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Janke TM, Kozon V, Valiukeviciene S, Rackauskaite L, Reich A, Stępień K, Chernyshov P, Jankechova M, van Montfrans C, Amesz S, Barysch M, Conde Montero E, Augustin M, Blome C, Braren-von Stülpnagel CC. Assessing health-related quality of life using the Wound-QoL-17 and the Wound-QoL-14-Results of the cross-sectional European HAQOL study using item response theory. Int Wound J 2024; 21:e70009. [PMID: 39099173 DOI: 10.1111/iwj.70009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 07/10/2024] [Accepted: 07/10/2024] [Indexed: 08/06/2024] Open
Abstract
For assessing health-related quality of life in patients with chronic wounds, the Wound-QoL questionnaire has been developed. Two different versions exist: the Wound-QoL-17 and the Wound-QoL-14. For international and cross-cultural comparisons, it is necessary to demonstrate psychometric properties in an international study. Therefore, the aim of this study was to test both questionnaires in a European sample, using item response theory (IRT). Participants were recruited in eight European countries. Item characteristic curves (ICC), item information curves (IIC) and differential item functioning (DIF) were calculated. In both questionnaires, ICCs for most items were well-ordered and sufficiently distinct. For items, in which adjacent response categories were not sufficiently distinct, response options were merged. IICs showed that items on sleep and on pain, on worries as well as on day-to-day and leisure activities had considerably high informational value. In the Wound-QoL-14, the item on social activities showed DIFs regarding the country and age. The same applied for the Wound-QoL-17, in which also the item on stairs showed DIFs regarding age. Our study showed comparable results across both versions of the Wound-QoL. We established a new scoring method, which could be applied in international research projects. For clinical practice, the original scoring can be maintained.
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Affiliation(s)
- Toni Maria Janke
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Vlastimil Kozon
- Society Wound Diagnosis and Wound Management Austria, Vienna Medical Academy, Vienna, Austria
| | - Skaidra Valiukeviciene
- Department of Dermatology and Venereology, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, Kaunas, Lithuania
| | - Laura Rackauskaite
- Department of Dermatology and Venereology, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, Kaunas, Lithuania
| | - Adam Reich
- Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Katarzyna Stępień
- Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Pavel Chernyshov
- Department of Dermatology and Venereology, Bogomolets National Medical University, Kiev, Ukraine
| | - Monika Jankechova
- Faculty of Health and Social Work St. Ladislaw in Nove Zamky, St. Elizabeth University of Health and Social Work, Bratislava, Slovakia
| | - Catherine van Montfrans
- Department of Dermatology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Stella Amesz
- Department of Health Sciences, Section of Nursing Science, University Medical Center Groningen, Groningen, The Netherlands
| | - Marjam Barysch
- Department of Dermatology, University Hospital Zurich, Zurich, Switzerland
| | | | - Matthias Augustin
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Christine Blome
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Catharina C Braren-von Stülpnagel
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
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Janke TM, Kozon V, Valiukeviciene S, Rackauskaite L, Reich A, Stępień K, Chernyshov P, Jankechová M, van Montfrans C, Amesz S, Barysch M, Montero EC, Augustin M, Blome C. Validation of the Wound-QoL-17 and the Wound-QoL-14 in a European sample of 305 patients with chronic wounds. Int Wound J 2023; 21:e14505. [PMID: 38049311 PMCID: PMC10898406 DOI: 10.1111/iwj.14505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 11/08/2023] [Indexed: 12/06/2023] Open
Abstract
The Wound-QoL assesses the impact of chronic wounds on patients' health-related quality of life (HRQoL). A 17-item and a shortened 14-item version are available. The Wound-QoL-17 has been validated for multiple languages. For the Wound-QoL-14, psychometric properties beyond internal consistency were lacking. We aimed to validate both Wound-QoL versions for international samples representing a broad range of European countries, including countries for which validation data had yet been pending. Patients with chronic wounds of any aetiology or location were recruited in Austria, Lithuania, the Netherlands, Poland, Slovakia, Spain, Switzerland and Ukraine. Psychometric properties were determined for both Wound-QoL versions for the overall sample and, if feasible, country-wise. We included 305 patients (age 68.5 years; 52.8% males). Internal consistency was high in both Wound-QoL-17 (Cronbach's α: 0.820-0.933) and Wound-QoL-14 (0.779-0.925). Test-retest reliability was moderate to good (intraclass correlation coefficient: 0.618-0.808). For Wound-QoL-17 and Wound-QoL-14, convergent validity analyses showed highest correlations with global HRQoL rating (r = 0.765; r = 0.751) and DLQI total score (r = 0.684; r = 0.681). Regarding clinical data, correlations were largest with odour (r = -0.371; r = -0.388) and wound size (r = 0.381; r = 0.383). Country-wise results were similar. Both Wound-QoL versions are valid to assess HRQoL of patients with chronic wounds. Due to its psychometric properties and brevity, the Wound-QoL-14 might be preferrable in clinical practice where time is rare. The availability of various language versions allows for the use of this questionnaire in international studies and in clinical practice when foreign language patients are being treated.
