Assessing disability and quality of life in systemic sclerosis: construct validities of the Cochin Hand Function Scale, Health Assessment Questionnaire (HAQ), Systemic Sclerosis HAQ, and Medical Outcomes Study 36-Item Short Form Health Survey.
Identifieur interne : 001B56 ( Main/Corpus ); précédent : 001B55; suivant : 001B57Assessing disability and quality of life in systemic sclerosis: construct validities of the Cochin Hand Function Scale, Health Assessment Questionnaire (HAQ), Systemic Sclerosis HAQ, and Medical Outcomes Study 36-Item Short Form Health Survey.
Auteurs : François Rannou ; Serge Poiraudeau ; Alice Berezné ; Thierry Baubet ; Véronique Le-Guern ; Jean Cabane ; Loïc Guillevin ; Michel Revel ; Jacques Fermanian ; Luc MouthonSource :
- Arthritis and rheumatism [ 0004-3591 ] ; 2007.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cross-Sectional Studies (MeSH), Disability Evaluation (MeSH), Factor Analysis, Statistical (MeSH), Female (MeSH), Hand (physiopathology), Health Status (MeSH), Health Surveys (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (methods), Quality of Life (psychology), Scleroderma, Systemic (complications), Scleroderma, Systemic (psychology), Self Concept (MeSH), Severity of Illness Index (MeSH), Sickness Impact Profile (MeSH).
- MESH :
- complications : Scleroderma, Systemic.
- methods : Outcome Assessment, Health Care.
- physiopathology : Hand.
- psychology : Quality of Life, Scleroderma, Systemic.
- Adult, Aged, Cross-Sectional Studies, Disability Evaluation, Factor Analysis, Statistical, Female, Health Status, Health Surveys, Humans, Male, Middle Aged, Self Concept, Severity of Illness Index, Sickness Impact Profile.
Abstract
OBJECTIVE
To assess the construct validity of the Cochin Hand Function Scale (CHFS) and the relevance of using aggregate scores for the scleroderma Health Assessment Questionnaire (sHAQ) and Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) in systemic sclerosis (SSc).
METHODS
We evaluated 50 patients with SSc (mean +/- SD age and disease duration 54 +/- 12 years and 9 +/- 8 years, respectively), of which 26 had limited cutaneous SSc (lcSSc) and 23 diffuse SSc (dSSc). Quality of life was assessed by the SF-36, global disability by the Health Assessment Questionnaire (HAQ) and sHAQ, and hand disability by the CHFS. Construct validity was assessed by convergent and divergent validity (Spearman's rank correlation coefficient) and factor analysis.
RESULTS
The CHFS had good construct validity and its total score explained 75% of the variance of the HAQ. The HAQ had better construct validity than the aggregate sHAQ and their scores correlated well (r = 0.88). The aggregate sHAQ was no better than the HAQ in discriminating between lcSSc and dSSc. SF-36 physical and mental components had acceptable convergent and divergent validity. Factor analysis of the 8 subscales extracted 3 factors explaining 72% of the variance, which differed from the a priori stratification with physical and mental subscales extracted in the same factor.
CONCLUSION
In patients with SSc, the CHFS has good construct validity, the HAQ should be preferred over the aggregate sHAQ for assessing physical functioning, and use of SF-36 physical and mental components aggregate scores is questionable.
