PMID- 32703550
OWN - NLM
STAT- MEDLINE
DCOM- 20201009
LR  - 20201009
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 125
IP  - 4
DP  - 2020 Oct
TI  - Validation and clinical utility of the Korean version of the Quality of 
      Recovery-15 with enhanced recovery after surgery: a prospective observational 
      cohort study.
PG  - 614-621
LID - S0007-0912(20)30500-6 [pii]
LID - 10.1016/j.bja.2020.06.040 [doi]
AB  - BACKGROUND: The 15-item Quality of Recovery (QoR-15) scale is a validated 
      patient-reported outcome questionnaire that measures the quality of postoperative 
      recovery. This study aimed to validate a translated Korean version of QoR-15 
      (QoR-15K) in a broad range of surgical patients. METHODS: After Korean 
      translation of the original English version of the QoR-15, we performed 
      psychometric validation of the QoR-15K to evaluate the quality of recovery after 
      surgery. The validity, reliability, responsiveness, and clinical feasibility of 
      the QoR-15K were evaluated. A subgroup analysis in patients with video-assisted 
      lung resection was performed. RESULTS: Among 193 patients, 188 (97.4%) completed 
      the QoR-15K after surgery. We found good convergent validity between the 
      postoperative QoR-15K and the global QoR visual analogue scale (rho=0.61, P<0.001). 
      The negative correlation between the QoR-15K score and the extent of surgery 
      (rho=-0.33, P<0.001), the duration of surgery (rho=-0.33, P<0.001), and the severity 
      of postoperative pain (rho=-0.40, P<0.001) supported construct validity. The 
      postoperative QoR-15K showed good internal consistency (Cronbach alpha=0.90), 
      split-half reliability (0.81), and test-retest reliability (0.95; 95% confidence 
      interval [CI], 0.94-0.96). The QoR-15K score decreased from 140 (preoperative, 
      inter-quartile range [IQR] 128-146) to 100 (postoperative day 1, IQR 75-122), 
      median difference -36.5 (95% CI, -41 to -32.5; P<0.0001). The QoR-15K indicated 
      excellent responsiveness with Cliff's effect size -0.78 (95% CI, -0.84 to -0.71). 
      Subgroup analysis yielded similar results. CONCLUSIONS: The QoR-15K is valid and 
      has excellent reliability, a high degree of responsiveness, and clinical 
      feasibility as a metric of quality of recovery in Korean surgical population. 
      CLINICAL TRIAL REGISTRATION: NCT04169087.
CI  - Copyright (c) 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Yoon, Susie
AU  - Yoon S
AD  - Department of Anaesthesiology and Pain Medicine, Seoul National University 
      Hospital, Seoul, South Korea; Department of Anaesthesiology and Pain Medicine, 
      Seoul National University College of Medicine, Seoul, South Korea.
FAU - Joo, Hyundeok
AU  - Joo H
AD  - Seoul National University College of Medicine, Seoul, South Korea.
FAU - Oh, Yoo Min
AU  - Oh YM
AD  - Department of Anaesthesiology and Pain Medicine, Seoul National University 
      Hospital, Seoul, South Korea.
FAU - Lee, Jihye
AU  - Lee J
AD  - Occupational Safety and Health Research Institute, Incheon, South Korea.
FAU - Bahk, Jae-Hyon
AU  - Bahk JH
AD  - Department of Anaesthesiology and Pain Medicine, Seoul National University 
      Hospital, Seoul, South Korea; Department of Anaesthesiology and Pain Medicine, 
      Seoul National University College of Medicine, Seoul, South Korea.
FAU - Lee, Ho-Jin
AU  - Lee HJ
AD  - Department of Anaesthesiology and Pain Medicine, Seoul National University 
      Hospital, Seoul, South Korea; Department of Anaesthesiology and Pain Medicine, 
      Seoul National University College of Medicine, Seoul, South Korea. Electronic 
      address: zenerdiode03@gmail.com.
LA  - eng
SI  - ClinicalTrials.gov/NCT04169087
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20200721
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
SB  - IM
MH  - Aged
MH  - Anesthesia Recovery Period
MH  - Cohort Studies
MH  - *Enhanced Recovery After Surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - Republic of Korea
MH  - *Surveys and Questionnaires
MH  - Validation Studies as Topic
OTO - NOTNLM
OT  - enhanced recovery after surgery
OT  - patient outcome assessment
OT  - patient-reported outcome measures
OT  - perioperative medicine
OT  - quality of recovery
EDAT- 2020/07/25 06:00
MHDA- 2020/10/10 06:00
CRDT- 2020/07/25 06:00
PHST- 2020/05/06 00:00 [received]
PHST- 2020/06/11 00:00 [revised]
PHST- 2020/06/22 00:00 [accepted]
PHST- 2020/07/25 06:00 [pubmed]
PHST- 2020/10/10 06:00 [medline]
PHST- 2020/07/25 06:00 [entrez]
AID - S0007-0912(20)30500-6 [pii]
AID - 10.1016/j.bja.2020.06.040 [doi]
PST - ppublish
SO  - Br J Anaesth. 2020 Oct;125(4):614-621. doi: 10.1016/j.bja.2020.06.040. Epub 2020 
      Jul 21.