Validation of the Moroccan arabic version of the low anterior resection syndrome score

Abstract Background Sphincter sparing surgery is oftentimes associated with bowel dysfunction complaints, namely the low anterior resection syndrome (LARS). The LARS questionnaire is widely used to assess this syndrome. The aim of this observational study is to translate this tool into arabic and te...

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Main Authors: Hajar Essangri, Mohammed Anass Majbar, Amine Benkabbou, Laila Amrani, Raouf Mohsine, Amine Souadka
Format: Article
Language:English
Published: BMC 2020-10-01
Series:BMC Gastroenterology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12876-020-01463-0
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author Hajar Essangri
Mohammed Anass Majbar
Amine Benkabbou
Laila Amrani
Raouf Mohsine
Amine Souadka
author_facet Hajar Essangri
Mohammed Anass Majbar
Amine Benkabbou
Laila Amrani
Raouf Mohsine
Amine Souadka
author_sort Hajar Essangri
collection DOAJ
description Abstract Background Sphincter sparing surgery is oftentimes associated with bowel dysfunction complaints, namely the low anterior resection syndrome (LARS). The LARS questionnaire is widely used to assess this syndrome. The aim of this observational study is to translate this tool into arabic and test its psychometric properties in rectal cancer patients, in order to ease its use in clinical practice and future research. Methods The LARS questionnaire was translated to arabic and administered to a total of 143 patients. A subgroup of 42 patients took the test twice for test-retest reliability. Internal consistency was examined through cronbach’s alpha. The score results were correlated to the EORTC QLQ-C30 questionnaire for convergent validity assessment, while discriminant validity was established through the ability of the LARS score to differentiate patients with different clinical and pathological criteria. Results The Moroccan Arabic version of the LARS score was completed by 143 patients. The internal consistency was demonstrated through a cronbach alpha score of 0.66. The agreement between the test and retest was established by a Bland Altman plot with 95% limits of agreement. 85.6% of patients remained in the same LARS category. The LARS score showed negative correlation with all five of the QLQ-C30 functional scales as well as positive correlation to the diarrhea symptom scale. The questionnaire score differed between patients according to their tumor location, chemoradiotherapy, type of mesorectal excision and anastomosis. Conclusion The Moroccan Arabic version of the LARS score shows good psychometric properties and can be used for bowel dysfunction assessment in clinical and research settings.
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spelling doaj.art-e3cfb40f68784966af9f5a1ac3c9e03d2022-12-21T22:51:22ZengBMCBMC Gastroenterology1471-230X2020-10-012011810.1186/s12876-020-01463-0Validation of the Moroccan arabic version of the low anterior resection syndrome scoreHajar Essangri0Mohammed Anass Majbar1Amine Benkabbou2Laila Amrani3Raouf Mohsine4Amine Souadka5Surgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatSurgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatSurgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatSurgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatSurgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatSurgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Mohammed Vth University in RabatAbstract Background Sphincter sparing surgery is oftentimes associated with bowel dysfunction complaints, namely the low anterior resection syndrome (LARS). The LARS questionnaire is widely used to assess this syndrome. The aim of this observational study is to translate this tool into arabic and test its psychometric properties in rectal cancer patients, in order to ease its use in clinical practice and future research. Methods The LARS questionnaire was translated to arabic and administered to a total of 143 patients. A subgroup of 42 patients took the test twice for test-retest reliability. Internal consistency was examined through cronbach’s alpha. The score results were correlated to the EORTC QLQ-C30 questionnaire for convergent validity assessment, while discriminant validity was established through the ability of the LARS score to differentiate patients with different clinical and pathological criteria. Results The Moroccan Arabic version of the LARS score was completed by 143 patients. The internal consistency was demonstrated through a cronbach alpha score of 0.66. The agreement between the test and retest was established by a Bland Altman plot with 95% limits of agreement. 85.6% of patients remained in the same LARS category. The LARS score showed negative correlation with all five of the QLQ-C30 functional scales as well as positive correlation to the diarrhea symptom scale. The questionnaire score differed between patients according to their tumor location, chemoradiotherapy, type of mesorectal excision and anastomosis. Conclusion The Moroccan Arabic version of the LARS score shows good psychometric properties and can be used for bowel dysfunction assessment in clinical and research settings.http://link.springer.com/article/10.1186/s12876-020-01463-0Rectal neoplasmsPatient outcome assessmentQuality of lifePsychometricsPostoperative complicationsLow anterior resection syndrome
spellingShingle Hajar Essangri
Mohammed Anass Majbar
Amine Benkabbou
Laila Amrani
Raouf Mohsine
Amine Souadka
Validation of the Moroccan arabic version of the low anterior resection syndrome score
BMC Gastroenterology
Rectal neoplasms
Patient outcome assessment
Quality of life
Psychometrics
Postoperative complications
Low anterior resection syndrome
title Validation of the Moroccan arabic version of the low anterior resection syndrome score
title_full Validation of the Moroccan arabic version of the low anterior resection syndrome score
title_fullStr Validation of the Moroccan arabic version of the low anterior resection syndrome score
title_full_unstemmed Validation of the Moroccan arabic version of the low anterior resection syndrome score
title_short Validation of the Moroccan arabic version of the low anterior resection syndrome score
title_sort validation of the moroccan arabic version of the low anterior resection syndrome score
topic Rectal neoplasms
Patient outcome assessment
Quality of life
Psychometrics
Postoperative complications
Low anterior resection syndrome
url http://link.springer.com/article/10.1186/s12876-020-01463-0
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