DOI: 10.1002/art.22468
PubMed: 17266096
Links to Exploration step
pubmed:17266096Le document en format XML
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first="Thierry" last="Baubet">Thierry Baubet</name></author><author><name sortKey="Le Guern, Veronique" sort="Le Guern, Veronique" uniqKey="Le Guern V" first="Véronique" last="Le-Guern">Véronique Le-Guern</name></author><author><name sortKey="Cabane, Jean" sort="Cabane, Jean" uniqKey="Cabane J" first="Jean" last="Cabane">Jean Cabane</name></author><author><name sortKey="Guillevin, Loic" sort="Guillevin, Loic" uniqKey="Guillevin L" first="Loïc" last="Guillevin">Loïc Guillevin</name></author><author><name sortKey="Revel, Michel" sort="Revel, Michel" uniqKey="Revel M" first="Michel" last="Revel">Michel Revel</name></author><author><name sortKey="Fermanian, Jacques" sort="Fermanian, Jacques" uniqKey="Fermanian J" first="Jacques" last="Fermanian">Jacques Fermanian</name></author><author><name sortKey="Mouthon, Luc" sort="Mouthon, Luc" uniqKey="Mouthon L" first="Luc" last="Mouthon">Luc Mouthon</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17266096</idno><idno type="pmid">17266096</idno><idno type="doi">10.1002/art.22468</idno><idno type="wicri:Area/Main/Corpus">001B56</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001B56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Assessing disability and quality of life in systemic sclerosis: construct validities of the Cochin Hand Function Scale, Health Assessment Questionnaire (HAQ), Systemic Sclerosis HAQ, and Medical Outcomes Study 36-Item Short Form Health Survey.</title><author><name sortKey="Rannou, Francois" sort="Rannou, Francois" uniqKey="Rannou F" first="François" last="Rannou">François Rannou</name><affiliation><nlm:affiliation>Assistance Publique-Hôpitaux de Paris, Cochin Hospital, Paris 5 University, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Poiraudeau, Serge" sort="Poiraudeau, Serge" uniqKey="Poiraudeau S" first="Serge" last="Poiraudeau">Serge Poiraudeau</name></author><author><name sortKey="Berezne, Alice" sort="Berezne, Alice" uniqKey="Berezne A" first="Alice" last="Berezné">Alice Berezné</name></author><author><name sortKey="Baubet, Thierry" sort="Baubet, Thierry" uniqKey="Baubet T" first="Thierry" last="Baubet">Thierry Baubet</name></author><author><name sortKey="Le Guern, Veronique" sort="Le Guern, Veronique" uniqKey="Le Guern V" first="Véronique" last="Le-Guern">Véronique Le-Guern</name></author><author><name sortKey="Cabane, Jean" sort="Cabane, Jean" uniqKey="Cabane J" first="Jean" last="Cabane">Jean Cabane</name></author><author><name sortKey="Guillevin, Loic" sort="Guillevin, Loic" uniqKey="Guillevin L" first="Loïc" last="Guillevin">Loïc Guillevin</name></author><author><name sortKey="Revel, Michel" sort="Revel, Michel" uniqKey="Revel M" first="Michel" last="Revel">Michel Revel</name></author><author><name sortKey="Fermanian, Jacques" sort="Fermanian, Jacques" uniqKey="Fermanian J" first="Jacques" last="Fermanian">Jacques Fermanian</name></author><author><name sortKey="Mouthon, Luc" sort="Mouthon, Luc" uniqKey="Mouthon L" first="Luc" last="Mouthon">Luc Mouthon</name></author></analytic><series><title level="j">Arthritis and rheumatism</title><idno type="ISSN">0004-3591</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Disability Evaluation (MeSH)</term><term>Factor Analysis, Statistical (MeSH)</term><term>Female (MeSH)</term><term>Hand (physiopathology)</term><term>Health Status (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome Assessment, Health Care (methods)</term><term>Quality of Life (psychology)</term><term>Scleroderma, Systemic (complications)</term><term>Scleroderma, Systemic (psychology)</term><term>Self Concept (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Sickness Impact Profile (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Scleroderma, Systemic</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Outcome Assessment, Health Care</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hand</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Quality of Life</term><term>Scleroderma, Systemic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Factor Analysis, Statistical</term><term>Female</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Self Concept</term><term>Severity of Illness Index</term><term>Sickness Impact Profile</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the construct validity of the Cochin Hand Function Scale (CHFS) and the relevance of using aggregate scores for the scleroderma Health Assessment Questionnaire (sHAQ) and Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) in systemic sclerosis (SSc).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We evaluated 50 patients with SSc (mean +/- SD age and disease duration 54 +/- 12 years and 9 +/- 8 years, respectively), of which 26 had limited cutaneous SSc (lcSSc) and 23 diffuse SSc (dSSc). Quality of life was assessed by the SF-36, global disability by the Health Assessment Questionnaire (HAQ) and sHAQ, and hand disability by the CHFS. Construct validity was assessed by convergent and divergent validity (Spearman's rank correlation coefficient) and factor analysis.