Validation of the Russian version of the ureteral stent symptoms questionnaire (USSQ) for the evaluation of quality of life and stent-related symptoms


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction: Ureteral stents are frequently used in urology practice and have a significant impact on health-related quality of life (QoL). In 2003 Н. Joshi et al. developed the specific questionnaire for evaluation of QoL and stent-related symptoms, namely Ureteral Stent Symptoms Questionnaire (USSQ). USSQ consists of 40 questions and 2 visual analog scales (VAS), divided into 6 domains. Over the past decade, this questionnaire has been translated into 9 languages. A Russian version of the questionnaire has not been developed yet. Aim: To perform linguistic validation of the Russian version of the USSQ. Material and Methods: Linguistic validation of the original USSQ was performed through a standard process including translation, back translation and pilot study. A total of 103 patients undergone ureteral stent placement and successfully filled in the Russian USSQ at weeks 1 and 4 after stenting, and at week 4 after stent removal. In addition, 30 healthy people filled in the same questionnaires twice at 3-week intervals, as a control group. To evaluate reliability, validity and sensitivity to change of the Russian USSQ, statistical analysis was performed. External criteria included validated questionnaires (EQ-5D, IPSS and pain VAS). Results: Content validity was approved by experts and proved during patients’ interviewing. Reliability test-retest was satisfactory for urinary symptoms, body pain, general health, and work performance domains (p<0,001 between test and retest evaluation). USSQ domains showed good correlations between each other (correlation coefficient was 0,80- 0,94). Cronbach's alpha coefficient of internal reliability was 0.73 0.95. Correlation between other instruments and corresponding USSQ domains was good (p<0,001), proving criterial validity. Sensitivity to changes after stenting and stent removal was also good for most domains (p<0,001). Conclusion: Russian version of USSQ is a valid, reliable and sensitive instrument for the assessment of QoL and stent-related symptoms and is ready for application in the routine clinical practice.

