontrib>Mizushima, Tsunekazu</creatorcontrib><creatorcontrib>Mori, Masaki</creatorcontrib><creatorcontrib>Takemasa, Ichiro</creatorcontrib><title>Validation of the Japanese Version of the Low Anterior Resection Syndrome Score</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score.
Methods
The LARS score was translated in Japanese following current international recommendations. A total of 149 rectal cancer patients completed the LARS score questionnaire and were also asked a single question assessing the impact of bowel function on quality of life (QoL). A total of 136 patients answered the LARS score questionnaire twice.
Results
The Japanese LARS score showed high convergent validity, based on its good correlation between the LARS score and QoL (
p
< 0.001). The LARS score was able to discriminate between patients according to the tumor distance to anal verge (
p
< 0.001), type of surgery (
p
< 0.001), and time since surgery (
p
= 0.001). Patients after ultra-low anterior resection and intersphincteric resection showed especially high scores. The score also had high test–retest reliability (intraclass correlation coefficient: 0.87).
Conclusion
The Japanese LARS score is a valid and reliable tool for measuring LARS. The LARS score is appropriate for assessments in postoperative bowel function and international comparison. Using this score, patient-reported outcome measures of LARS in Japanese patients can be shared internationally. Additional validation reports from non-English speaking countries can support the LARS score as a worldwide assessment tool for postoperative bowel dysfunction.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Cardiac Surgery</subject><subject>Colorectal cancer</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Defecation - physiology</subject><subject>Digestive System Surgical Procedures</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Intestine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Scientific Report</subject><subject>Patient Outcome Assessment</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Rectal Neoplasms - physiopathology</subject><subject>Rectal Neoplasms - psychology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Rectum</subject><subject>Rectum - surgery</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1O3DAUhS1UBFPaB2CDInXDJnBtJ7azqQSoFNBISJ2WLi07voGgTDzYmaJ5-3oa_qWKlS3f7xyd60PILoUDCiAPIwATKgeq8qKkVa42yIQWnOWMM_6BTICLIt0p3yYfY7wFoFKA2CLbrCpKEJWakMsr07XODK3vM99kww1mF2ZheoyYXWGIL96n_j476gcMrQ_ZjwTU_1SzVe-Cn2M2q33AT2SzMV3Ezw_nDvl1-u3nyVk-vfx-fnI0zetSCZlzwZxqpKnAmJJRoaR0rGKNLBRSa61ydWEtdTQRllkOwjnLZWkb16BtBN8hX0ffxdLO0dXYD8F0ehHauQkr7U2rX0_69kZf-z86fQAoBslg_8Eg-LslxkHP21hj16Xd_TJqBsChAMllQr-8QW_9MvRpvTXFuGSUF4miI1UHH2PA5ikMBb2uS4916VSXXtelVdLsvdziSfHYTwKqEbhvO1y976h_X8yOT0FVsI7NRm1Msv4aw3Ps_yf6CzEjsZE</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Akizuki, Emi</creator><creator>Matsuno, Hiroshi</creator><creator>Satoyoshi, Tetsuta</creator><creator>Ishii, Masayuki</creator><creator>Usui, Akihiro</creator><creator>Ueki, Tomomi</creator><creator>Nishidate, Toshihiko</creator><creator>Okita, Kenji</creator><creator>Mizushima, Tsunekazu</creator><creator>Mori, Masaki</creator><creator>Takemasa, Ichiro</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>24P</scope><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>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201808</creationdate><title>Validation of the Japanese Version of the Low Anterior Resection Syndrome Score</title><author>Akizuki, Emi ; Matsuno, Hiroshi ; Satoyoshi, Tetsuta ; Ishii, Masayuki ; Usui, Akihiro ; Ueki, Tomomi ; Nishidate, Toshihiko ; Okita, Kenji ; Mizushima, Tsunekazu ; Mori, Masaki ; Takemasa, Ichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5867-362d8f7a90aa5216877d292f748e1bbb8dc4bb1d1a90b2b306ddb375bfdfebf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Cancer</topic><topic>Cardiac Surgery</topic><topic>Colorectal cancer</topic><topic>Correlation coefficient</topic><topic>Correlation coefficients</topic><topic>Defecation - physiology</topic><topic>Digestive System Surgical Procedures</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Intestine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Scientific