Adaptation and validation of Portuguese version of Tonsil Adenoid Health Status Instrument (TAHSI)
DOI:
https://doi.org/10.34631/sporl.1069Keywords:
Tonsillectomy, Questionnaire, Validation, Adaptation, Pediatrics, Portuguese, Patient reported outcomeAbstract
Objective: Validation and cross-cultural adaptation of the Tonsil and Adenoid Health Status Instrument, in Portuguese.
Methods: A prospective study was carried out to evaluate and to compare 51 consecutive patients who underwent tonsillectomy or adenotonsillectomy operation (pre-operative and 6 months post-operative) and 49 asymptomatic controls.
Results: The Mann-Whitney test showed a statistically significant difference in the mean score between the patients and the control group denoting good clinical validity. The Cronbach’s coefficient value for the EP-TAHSI for 50 cases was 0.946, demonstrating good internal consistency. The Wilcoxon signed-rank test showed a marked improvement in the patients’ scores 6 months post-operatively. Spearman’s rank and Pearson’s correlations were used to correlate the level of the resemblance of the mean score of the EP-TAHSI, which showed statistically significant results.
Conclusions: EP-TAHSI is a valid instrument for evaluating the subjective effect of tonsillectomy on the health and quality of life and hence is recommended to be used in tonsillectomy research and daily practice. It adds value in the follow-up after surgery and in legal issues that can arise in that line.
References
Mattila P, Tahkokallio O, Tarkkanen J, Pitkäniemi J, Karvonen M, Tuomilehto J. Causes of tonsillar disease and frequency of tonsillectomy operations. Arch Otolaryngol Head Neck Surg. 2001 Jan;127(1):37-44. doi: 10.1001/archotol.127.1.37.
Kao SS, Peters MDJ, Dharmawardana N, Stew B, Ooi EH. Scoping review of pediatric tonsillectomy quality of life assessment instruments. Laryngoscope. 2017 Oct;127(10):2399-2406. doi: 10.1002/lary.26522.
Stewart MG, Friedman EM, Sulek M, deJong A, Hulka GF, Bautista MH. et al. Validation of an outcomes instrument for tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg. 2001 Jan;127(1):29-35. doi: 10.1001/archotol.127.1.29.
Stewart M, Glaze D, Friedman E, Smith E, Bautista M. Quality of life and sleep study findings after adenotonsillectomy in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2005 Apr;131(4):308-14. doi: 10.1001/archotol.131.4.308.
Senska G, Ellermann S, Ernst S, Lax H, Dost P. Recurrent tonsillitis in adults: quality of life after tonsillectomy. Dtsch Arztebl Int. 2010 Sep;107(36):622-8. doi: 10.3238/arztebl.2010.0622
Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs-Lasky M. Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics. 2002 Jul;110(1 Pt 1):7-15. doi: 10.1542/peds.110.1.7.
Hopkins C, Fairley J, Yung M, Hore I, Balasubramaniam S, Haggard M. The 14- item Paediatric Throat Disorders Outcome Test: a valid, sensitive, reliable, parentreported outcome measure for paediatric throat disorders. J Laryngol Otol. 2010 Mar;124(3):306-14. doi: 10.1017/S0022215109992386.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. doi: 10.1097/00007632-200012150-00014.
Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000 May;53(5):459-68. doi: 10.1016/s0895-4356(99)00206-1.
Elzayat S, Elfarargy H, Kabbash IA, Nada I, Mehanna AM, Elsherief HS. Validation and adaptation of the Arabic version of the Tonsil and Adenoid Health Status Instrument. Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110263. doi: 10.1016/j.ijporl.2020.110263.
Samara L, Esteller E, Dura MJ, Guirao M, Cardesin A, Stewart M. et al. Adaptation and validation of the Spanish version of the Tonsil and Adenoid Health Status Instrument. Laryngoscope. 2018 Jun;128(6):1469-1475. doi: 10.1002/lary.269
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