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Validación del cuestionario EORTC QLQ -CR29 para evaluación de la calidad de vida relacionada a la salud de personas adultas con cáncer colorrectal en Chile

2024 , Luz Alejandra Lorca Parraguez , SACOMORI, CINARA , Marta Pizarro , Ivana Leao Ribeiro , Rodrigo Vidal , Gonzalo Rebolledo Rebolledo

Introducción: Personas con cáncer colorrectal (CCR) pueden presentar efectos adversos, perjudicando la calidad de vida relacionada a la salud (CVRS).Objetivo: Validar el módulo QLQ CR2-9 para evaluación de la CVRS, en Chile. Materiales y método: Estudio transversal que incluyó 170 personas con CCR. Se analizaron la consistencia interna y validez de constructo del instrumento con test de hipótesis.Resultados: 117 personas (68,8%) fueron evaluadas antes de la cirugía y 53 (31,2%) después de la cirugía. La consistencia interna del QLQ CR-29 fue α=0,838. Fueron comprobadas las hipótesis planteadas: Los pacientes evaluados antes de la cirugía se quejaron más de “sangre/mucosidad en las heces”, “dolor abdominal”, “pérdida de cabello” e “hinchazón abdominal”, mientras que los pacientes evaluados después presentaron más “incontinencia fecal” (p<0,05). Antes de la cirugía, los pacientes con CCR presentaron mayores valores de “frecuencia urinaria”, “frecuencia de deposiciones”, “dolor en las nalgas”, “problemas con el gusto” y “vergüenza”; mientras que aquellos con cáncer de colon que se quejaban más de “sangre/mucosidad en las heces” (p<0,05). Después de la cirugía, los pacientes con cáncer de recto tenían mayor “frecuencia de deposiciones”, “eliminación de gases” y “vergüenza” (p=0,004) en comparación con los con cáncer de colon (p<0,05). Los pacientes ostomizados presentaron más “incontinencia fecal” y “vergüenza” (p<0,001). Fueron observadas correlaciones positivas y negativas bajas entre la mayoría de las dimensiones del QLQ C-29 con las dimensiones del QLQ C-30. Conclusión: La versión chilena del módulo QLQ CR-29 es adecuada para evaluar la CVRS en personas con CCR. 

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Letter to the editor: Improved assessment of fecal incontinence in women with previous obstetric injury combining Low Anterior Resection Syndrome and Wexner scores

2023 , SACOMORI, CINARA , Laura Isabel Solé

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Psychometric properties of the Chilean version of the quality of life questionnaire for multiple myeloma

2024 , Luz Alejandra Lorca , SACOMORI, CINARA , Camila Peña , Claudia Barrera , Melissa Salazar , Ivana Leão , Ximena Valladares , Christine Rojas

ABSTRACT Objectives: To evaluate the internal consistency and construct validity of the QLQ-MY20 for assessing the quality of life in multiple myeloma survivors in Chile. Methods: This was a cross-sectional study conducted between March 2020 and December 2022. It involved 118 individuals from two public hospitals. The QLQ-C30 and QLQ-MY20 questionnaires were used. Internal consistency was assessed using Cronbach’s alpha(α), and construct validity was evaluated through hypothesis testing (Mann-Whitney and Spearman correlation). Results: The average age of participants was 67.2 years (SD=9.2). Internal consistency for the complete scale was α=0.779, for the “disease symptoms” dimension α=0.671, for the “side effects of treatments” dimension α=0.538, and for the “future perspective” dimension α=0.670. Four of the five construct validity hypotheses were confirmed: women, individuals with worse performance status, those with pain, and those with worse fatigue showed more symptoms. Conclusions: The Chilean version of the QLQ-MY20 demonstrates adequate internal consistency and construct validity.