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Affiliation(s)
- Toni Maria Janke
- Institute for Health Services Research in Dermatology and Nursing (IVDP)University Medical Center Hamburg‐Eppendorf (UKE)HamburgGermany
| | - Vlastimil Kozon
- Society Wound Diagnosis and Wound Management AustriaVienna Medical AcademyViennaAustria
| | - Skaidra Valiukeviciene
- Department of Dermatology and VenereologyHospital of Lithuanian University of Health Sciences Kauno KlinikosKaunasLithuania
| | - Laura Rackauskaite
- Department of Dermatology and VenereologyHospital of Lithuanian University of Health Sciences Kauno KlinikosKaunasLithuania
| | - Adam Reich
- Department of Dermatology, Institute of Medical SciencesMedical College of Rzeszów UniversityRzeszówPoland
| | - Katarzyna Stępień
- Department of Dermatology, Institute of Medical SciencesMedical College of Rzeszów UniversityRzeszówPoland
| | - Pavel Chernyshov
- Department of Dermatology and VenereologyBogomolets National Medical UniversityKievUkraine
| | - Monika Jankechová
- Faculty of Health and Social Work St. Ladislaw in Nove ZamkySt. Elizabeth University of Health and Social WorkBratislavaSlovakia
| | - Catherine van Montfrans
- Department of DermatologyErasmus University Medical Center RotterdamRotterdamThe Netherlands
| | - Stella Amesz
- Department of Health Sciences, Section of Nursing ScienceUniversity Medical Center GroningenGroningenThe Netherlands
| | - Marjam Barysch
- Department of DermatologyUniversity Hospital ZurichZurichSwitzerland
| | | | - Matthias Augustin
- Institute for Health Services Research in Dermatology and Nursing (IVDP)University Medical Center Hamburg‐Eppendorf (UKE)HamburgGermany
| | - Christine Blome
- Institute for Health Services Research in Dermatology and Nursing (IVDP)University Medical Center Hamburg‐Eppendorf (UKE)HamburgGermany
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Wei M, Yang Q, Ji H, Yu X, Qiu Y, Ji Y, Yang D. Psychometric evaluation of the
Wound‐QoL
questionnaire to assess health‐related quality of life in Chinese people with chronic wounds. Int Wound J 2022. [DOI: 10.1111/iwj.14050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 11/26/2022] [Accepted: 12/04/2022] [Indexed: 12/23/2022] Open
Affiliation(s)
- Min Wei
- Wound Care Center, Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School Nanjing Jiangsu People's Republic of China
| | - Qian Yang
- Department of Respiratory, Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School Nanjing Jiangsu People's Republic of China
| | - Huiming Ji
- Wound Care Center The 904 Hospital of Joint Logistic Support Force of People's Liberation Army Nanjing People's Republic of China
| | - Xiujuan Yu
- Wound Care Center The second hospital of Lianyungang LianYunGang Jiangsu People's Republic of China
| | - Yansen Qiu
- Wound Care Center, Nanjing Tongren Hospital, School of Medicine Southeast University Nanjing Jiangsu People's Republic of China
| | - Yihong Ji
- Wound Care Center ChangShu No.1 People's Hospital ChangShu Jiangsu People's Republic of China
| | - Dongliang Yang
- Public Curriculum Teaching Department, Cangzhou Medical College Cangzhou Hebei People's Republic of China
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Moeini S, Gottlieb H, Jørgensen TS, Aagaard TV, Kornø MR, Larsen MRB, Brorson S. Inforatio technique to promote wound healing of diabetic foot ulcers: study protocol for a parallel-group, evaluator-blinded, randomised clinical trial. BMJ Open 2022; 12:e062344. [PMID: 36123051 PMCID: PMC9486287 DOI: 10.1136/bmjopen-2022-062344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Diabetic foot ulcers (DFUs) are associated with extensive consequences for the affected patients and treatment of these hard-to-heal ulcers is known for being challenging. New treatment methods to supplement the current standard care may improve the prognosis for these patients.A preceding feasibility trial with promising results, facilitated this trial that aims to study the effect of a novel simple treatment, called inforatio technique, which may promote healing of DFUs. The inforatio technique is a minimally invasive procedure where small cuts are made on wound beds with punch biopsy tools. METHODS AND ANALYSIS This multicentre randomised clinical trial will be conducted at outpatient clinics at Zealand University Hospital, Herlev University Hospital, Slagelse Hospital and Nykoebing Falster Hospital. 100 participants will be included and randomised in a 1:1 ratio to either a control group that receives usual care or an intervention group that receives both usual care and the inforatio technique.The primary outcome is complete healing evaluated on digital images by blinded observers. It is not possible to blind participants or the outpatient clinic staff because the inforatio technique is visible in wound beds after application. Change in EQ-5D-5L (EuroQoL-5 Dimension- 5 Level) Visual Analogue Scale Score and Wound-QoL Global Score from baseline to end of follow-up are secondary outcomes. ETHICS AND DISSEMINATION Ethics approval has been granted by the Danish National Committee on Health Research Ethics on 15 December 2021 (approval ID: SJ-904). Trial results are planned to be published in a high-impact peer-reviewed journal. TRIAL REGISTRATION NUMBER NCT05189470.
