Development of the short version of the Gynecologic Cancer Lymphedema Questionnaire: GCLQ-7
Identifieur interne : 001198 ( Main/Exploration ); précédent : 001197; suivant : 001199Development of the short version of the Gynecologic Cancer Lymphedema Questionnaire: GCLQ-7
Auteurs : Se Ik Kim [Corée du Sud] ; Namjoo Kim [Corée du Sud] ; Seonjoo Lee [Corée du Sud] ; Sujung Lee [Corée du Sud] ; Jungnam Joo [Corée du Sud] ; Sang-Soo Seo [Corée du Sud] ; Seung Hyun Chung [Corée du Sud] ; Sang-Yoon Park [Corée du Sud] ; Myong Cheol Lim [Corée du Sud]Source :
- Journal of Gynecologic Oncology [ 2005-0380 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Genital Neoplasms, Female.
- etiology : Lymphedema.
- Female, Humans, Lower Extremity, Quality of Life, ROC Curve, Republic of Korea, Retrospective Studies, Sensitivity and Specificity, Surveys and Questionnaires, Translating.
Abstract
The Gynecologic Cancer Lymphedema Questionnaire (GCLQ) was designed to identify gynecologic cancer patients with lower limb lymphedema (LLL). The questionnaire consists of 20 items distributed over 7 symptom clusters. The present study aimed to develop an abridged form of the GCLQ for simpler screening and more effective follow-up of LLL.
Data that had been collected for the development and validation of the Korean version of the GCLQ (GCLQ-K) were used in this study. Receiver-operating characteristic (ROC) curves were drawn according to the individual items of the GCLQ-K. Based on discrimination ability, the candidate items were selected in each symptom cluster. After combining the items, the best model was identified and named GCLQ-7. The area under the ROC curve (AUC) was compared between the GCLQ-7 and the original GCLQ-K.
In total, 11 candidate items were selected from the original GCLQ-K. Among the models made with the candidate items, GCLQ-7, the best model, was constructed with 7 items as follows: 1) limited knee movement, 2) general swelling, 3) redness, 4) firmness/tightness, 5) groin swelling, 6) heaviness, and 7) aching. This model exhibited an AUC of 0.945 (95% confidence interval [CI], 0.900–0.991), which is comparable with that of the original GCLQ-K (AUC, 0.867; 95% CI, 0.779–0.956). The best cutoff value was 2 points, at which the sensitivity and specificity were 97.0% and 76.5%, respectively.
The newly developed short version model, GCLQ-7, showed acceptable discrimination ability as compared with the original GCLQ-K.
Url:
DOI: 10.3802/jgo.2017.28.e9
PubMed: 27819411
PubMed Central: 5323290
Affiliations:
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Cancer Lymphedema Questionnaire: GCLQ-7</title><author><name sortKey="Kim, Se Ik" sort="Kim, Se Ik" uniqKey="Kim S" first="Se Ik" last="Kim">Se Ik Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Namjoo" sort="Kim, Namjoo" uniqKey="Kim N" first="Namjoo" last="Kim">Namjoo Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Department of Statistics, Dongguk University School of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Seonjoo" sort="Lee, Seonjoo" uniqKey="Lee S" first="Seonjoo" last="Lee">Seonjoo Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Bio Medical Laboratory Science, Yonsei University Wonju College of Medicine, Wonju,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Sujung" sort="Lee, Sujung" uniqKey="Lee S" first="Sujung" last="Lee">Sujung Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Joo, Jungnam" sort="Joo, Jungnam" uniqKey="Joo J" first="Jungnam" last="Joo">Jungnam Joo</name><affiliation wicri:level="1"><nlm:aff id="A5">Biometric Research Branch, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Seo, Sang Soo" sort="Seo, Sang Soo" uniqKey="Seo S" first="Sang-Soo" last="Seo">Sang-Soo Seo</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name><affiliation wicri:level="1"><nlm:aff id="A6">Rehabilitation Clinic, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A7">Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><affiliation wicri:level="1"><nlm:aff id="A2">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A7">Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, Goyang,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Gynecologic Oncology</title><idno type="ISSN">2005-0380</idno><idno type="eISSN">2005-0399</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term><term>Genital Neoplasms, Female (complications)</term><term>Humans</term><term>Lower Extremity</term><term>Lymphedema (etiology)</term><term>Quality of Life</term><term>ROC Curve</term><term>Republic of Korea</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Surveys and Questionnaires</term><term>Translating</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Courbe ROC</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur</term><term>Qualité de vie</term><term>République de Corée</term><term>Sensibilité et spécificité</term><term>Traduction</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Quality of Life</term><term>ROC Curve</term><term>Republic of Korea</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Surveys and Questionnaires</term><term>Translating</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Courbe ROC</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Membre inférieur</term><term>Qualité de vie</term><term>République de Corée</term><term>Sensibilité et spécificité</term><term>Traduction</term><term>Tumeurs de l'appareil génital féminin</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>The Gynecologic Cancer Lymphedema Questionnaire (GCLQ) was designed to identify gynecologic cancer patients with lower limb lymphedema (LLL). The questionnaire consists of 20 items distributed over 7 symptom clusters. The present study aimed to develop an abridged form of the GCLQ for simpler screening and more effective follow-up of LLL.