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The CHFS had good construct validity and its total score explained 75% of the variance of the HAQ. The HAQ had better construct validity than the aggregate sHAQ and their scores correlated well (r = 0.88). The aggregate sHAQ was no better than the HAQ in discriminating between lcSSc and dSSc. SF-36 physical and mental components had acceptable convergent and divergent validity. Factor analysis of the 8 subscales extracted 3 factors explaining 72% of the variance, which differed from the a priori stratification with physical and mental subscales extracted in the same factor.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In patients with SSc, the CHFS has good construct validity, the HAQ should be preferred over the aggregate sHAQ for assessing physical functioning, and use of SF-36 physical and mental components aggregate scores is questionable.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17266096</PMID><DateCompleted><Year>2007</Year><Month>03</Month><Day>08</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0004-3591</ISSN><JournalIssue CitedMedium="Print"><Volume>57</Volume><Issue>1</Issue><PubDate><Year>2007</Year><Month>Feb</Month><Day>15</Day></PubDate></JournalIssue><Title>Arthritis and rheumatism</Title><ISOAbbreviation>Arthritis Rheum</ISOAbbreviation></Journal><ArticleTitle>Assessing disability and quality of life in systemic sclerosis: construct validities of the Cochin Hand Function Scale, Health Assessment Questionnaire (HAQ), Systemic Sclerosis HAQ, and Medical Outcomes Study 36-Item Short Form Health Survey.</ArticleTitle><Pagination><MedlinePgn>94-102</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the construct validity of the Cochin Hand Function Scale (CHFS) and the relevance of using aggregate scores for the scleroderma Health Assessment Questionnaire (sHAQ) and Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) in systemic sclerosis (SSc).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We evaluated 50 patients with SSc (mean +/- SD age and disease duration 54 +/- 12 years and 9 +/- 8 years, respectively), of which 26 had limited cutaneous SSc (lcSSc) and 23 diffuse SSc (dSSc). Quality of life was assessed by the SF-36, global disability by the Health Assessment Questionnaire (HAQ) and sHAQ, and hand disability by the CHFS. Construct validity was assessed by convergent and divergent validity (Spearman's rank correlation coefficient) and factor analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The CHFS had good construct validity and its total score explained 75% of the variance of the HAQ. The HAQ had better construct validity than the aggregate sHAQ and their scores correlated well (r = 0.88). The aggregate sHAQ was no better than the HAQ in discriminating between lcSSc and dSSc. SF-36 physical and mental components had acceptable convergent and divergent validity. Factor analysis of the 8 subscales extracted 3 factors explaining 72% of the variance, which differed from the a priori stratification with physical and mental subscales extracted in the same factor.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In patients with SSc, the CHFS has good construct validity, the HAQ should be preferred over the aggregate sHAQ for assessing physical functioning, and use of SF-36 physical and mental components aggregate scores is questionable.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rannou</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Assistance Publique-Hôpitaux de Paris, Cochin Hospital, Paris 5 University, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Poiraudeau</LastName><ForeName>Serge</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Berezné</LastName><ForeName>Alice</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Baubet</LastName><ForeName>Thierry</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Le-Guern</LastName><ForeName>Véronique</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Cabane</LastName><ForeName>Jean</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Guillevin</LastName><ForeName>Loïc</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Revel</LastName><ForeName>Michel</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Fermanian</LastName><ForeName>Jacques</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Mouthon</LastName><ForeName>Luc</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Study</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arthritis Rheum</MedlineTA><NlmUniqueID>0370605</NlmUniqueID><ISSNLinking>0004-3591</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Arthritis Rheum. 2007 Oct 15;57(7):1339; author reply 1339-40</RefSource><PMID Version="1">17907215</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="Y">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005163" MajorTopicYN="N">Factor Analysis, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006225" MajorTopicYN="N">Hand</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="Y">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="Y">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012595" MajorTopicYN="N">Scleroderma, Systemic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018434" MajorTopicYN="N">Sickness Impact Profile</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>2</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>3</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>2</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17266096</ArticleId><ArticleId IdType="doi">10.1002/art.22468</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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