|
1
|
Thomassen BJM, Kimman ML, Somers AMJ, Ponds RWHM, Dekker JWT, van Leiden BL, Vink GR, de Groot JWB, Melenhorst J, Reynders KMMW, Gielen CMJ, Weerts THA, Lutke Holzik MF, van Kuijk SMJ, Breukink SO, Gidding-Slok AHM. The Assessment of Burden of ColoRectal Cancer (ABCRC)-tool; a validity and reliability study. Eur J Surg Oncol 2024; 50:108032. [PMID: 38489938 DOI: 10.1016/j.ejso.2024.108032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 01/12/2024] [Accepted: 02/18/2024] [Indexed: 03/17/2024]
Abstract
INTRODUCTION Follow-up care after treatment for colorectal cancer (CRC) is increasingly focused on health-related quality of life (HRQoL) and functional outcomes. The Assessment of Burden of ColoRectal Cancer (ABCRC)-tool is developed to measure these outcomes and support patient-oriented care. The tool comprises items assessing burden of disease and lifestyle parameters. It consists of a generic module combined with one of the three CRC specific modules. The objective of this study is to assess the construct validity and reliability of the items of the ABCRC-tool. METHODS Patients who were receiving follow-up care after surgical CRC treatment were invited to complete the ABCRC-tool together with other validated patient-reported outcome measures (PROMs). Construct validity was assessed by testing expected correlations between items of the ABCRC-tool and domains of other PROMs and by examining predefined hypotheses regarding differences in subgroups of patients. Patients completed the ABCRC-tool twice, with 8 days apart, to evaluate its reliability. RESULTS In total, 177 patients participated (64% male) with a mean age of 67 years (range 33-88). The colon, rectum and stoma module were completed by subsequently 89, 53 and 35 patients. Most items correlated as expected with anticipated domains of the EORTC QLQ-C30 or EORTC QLQ-CR29 (all p-values <0.05). Furthermore, the ABCRC-tool could discriminate between subgroups of patients. The intraclass correlation coefficient (ICC) was good (>0.70) for most items, indicating good reliability. CONCLUSION The ABCRC-tool is a valid and reliable instrument that is ready for use in a clinical setting to support personalized follow-up care after CRC treatment.
Collapse
Affiliation(s)
- Britt J M Thomassen
- Department of Surgery, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands.
| | - Merel L Kimman
- Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical Centre+, P. Debyelaan 25, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands
| | - Anne M J Somers
- Department of Internal Medicine, Catharina Hospital, P.O. Box 1350, 5602 ZA, Eindhoven, the Netherlands
| | - Rudolf W H M Ponds
- Department of Medical Psychology, Amsterdam University Medical Center, Location VU, P.O. Box 7057, 1007 MB, Amsterdam, the Netherlands
| | - Jan Willem T Dekker
- Department of Surgery, Reinier de Graaf Group, P.O. Box 5011, 2600 GA, Delft, the Netherlands
| | - Barbara L van Leiden
- National Association of Dutch Health Insurers, P.O. Box 520, 3700 AM, Zeist, the Netherlands
| | - Geraldine R Vink
- Department of Medical Oncology, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, the Netherlands; Department of Research and Development, Netherlands Comprehensive Cancer Organisation, P.O. Box 19079, 3501 DB, Utrecht, the Netherlands
| | - Jan Willem B de Groot
- Department of Medical Oncology, Isala Oncology Center, P.O. Box 10400, 8000 GK, Zwolle, the Netherlands
| | - Jarno Melenhorst
- Department of Surgery, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; Department of Surgery, Maastricht University Medical Center+, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands; School for Oncology and Developmental Biology (GROW) Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands
| | - Kim M M W Reynders
- Department of Surgery, Maastricht University Medical Center+, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands
| | - Christel M J Gielen
- Department of Surgery, Maastricht University Medical Center+, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands
| | - Tom H A Weerts
- Department of Gastroenterology, Zuyderland Medical Center, P.O. Box 5500, 6130 MD, Sittard-Geleen, the Netherlands
| | - Martijn F Lutke Holzik
- Department of Surgery, Hospital Group Twente, P.O. Box 7600, 7600 SZ, Almelo, the Netherlands
| | - Sander M J van Kuijk
- Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical Centre+, P. Debyelaan 25, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands
| | - Stéphanie O Breukink
- Department of Surgery, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; Department of Surgery, Maastricht University Medical Center+, P.O. Box 5800, 6202 AZ, Maastricht, the Netherlands; School for Oncology and Developmental Biology (GROW) Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands
| | - Annerika H M Gidding-Slok
- Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands; Department of Family Medicine, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands
| |
Collapse
|