Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia

  • Branka Radojle Bukvić Institute for Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; General Hospital, Health Center Užice, Užice, Serbia
  • Vadan Živaljević Center for Endocrine Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Sandra Šipetić Institute for Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Aleksandar Diklić Center for Endocrine Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Katarina Taušanović Center for Endocrine Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Ivan Paunović Center for Endocrine Surgery, Clinical Center of Serbia, Belgrade, Serbia
Keywords: quality of life, questionnaires, thyroid diseases, hypothyroidism, hyperthyroidism,

Abstract


Backgraund/Aim. The Thyroid Specific Patient Reported Outcome Measure (ThyPRO) questionnaire is self-administered and intended to measure quality of life of thyroid patients. The aim of this study was to investigate the validity and reliability of the translated new, ThyPRO questionnaire in Serbian patients with thyroid disease. Methods. The translation process followed an internationally accepted methodology. The questionnaire was validated in 100 consecutive thyroid patients hospitalized in a tertiary level hospital, between April and August 2012. Internal reliabilities of ThyPRO scales were assesessed using Cronbach’s α coefficient. Association between age, gender, education, marital and employment status, place of living, diagnosis, current treatment, hormonal status and patient quality of life were determined using Pearson’s (r) and Spearman’s (q) correlation coefficients. Results. Internal consistency and reliability for ThyPRO scales were satisfactory. Cronbach’s α coefficients of 13 multi-item scales of the ThyPRO were > 0.83 (range 0.83–0.95). The scores, obtained by this questionnaire, correlated significantly with patients gender, employment status, diagnosis, current treatment and place of living. A highly significant inverse relationship was found between scores and hormonal status as well as between scores and disease duration. Patients’ age, marital status and thyroid-stimulating hormone level did not influence any scale score. Conclusion. The ThyPRO may be useful in measuring health-related quality of life in patients with thyroid disease in Serbia.

 

 

References

Watt T, Groenvold M, Rasmussen AK, Bonnema SJ, Hegedüs L, Bjorner JB, et al. Quality of life in patients with benign thyroid disorders. A review. Eur J Endocrinol 2006; 154(4): 501−10.

Watt T, Hegedüs L, Rasmussen AK, Groenvold M, Bonnema SJ, Bjorner JB, et al. Which domains of thyroid-related quality of life are most relevant? Patients and clinicians provide com-plementary perspectives. Thyroid 2007; 17(7): 647−54.

Watt T, Rasmussen AK, Groenvold M, Bjorner JB, Watt SH, Bonnema SJ, et al. Improving a newly developed patient-reported outcome for thyroid patients, using cognitive interviewing. Qual Life Res 2008; 17(7): 1009−17.

Watt T, Bjorner JB, Groenvold M, Rasmussen AK, Bonnema SJ, Hegedus L, et al. Establishin construct validity for the thyroid-specific patient reported outcome measure (ThyPRO): an ini-tial examination. Qual Life Res 2009; 18(4): 483−96.

Watt T, Hegedüs L, Groenvold M, Bjorner JB, Rasmussen AK, Bon-nema SJ, et al. Validity and reliability of the novel thyroid-specific quality of life questionnaire, ThyPRO. Eur J Endo-crinol 2010; 162(1): 161−7.

Marquis P, Keininger D, Acquadro C, de la Loge C. Translating and evaluating questionnaires: cultural issues for international re-search. In: Fayers P, Hays R , editors. Assessing quality of life in clinical trials. Oxford: Oxford University Press; 2005. p. 78−93.

Pekmezovic T, Kisic Tapavcevic D, Kostic J, Drulovic J. Validation and cross-cultural adaptation of the disease-specific questionnaire MSQOL-54 in Serbian multiple sclerosis patients sample. Qual Life Res 2007; 16(8): 1383−7.

Taïeb D, Sebag F, Cherenko M, Baumstarck-Barrau K, Fortanier C, Farman-Ara B, et al. Quality of life changes and clinical out-comes in thyroid cancer patients undergoing radioiodine remnant ablation (RRA) with recombinant human TSH (rhTSH): a randomized controlled study. Clin Endocrinol (Oxf) 2009; 71(1): 115−23.

Chow S, Au K, Choy T, Lee S, Yeung N, Leung A, et al. Health-related quality-of-life study in patients with carcinoma of the thyroid after thyroxine withdrawal for whole body scanning. Laryngoscope 2006; 116(11): 2060−6.

Abraham-Nordling M, Wallin G, Träisk F, Berg G, Calissendorff J, Hallengren B, et al. Thyroid-associated ophthalmopathy; quality of life follow-up of patients randomized to treatment with antithyroid drugs or radioiodine. Eur J Endocrinol 2010; 163(4): 651−7.

Estcourt S, Quinn AG, Vaidya B. Quality of life in thyroid eye disease: impact of quality of care. Eur J Endocrinol 2011; 164(5): 649−55.

Al-Adhami A, Craig W, Krukowski ZH. Quality of life after sur-gery for Graves' disease: comparison of those having surgery intended to preserve thyroid function with those having abla-tive surgery. Thyroid 2012; 22(5): 494−500.

