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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BMC
2020-10-01
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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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language | English |
last_indexed | 2024-12-14T18:46:24Z |
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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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