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Affiliation(s)
- Sahar Moeini
- Department of Orthopaedic Surgery, Zealand University Hospital Koge, Koge, Denmark
| | - Hans Gottlieb
- Department of Orthopaedic Surgery, Herlev Hospital, Herlev, Denmark
| | | | - Thomas Vedste Aagaard
- Department of Physical and Occupational Therapy, Holbaek Hospital, Holbaek, Denmark
- Department of Orthopaedic Surgery, Holbaek Hospital, Holbaek, Denmark
| | - Maj Raundrup Kornø
- Department of Orthopaedic Surgery, Nykoebing Falster Hospital, Nykoebing, Denmark
| | | | - Stig Brorson
- Department of Orthopaedic Surgery, Zealand University Hospital Koge, Koge, Denmark
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Romero-Collado À, Hernández-Martínez-Esparza E, Zabaleta-Del-Olmo E, Urpí-Fernández AM, Santesmases-Masana R. Patient-Reported Outcome Measures of Quality of Life in People Affected by Diabetic Foot: A Psychometric Systematic Review. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2022; 25:1602-1618. [PMID: 35659485 DOI: 10.1016/j.jval.2022.04.1737] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 03/10/2022] [Accepted: 04/19/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES This psychometric systematic review aimed to identify the most suitable patient-reported outcome measures (PROMs) of quality of life (QoL) in people affected by diabetic foot. METHODS We performed a literature search in MEDLINE (PubMed), CINAHL (EBSCOhost), and PsycINFO (EBSCOhost) databases from inception to February 1, 2022. We also searched gray literature databases. Eligible studies were full-text reports developing a QoL condition-specific PROM or assessing one or more of its measurement properties in people affected by diabetic foot. We assessed the methodological quality of included studies independently using the "Consensus-Based Standards for the Selection of Health Measurement Instruments Risk of Bias" checklist. The measurement properties were evaluated using specific criteria. We graded the quality of the evidence using a "Grading of Recommendations Assessment, Development and Evaluation" approach modified by Consensus-Based Standards for the Selection of Health Measurement Instruments. RESULTS Forty-three reports (46 studies) providing information on the measurement properties of 10 different PROMs were included. We did not identify any instruments that could be recommended for use. We identified 2 PROMs that were not recommended for use and 8 that were potentially recommended but would require further investigation. Of these 8 PROMs, 4 had better evidence for content validity. CONCLUSIONS Available PROMs to measure QoL in people affected by diabetic foot have limited evidence for their measurement properties. There is no fully suitable PROM. Pending further evidence, 4 PROMs could potentially be recommended for use.
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Affiliation(s)
| | | | - Edurne Zabaleta-Del-Olmo
- Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain.
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Liu J, Li H, Zhang P, Bai R, Fu X, Guan H, Wen B, Ding Y, Qi X. Translation and validation of 17-item Wound-QoL questionnaire in a Chinese population. Int Wound J 2022; 20:659-668. [PMID: 35883276 PMCID: PMC9927910 DOI: 10.1111/iwj.13907] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/14/2022] [Accepted: 07/16/2022] [Indexed: 11/26/2022] Open
Abstract
We aimed to translate the 17-item questionnaire to measure the quality of life of patients with chronic wounds (Wound-QoL-17) and verify its reliability and validity in the Chinese population. The standard Chinese version of the Wound-QoL-17 was determined through translation, back translation, and cultural adaptation. A total of 121 patients with chronic wounds from the wound center of a tertiary hospital in Beijing were recruited. Through a questionnaire and physical examination, we tested the criterion-related validity, known group validity, structural validity, internal consistency coefficient (Cronbach's alpha), and test-retest correlation. A new structure of four factors was extracted by exploratory factor analysis, and the cumulative contribution rate was 72.23%. The total score and that of the four factors, which were significantly correlated with the EuroQol Five Dimensions Questionnaire (EQ-5D) and the Short Form-36 Health Survey (SF-36) (P < 0.05), also showed statistically significant differences between patients with different pain grades, with or without wound odour, and between different groups of patients reporting wound changes in the past 2 weeks. Cronbach's alpha was between 0.779 and 0.906, while the test-retest reliability was between 0.532 and 0.802. We concluded that the Chinese Wound-QoL-17 has good reliability and validity and is suitable for evaluating the quality of life of patients with chronic wounds.
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Affiliation(s)
- Jin Liu
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Huijuan Li
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Peiying Zhang
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Rui Bai
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Xiaojin Fu
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Hui Guan
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Bing Wen
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
| | - Yanming Ding
- Nursing DepartmentPeking University First HospitalBeijingChina
| | - Xin Qi
- Department of Plastic Surgery & BurnsPeking University First HospitalBeijingChina
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