Schmitz-Winnenthal F, Schimmack S, Lawrence B, Maier U, Heidmann M, Buchler MW, et al. Quality of life is not influenced by the extent of surgery in patients with benign goiter. Langenbecks Arch Surg 2011; 396(8): 1157−63.

Shah MD, Witterick IJ, Eski SJ, Pinto R, Freeman JL. Quality of life in patients undergoing thyroid surgery. J Otolaryngol 2006; 35(4): 209−15.

Mishra A, Sabaretnam M, Chand G, Agarwal G, Agarwal A, Verma AK, et al. Quality of life (QoL) in patients with benign thyroid goiters (pre- and post-thyroidectomy): a prospective study. World J Surg 2013; 37(10): 2322−9.

Watt T, Hegedüs L, Bjorner JB, Groenvold M, Bonnema SJ, Rasmussen AK, et al. Is Thyroid Autoimmunity per se a Determinant of Quality of Life in Patients with Autoimmune Hypothy-roidism. Eur Thyroid J 2012; 1(3): 186−92.

Tagay S, Herpertz S, Langkafel M, Erim Y, Freudenberg L, Schöpper N, et al. Health-related quality of life, anxiety and depression in thyroid cancer patients under short-term hypothyroidism and TSH-suppressive levothyroxine treatment. Eur J Endo-crinol 2005; 153(6): 755−63.

Gulseren S, Gulseren L, Hekimsoy Z, Cetinay P, Ozen C, Tokatlioglu B. Depression, anxiety, health-related quality of life, and disa-bility in patients with overt and subclinical thyroid dysfunc-tion. Arch Med Res 2006; 37(1): 133−9.

Elberling TV, Rasmussen AK, Feldt-Rasmussen U, Hørding M, Perrild H, Waldemar G.. Impaired health-related quality of life in Graves' disease. A prospective study. Eur J Endocrinol 2004; 151(5): 549−55.

Biondi B, Palmieri EA, Klain M, Schlumberger M, Filetti S, Lombardi G.. Subclinical hyperthyroidism: clinical features and treatment options. Eur J Endocrinol 2005; 152(1): 1−9.

Biondi B, Palmieri EA, Fazio S, Cosco C, Nocera M, Saccà L, et al. Endogenous subclinical hyperthyroidism affects quality of life and cardiac morphology and function in young and middle-aged patients. J Clin Endocrinol Metab 2000; 85(12): 4701−5.

Hoftijzer HC, Heemstra KA, Corssmit EP, van der Klaauw AA, Romijn JA, Smit JW. Quality of life in cured patients with dif-ferentiated thyroid carcinoma. J Clin Endocrinol Metab 2008; 93(1): 200−3.

Bell RJ, Rivera-Woll L, Davison SL, Topliss DJ, Donath S, Davis SR. Well-being, health-related quality of life and cardiovascular disease risk profile in women with subclinical thyroid disease - a community-based study. Clin Endocrinol (Oxf) 2007; 66(4): 548−56.

Abraham-Nordling M, Wallin G, Lundell G, Törring O. Thyroid hormone state and quality of life at long-term follow-up after randomized treatment of Graves' disease. Eur J Endocrinol 2007; 156(2): 173−9.

Dagan T, Bedrin L, Horowitz Z, Chaushu G, Wolf M, Kronenberg J, et al. Quality of life of well-differentiated thyroid carcinoma patients. J Laryngo Otol 2004; 118(7): 537−42.

Crevenna R, Zettinig G, Keilani M, Posch M, Schmidinger M, Pirich C, et al. Quality of life in patients with non-metastatic differ-entiated thyroid cancer under thyroxine supplementation therapy. Suppor Care Cancer 2003; 11(9): 597−603.

Tan LG, Nan L, Thumboo J, Sundram F, Tan LK. Health-Related Quality of Life in Thyroid Cancer Survivors. Laryngoscope 2007; 117(3): 507−10.

Miccoli P, Minuto MN, Paggini R, Rucci P, Oppo A, Donatini G, et al. The impact of thyroidectomy on psychiatric symptoms and quality of life. J Endocrinol Invest 2007; 30(10): 853−9.

Dardano A, Bazzzichi L, Bombardieri S, Monzani F. Symptoms in euthyroid Hashimoto's thyroiditis: is there a role for autoim-munity itself. Thyroid 2012; 22(3): 334−5.

Ott J, Promberger R, Kober F, Neuhold N, Tea M, Huber JC, et al. Hashimoto's thyroiditis affects symptom load and quality of life unrelated to hypothyroidism: a prospective case-control study in women undergoing thyroidectomy for benign goiter. Thyroid 2011; 21(2): 161−7.

Pelttari H, Sintonen H, Schalin-Jantii C, Valimaki MJ. Health-related quality of life in long-term follow-up of patients with cured TNM Stage I or II differentiates thyroid carcinoma. Clin Endocrinol (Oxf) 2009; 70(3): 493−7.

Tagay S, Herpertz S, Langkafel M, Erim Y, Bockisch A, Senf W, et al. Health-related Quality of Life, depression and anxiety in thyroid cancer patients. Qual Life Res 2006; 15(4): 695−703.

Published
2015/11/02
Section
Original Paper