Abstract
Study Design
Prospective cohort validation study.
Objectives
In spinal cord injury (SCI), neurogenic lower urinary tract dysfunction is associated with a reduced quality of life. No specific questionnaire has been translated, culturally adapted, and validated into Polish language to assess urinary disorder-specific quality of life in people after SCI. In this study, we translated, adapted, and validated the Polish versions of the Qualiveen and SF-Qualiveen in individuals with SCI.
Setting
University Hospital in Krakow, Poland.
Methods
Translation and cross-cultural adaptation of the Qualiveen and SF-Qualiveen were done using international recommendations and well-established methods. Adult patients with SCI from the Department of Urology at the University Hospital in Krakow, Poland completed the Polish versions of the Qualiveen, SF-Qualiveen, and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) at baseline and 2 weeks later. The ICIQ-SF served as the reference instrument. Validity and reliability were determined.
Results
Polish-speaking patients with SCI (n = 178) were included. Content validity/cross-cultural adaptation of the translated questionnaires was investigated during face-to-face interviews. Construct/criterion validity was assessed, and positive correlations were found between the Qualiveen and ICIQ-SF as well as the SF-Qualiveen and ICIQ-SF. A reliability study revealed good internal consistency (Cronbach’s alpha > 0.8) and reproducibility (intraclass correlation coefficients > 0.8) for both adapted questionnaires. We did not identify floor or ceiling effect.
Conclusions
The Polish versions of the Qualiveen and SF-Qualiveen showed good measurement properties. Polish healthcare providers can now reliably and directly assess the urinary disorder-specific quality of life in individuals after SCI.
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Data archiving
All data generated or analysed during this study are included in this published article and its supplementary information files.
References
Przydacz M, Chlosta P, Corcos J. Recommendations for urological follow-up of patients with neurogenic bladder secondary to spinal cord injury. Int Urol Nephrol. 2018;50:1005–16.
Stover SL, DeVivo MJ, Go BK. History, implementation, and current status of the National Spinal Cord Injury Database. Arch Phys Med Rehabil. 1999;80:1365–71.
National Spinal Cord Injury Statistical Center, Facts and Figures at a Glance. Birmingham, AL: University of Alabama at Birmingham, 2020 https://www.nscisc.uab.edu. Accessed February 2020.
European Association of Urology (EAU), Non-Oncology Guidelines [Internet]; Neuro-urology, Publicated: 2019. https://uroweb.org/guideline/neuro-urology/. Accessed Feb 2020.
Costa P, Perrouin-Verbe B, Colvez A, Didier J, Marquis P, Marrel A, et al. Quality of life in spinal cord injury patients with urinary difficulties. Development and validation of qualiveen. Eur Urol. 2001;39:107–13.
Bonniaud V, Parratte B, Amarenco G, Jackowski D, Didier JP, Guyatt G. Measuring quality of life in multiple sclerosis patients with urinary disorders using the Qualiveen questionnaire. Arch Phys Med Rehabil. 2004;85:1317–23.
Bonniaud V, Bryant D, Parratte B, Guyatt G. Development and validation of the short form of a urinary quality of life questionnaire: SF-Qualiveen. J Urol 2008;180:2592–8.
Reuvers SHM, Korfage IJ, Scheepe JR, Blok BFM. The urinary-specific quality of life of multiple sclerosis patients: Dutch translation and validation of the SF-Qualiveen. Neurourol Urodyn 2017;36:1629–35.
Reuvers SHM, Korfage IJ, Scheepe JR, t Hoen LA, Sluis TAR, Blok BFM. The validation of the Dutch SF-Qualiveen, a questionnaire on urinary-specific quality of life, in spinal cord injury patients. BMC Urol 2017;17:88.
Bonniaud V, Bryant D, Parratte B, Gallien P, Guyatt G. Qualiveen: a urinary disorder-specific instrument for use in clinical trials in multiple sclerosis. Arch Phys Med Rehabil. 2006;87:1661–3.
Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004;23:322–30.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.
Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med. 2011;34:535–46.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.
Nayak BK. Understanding the relevance of sample size calculation. Indian J Ophthalmol. 2010;58:469–70.
D’Ancona CA, Tamanini JT, Botega N, Lavoura N, Ferreira R, Leitao V, et al. Quality of life of neurogenic patients: translation and validation of the Portuguese version of Qualiveen. Int Urol Nephrol. 2009;41:29–33.
Wikipedia (Wiki), The Free Encyclopedia. https://en.wikipedia.org/wiki/Polish_diaspora. Accessed Feb 2020.
Bonniaud V, Bryant D, Pilati C, Menarini M, Lamartina M, Guyatt G, et al. Italian version of Qualiveen-30: cultural adaptation of a neurogenic urinary disorder-specific instrument. Neurourol Urodyn 2011;30:354–9.
Ciudin A, Franco A, Diaconu MG, Peri L, Vivas V, Gonzalez MA, et al. Quality of life of multiple sclerosis patients: translation and validation of the Spanish version of Qualiveen. Neurourol Urodyn 2012;31:517–20.
Nikfallah A, Rezaali S, Mohammadi N, Abrishamkar M, Rezaei E, Sahraian MA, et al. Translation, Cultural Adaptation and Validation of the Qualiveen-30 Questionnaire in Persian for patients with spinal cord injury and multiple sclerosis. Low Urin Trac Symptoms. 2015;7:42–49.
Acknowledgements
The authors thank Katarzyna Jasik, Joanna Lepicka, Joanna McCoy, and Atominium Specialist Translation Agency for their assistance with translations and Natalia Wojtyczko for her help with enrolling patients. We also thank MAPI Research TRUST for giving its permission to use the questionnaires. The Polish versions of the Qualiveen and SF-Qualiveen obtained in this study are provided by the MAPI Research Trust.
Funding
This work was supported by an unrestricted grant from Jagiellonian University Medical College, Krakow, Poland.
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Contributions
MP and PCH conceived the concept of the study. MP contributed to the design of the research. All authors were involved in data collection. MP analyzed the data. MP and PCH coordinated funding for the project. All authors edited and approved the final version of the manuscript.
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Statement of ethics
We certify that all applicable institutional and governmental regulations concerning the ethical use of human volunteers were followed during the course of this research. The study was approved by the research committee of Jagiellonian University Medical College (1072.6120.222.2019) and registered with ClinicalTrials.gov (NCT04185792).
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Przydacz, M., Kornelak, P., Dudek, P. et al. The urinary disorder-specific quality of life in patients after spinal cord injury: Polish translation, adaptation and validation of the Qualiveen and SF-Qualiveen. Spinal Cord 59, 105–111 (2021). https://doi.org/10.1038/s41393-020-0499-2
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DOI: https://doi.org/10.1038/s41393-020-0499-2
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