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Spanish version of the ICIQ-Bowel questionnaire among colorectal cancer patients: construct and criterion validity

2023 , SACOMORI, CINARA , Luz Alejandra Lorca , Mónica Martinez-Mardones , Marta Natalia Pizarro-Hinojosa , Gonzalo Sebastián Rebolledo-Diaz , Jessica Andrea Vivallos-González

Abstract Purpose Bowel complaints are very common among patients with colorectal cancer. However, the most used questionnaires for colorectal cancer survivors do not comprehensively comprise bowel symptoms. This study aimed to examine construct and criterion validity, as well as internal consistency, of the Chilean Version of the International Consultation on Incontinence Questionnaire Bowel Module (ICIQ-B) among people with colorectal cancer. Methods Cross-sectional, validation study performed with 106 colorectal cancer patients from Hospital del Salvador, Chile. Bowel function was assessed with the ICIQ-B. Construct validity was assessed with confirmatory factor analysis and hypothesis testing. Specific items of a quality-of-life questionnaire (EORTC QLQ-CR29) were used to correlate with similar ICIQ-B items for criterion validity. For internal consistency, Cronbach’s alpha was computed. Results For construct validity, the confirmatory factor analysis showed that the three factors model did not fit our data. Meanwhile, hypothesis testing favored the construct validity of the instrument, considering that rectal cancer patients showed worse bowel pattern (p = 0.001), bowel control (p = 0.001) and quality of life (p < 0.001) scores compared to colon cancer patients. In addition, those patients assessed before surgery also presented worse scores bowel control (p = 0.023) and quality of life (p = 0.009) compared to post-surgical patients. Regarding criterion validity, the ICIQ-B items showed a significant correlation with similar QLQ-CR29 items. The internal reliability of the instrument was good (Cronbach’s α = 0.909). Conclusion Considering that this questionnaire appraises bowel function in more depth, it is recommended for use in clinical practice and research with colorectal cancer patients.

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Cross-Cultural Adaptation and Face Validation of the Chilean Version of the Operated Male to Female Sexual Function Index

2024 , Betzabe Cueto-Galdames , Melissa Cifuentes , Francesca Vedovo , SACOMORI, CINARA

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Vaginal Dilator and Pelvic Floor Exercises for Vaginal Stenosis, Sexual Health and Quality of Life among Cervical Cancer Patients Treated with Radiation: Clinical Report

2020 , ARAYA CASTRO, PAULINA ANDREA , SACOMORI, CINARA , Paulette Diaz-Guerrero , Patricio Gayán , Devora Román , Fabiana Flores Sperandio

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Response to: Symptoms assessed by pad test for urinary incontinence depend on pressure generated for diagnostic test accuracy

2022 , Camilla Medeiros Araujo , Nívea Rosa de Morais , SACOMORI, CINARA , Diego de Sousa Dantas

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Spanish Translation, Face Validity, and Reliability of the ICIQ-B Questionnaire with Colorectal Cancer Patients

2021 , SACOMORI, CINARA , Luz Alejandra Lorca , Mónica Martinez-Mardones , Paulina Benavente , Jorge Plasser , Megan Pardoe

Abstract Purpose To describe the English-to-Spanish translation process and preliminary psychometric analysis (face validity, cultural adaptation, and test-retest reliability) of the International Consultation on Incontinence Questionnaire – Bowels Module (ICIQ-B) among Chilean colorectal cancer patients. Materials and Methods The face validity was studied with 10 colorectal cancer patients, and the test-retest reliability, with 15 patients, 1 month before and 6 months after cancer surgery. Results Two rounds of translation/back translation resulted in a Spanish version. The English expression open your bowels was translated as defecar, as it is easily understandable in Spanish. The patients reported that the instrument was easy to answer, with clear instructions, and that it was adequate to appraise their health condition. The test-retest reliability was good (Spearman rho [ρ] ≥ 0.842); only item 15a, the Bristol Stool Scale, obtained a moderate correlation (ρ = 0.639). The patients reported a variety of symptoms, including increased bowel movements, nocturnal bowel movements, fecal urgency, and incontinence. Conclusions The first Spanish version of the ICIQ-B was culturally adapted for Chilean colorectal cancer patients, and showed good test-retest reliability. It might be a reference for other Spanish-speaking countries and for patients with other conditions. The ICIQ-B is a robust comprehensive questionnaire for bowel function.

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Efficacy of supervised exercise on sleep of women who survived breast cancer: a systematic review with meta-analysis

2024 , Mariana Pifano de Moura Ferraz Barbosa , Naiany Tenorio de Jesus , Anke Bergmann , Vanessa Maria da Silva Alves Gomes , SACOMORI, CINARA , Diego Dantas

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Commentary: Functional bowel complaints and the impact on quality of life after colorectal cancer surgery in the elderly

2023 , SACOMORI, CINARA , Mónica Belén Martinez-Mardones , Luz Alejandra Lorca , Laura Isabel Solé