Full Text

Restricted Access

About the authors

V. V Bazaev

Moscow regional research clinical institute

Email: vvbazaev@rambler.ru

A. N Shibaev

Moscow regional research clinical institute

Email: anshibaev@rambler.ru

H. B Joshi

University Hospital of Wales

Email: hrishi.joshi@wales.nhs.uk

S. B Urenkov

Moscow regional research clinical institute

S. S Zenkov

Russian Clinical and Research Center of Gerontology

Y. V Pavlova

Moscow regional research clinical institute

Email: 9250659260@mail.ru

A. L Mamoyov

Moscow regional research clinical institute

Email: 09asker@mail.ru

References

  1. Зенков С.С. Внутреннее дренирование верхних мочевыводящих путей. Дисс. к.м.н., 1998
  2. Мартов А.Г., Ергаков Д.В., Корниенко С.И., Абоян И.А., Павлов С.В., Асфандияров Ф.Р., Калашников Е.С. Улучшение качества жизни больных с внутренними стентами путем изменения их формы. Урология. 2011;2:7-13
  3. Мартов А.Г., Максимов В.А., Ергаков Д.В., Мирошников В.М., Асфандияров Ф.Р., Калашников Е.С. Применение тамсулозина в профилактике и лечении стентзависимых симптомов. Урология. 2010;1:3-8
  4. Joshi H.B., Stainthorpe A., Keeley F.X. Jr, MacDonagh R., Timoney A.G. Indwelling ureteral stents: evaluation of quality of life to aid outcome analysis. J Endourol Endourol Soc. 2001; 15(2): 151-154. doi: 10.1089/089277901750134421.
  5. Damiano R., Autorino R., De Sio M., et al. Does the size of ureteral stent impact urinary symptoms and quality of life? A prospective randomized study. Eur Urol. 2005;48:673-678.
  6. Lee C., Kuskowski M., Premoli J., Skemp N., Monga M. Randomized evaluation of Ureteral Stents using validated Symptom Questionnaire. J Endourol. 2005;19:990-993.
  7. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. Москва.: Олма Медиа Групп. 2007;320 с
  8. Базаев В.В., Шибаев А.Н., Павлова Ю.В. Валидация русскоязычной версии опросника для оценки эффективности хирургического лечения пациентов со стриктурами передней уретры patient-reported outcome measure for urethral stricture surgery (PROM-USS): результаты пилотного исследования. Урология. 2015;5:15-21
  9. Heldwein F.L., Sanchez-Salas R.E., Sanchez-Salas R., Teloken P.E., Teloken C., Castillo O., Vallancien G. Health and quality of life in urology: issues in general urology and urological oncology. Arch Esp Urol. 2009;62(7):519-530.
  10. Spitzer W.O. State of science 1986: quality of life and functional status as target variables for research. J Chronic Dis. 1987;40:465-471.
  11. Joshi H.B., Newns N., Stainthorpe A., MacDonagh R.P., Keeley F.X. Jr, Timoney A.G. Ureteral stent symptom questionnaire: Development and validation of a multidimensional quality of life measure. J Urol. 2003;169:1060-1064. doi: 10.1097/01.ju.0000049198.53424.1d
  12. Giannarini G., Keeley F.X. Jr, Valent F., Milesi C., Mogorovich A., Manassero F., Barbone F., Joshi H.B., Timoney A.G., Selli C. The Italian linguistic validation of the ureteral stent symptoms questionnaire. J Urol. 2008;180(2):624-628.
  13. Puichaud A., Larre S., Bruyere F., Auger J., Bret N., Chevreste A., Dore B., Briffaux R., Keeley F., Irani J.The French linguistic validation of the Ureteric Stent Symptom Questionnaire (USSQ). Prog Urol. 2010;20(3):210-213. doi: 10.1016/j.purol.2009.09.007.
  14. Park J., Shin D.W., You C., Chung K.J., Han D.H., Joshi H.B., Park H.K Cross-cultural application of the Korean version of Ureteral Stent Symptoms Questionnaire. J Endourol Endourol Soc. 2012;26(11):1518- 1522. doi: 10.1089/end.2012.0235.
  15. Sanguedolce F., Millan-Rodriguez F., Santillana-Altimira J.M., Fantova-Alonso A., Sanchez-Martin F.M., Angerri-Feu O., Lopez Martinez J.M., Keeley F.X., Joshi H.B., Villavicencio-Mavrich H. The Spanish linguistic validation of the ureteral stent symptom questionnaire. J Endourol Endourol Soc 2014;28(2):237-242. doi: 10.1089/end.2013.0325
  16. El-Nahas A.R., Elsaadany M.M., Tharwat M., Mosbah A., Metwally A.H., Hawary A., Keeley F.X. Jr, Sheir K.Z. Validation of the Arabic linguistic version of the Ureteral Stent Symptoms Questionnaire. Arab J Urol. 2014;12(4):290-293. doi: 10.1016/j.aju.2014.08.001.
  17. Abt D., Dotzer K., Honek P., Muller K., Engeler D.S., Burger M., Schmid H.P., Knoll T., Sanguedolce F., Joshi H.B., Fritsche H.M. The German linguistic validation of the Ureteral Stent Symptoms Questionnaire (USSQ) World J Urol. 2017;35(3):443-447. doi: 10.1007/s00345-016-1875-6.
  18. Tanidir Y., Mangir N., Sahan A., Sulukaya М. Turkish version of the Ureteral Stent Symptoms Questionnaire: linguistic and psychometric validation. World J Urol. 2017;35(7):1149-1154. doi: 10.1007/s00345-016-1958-4.
  19. Baghel P., Sahu R. D., Goto G., Gangkok G., Joshi HB., TomarV., Yadav S.S. Linguistic and cultural validation of Ureteral Stent Symptom Questionnaire in Hindi. Indian J Urol. 2019;35(2):129-133. Doi:10.4103 / iju.IJU_193_18
  20. Dunn M.D., Portis A.J., Kahn S.A., Yan Y., Shalhav A.L., Elbahnasy A.M. et al. Clinical effectiveness of new stent design: randomized singleblind comparison of tail and double-pigtail stents. J Endourol. 2000;14: 195-202.
  21. Norris R.D., Sur R.L., Springhart W.P., Marguet C.G., Mathias B.J., Pietrow P.K. et al. A prospective, randomized, double-blinded placebo-controlled comparison of extended release oxybutynin versus phenazopyridine for the management of postoperative ureteral stent discomfort. Urology. 2008;71:792-795.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies