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dc.contributor.authorBergestuen, Linda
dc.contributor.authorMoger, Thomas A. Waksvik
dc.contributor.authorOterhals, Kjersti
dc.contributor.authorPfeffer, Frank
dc.contributor.authorNestvold, Torunn Kristin
dc.contributor.authorNorderval, Stig
dc.contributor.authorNymo, Linn Såve
dc.contributor.authorHavnes, Kjerstin
dc.contributor.authorLassen, Kristoffer
dc.contributor.authorBreivik, Kyrre
dc.date.accessioned2023-12-19T13:38:51Z
dc.date.available2023-12-19T13:38:51Z
dc.date.issued2023-09-08
dc.description.abstractBackground As patient-centered care gains more attention, assessing the patient's perspective on their recovery has become increasingly important. In response to the need for a reliable and valid patient reported outcome measurement tool for major surgical resections in Norway. The Norwegian Registry for Gastrointestinal Surgery (NORGAST) initiated a project to translate and evaluate QoR-15's psychometric properties for patients going through general, gastrointestinal (GI), and hepato-pancreato-biliary (HPB) resectional surgery.<p><p> Methods After a translation and adaption of the original version of QoR–15 into Norwegian, the QoR–15NO was psychometrically evaluated including a confirmatory factor analysis to test for unidimensionality, as well as tests for content validity, internal consistency, measurement error, construct validity, feasibility, and responsiveness. This process included cognitive interviews using a structured interview guide. Further, patients who underwent various types of GI/HPB surgery at five hospitals in different parts of Norway completed the QoR-15NO before surgery and on the first or second day after surgery. The impact of surgery was classified according to Surgical Outcome Risk Tool v2 (SORT), in extra major/complex, major, intermediate, and minor. <p>Results This study included 324 patients with 83% return rate with both pre- and postoperative forms. There were negative correlations between duration of surgery and postoperative QoR-15 score and the difference between post- and preoperative score (change score). Individuals who had gone through surgery with major impact had a lower postoperative mean QoR-15 score (97) than their counterparts who had experienced either medium (QoR-15: 110) or minor (QoR15: 119) impact surgery. Cronbach's alpha (0.88) and Omega Alpha Total (ωt = 0.90) indicate that the scale has good to very good internal consistency. Test–retest reliability was measured by Intra-class Correlation Coefficient to ICC = 0.70. Confirmatory factor analyses supported that a one-factor model with correlated residuals had a good fit to data. <p>Conclusion This study supports QoR-15NO as a valid, essentially unidimensional, feasible, and responsive instrument among patients undergoing general, GI, and HPB resectional surgery in Norway. The total QoR-15NO score provides important information that can be used in an everyday clinical setting and integrated into NORGAST.en_US
dc.identifier.citationBergestuen, Moger, Oterhals, Pfeffer, Nestvold, Norderval, Nymo, Havnes, Lassen, Breivik. Translation and validation of the Norwegian version of the postoperative quality of recovery score QoR-15. Acta Anaesthesiologica Scandinavica. 2023en_US
dc.identifier.cristinIDFRIDAID 2177945
dc.identifier.doi10.1111/aas.14322
dc.identifier.issn0001-5172
dc.identifier.issn1399-6576
dc.identifier.urihttps://hdl.handle.net/10037/32162
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalActa Anaesthesiologica Scandinavica
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)en_US
dc.titleTranslation and validation of the Norwegian version of the postoperative quality of recovery score QoR-15en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
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