Report</topic><topic>Patient Outcome Assessment</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Rectal Neoplasms - physiopathology</topic><topic>Rectal Neoplasms - psychology</topic><topic>Rectal Neoplasms - surgery</topic><topic>Rectum</topic><topic>Rectum - surgery</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akizuki, Emi</creatorcontrib><creatorcontrib>Matsuno, Hiroshi</creatorcontrib><creatorcontrib>Satoyoshi, Tetsuta</creatorcontrib><creatorcontrib>Ishii, Masayuki</creatorcontrib><creatorcontrib>Usui, Akihiro</creatorcontrib><creatorcontrib>Ueki, Tomomi</creatorcontrib><creatorcontrib>Nishidate, Toshihiko</creatorcontrib><creatorcontrib>Okita, Kenji</creatorcontrib><creatorcontrib>Mizushima, Tsunekazu</creatorcontrib><creatorcontrib>Mori, Masaki</creatorcontrib><creatorcontrib>Takemasa, Ichiro</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Wiley Online Library Open Access</collection><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>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</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>Technology Research Database</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>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akizuki, Emi</au><au>Matsuno, Hiroshi</au><au>Satoyoshi, Tetsuta</au><au>Ishii, Masayuki</au><au>Usui, Akihiro</au><au>Ueki, Tomomi</au><au>Nishidate, Toshihiko</au><au>Okita, Kenji</au><au>Mizushima, Tsunekazu</au><au>Mori, Masaki</au><au>Takemasa, Ichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of the Japanese Version of the Low Anterior Resection Syndrome Score</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2018-08</date><risdate>2018</risdate><volume>42</volume><issue>8</issue><spage>2660</spage><epage>2667</epage><pages>2660-2667</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score.
Methods
The LARS score was translated in Japanese following current international recommendations. A total of 149 rectal cancer patients completed the LARS score questionnaire and were also asked a single question assessing the impact of bowel function on quality of life (QoL). A total of 136 patients answered the LARS score questionnaire twice.
Results
The Japanese LARS score showed high convergent validity, based on its good correlation between the LARS score and QoL (
p
< 0.001). The LARS score was able to discriminate between patients according to the tumor distance to anal verge (
p
< 0.001), type of surgery (
p
< 0.001), and time since surgery (
p
= 0.001). Patients after ultra-low anterior resection and intersphincteric resection showed especially high scores. The score also had high test–retest reliability (intraclass correlation coefficient: 0.87).
Conclusion
The Japanese LARS score is a valid and reliable tool for measuring LARS. The LARS score is appropriate for assessments in postoperative bowel function and international comparison. Using this score, patient-reported outcome measures of LARS in Japanese patients can be shared internationally. Additional validation reports from non-English speaking countries can support the LARS score as a worldwide assessment tool for postoperative bowel dysfunction.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29450698</pmid><doi>10.1007/s00268-018-4519-8</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | World journal of surgery, 2018-08, Vol.42 (8), p.2660-2667 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Aged Cancer Cardiac Surgery Colorectal cancer Correlation coefficient Correlation coefficients Defecation - physiology Digestive System Surgical Procedures Female General Surgery Humans Intestine Male Medicine Medicine & Public Health Middle Aged Original Scientific Report Patient Outcome Assessment Patients Quality of Life Rectal Neoplasms - physiopathology Rectal Neoplasms - psychology Rectal Neoplasms - surgery Rectum Rectum - surgery Reliability Reproducibility of Results Severity of Illness Index Surgery Surveys and Questionnaires Thoracic Surgery Vascular Surgery |
| title | Validation of the Japanese Version of the Low Anterior Resection Syndrome Score |
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