</p></sec><sec><title>Methods</title><p>Data that had been collected for the development and validation of the Korean version of the GCLQ (GCLQ-K) were used in this study. Receiver-operating characteristic (ROC) curves were drawn according to the individual items of the GCLQ-K. Based on discrimination ability, the candidate items were selected in each symptom cluster. After combining the items, the best model was identified and named GCLQ-7. The area under the ROC curve (AUC) was compared between the GCLQ-7 and the original GCLQ-K.</p></sec><sec><title>Results</title><p>In total, 11 candidate items were selected from the original GCLQ-K. Among the models made with the candidate items, GCLQ-7, the best model, was constructed with 7 items as follows: 1) limited knee movement, 2) general swelling, 3) redness, 4) firmness/tightness, 5) groin swelling, 6) heaviness, and 7) aching. This model exhibited an AUC of 0.945 (95% confidence interval [CI], 0.900–0.991), which is comparable with that of the original GCLQ-K (AUC, 0.867; 95% CI, 0.779–0.956). The best cutoff value was 2 points, at which the sensitivity and specificity were 97.0% and 76.5%, respectively.</p></sec><sec><title>Conclusion</title><p>The newly developed short version model, GCLQ-7, showed acceptable discrimination ability as compared with the original GCLQ-K.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lim, Mc" uniqKey="Lim M">MC Lim</name></author><author><name sortKey="Moon, Ek" uniqKey="Moon E">EK Moon</name></author><author><name sortKey="Shin, A" uniqKey="Shin A">A Shin</name></author><author><name sortKey="Jung, Kw" uniqKey="Jung K">KW Jung</name></author><author><name sortKey="Won, Yj" uniqKey="Won Y">YJ Won</name></author><author><name sortKey="Seo, Ss" uniqKey="Seo S">SS Seo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beesley, V" uniqKey="Beesley V">V Beesley</name></author><author><name sortKey="Janda, M" uniqKey="Janda M">M 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uniqKey="Mehrara B">BJ Mehrara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carter, J" uniqKey="Carter J">J Carter</name></author><author><name sortKey="Raviv, L" uniqKey="Raviv L">L Raviv</name></author><author><name sortKey="Appollo, K" uniqKey="Appollo K">K Appollo</name></author><author><name sortKey="Baser, Re" uniqKey="Baser R">RE Baser</name></author><author><name sortKey="Iasonos, A" uniqKey="Iasonos A">A Iasonos</name></author><author><name sortKey="Barakat, Rr" uniqKey="Barakat R">RR Barakat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lim, Mc" uniqKey="Lim M">MC Lim</name></author><author><name sortKey="Lee, Js" uniqKey="Lee J">JS Lee</name></author><author><name sortKey="Joo, J" uniqKey="Joo J">J Joo</name></author><author><name sortKey="Park, K" uniqKey="Park K">K Park</name></author><author><name sortKey="Yoo, Hj" uniqKey="Yoo H">HJ Yoo</name></author><author><name sortKey="Seo, Ss" uniqKey="Seo S">SS Seo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kerchner, K" uniqKey="Kerchner K">K Kerchner</name></author><author><name sortKey="Fleischer, A" uniqKey="Fleischer A">A Fleischer</name></author><author><name sortKey="Yosipovitch, G" uniqKey="Yosipovitch G">G Yosipovitch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fayers, P" uniqKey="Fayers P">P Fayers</name></author><author><name sortKey="Bottomley, A" uniqKey="Bottomley A">A Bottomley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosen, R" uniqKey="Rosen R">R Rosen</name></author><author><name sortKey="Brown, C" uniqKey="Brown C">C Brown</name></author><author><name sortKey="Heiman, J" uniqKey="Heiman J">J Heiman</name></author><author><name sortKey="Leiblum, S" uniqKey="Leiblum S">S Leiblum</name></author><author><name sortKey="Meston, C" uniqKey="Meston C">C Meston</name></author><author><name sortKey="Shabsigh, R" uniqKey="Shabsigh R">R Shabsigh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Isidori, Am" uniqKey="Isidori A">AM Isidori</name></author><author><name sortKey="Pozza, C" uniqKey="Pozza C">C Pozza</name></author><author><name sortKey="Esposito, K" uniqKey="Esposito K">K Esposito</name></author><author><name sortKey="Giugliano, D" uniqKey="Giugliano D">D Giugliano</name></author><author><name sortKey="Morano, S" uniqKey="Morano S">S Morano</name></author><author><name sortKey="Vignozzi, L" uniqKey="Vignozzi L">L Vignozzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Warren, Ag" uniqKey="Warren A">AG Warren</name></author><author><name sortKey="Brorson, H" uniqKey="Brorson H">H Brorson</name></author><author><name sortKey="Borud, Lj" uniqKey="Borud L">LJ Borud</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brown, Jc" uniqKey="Brown J">JC Brown</name></author><author><name sortKey="Chu, Cs" uniqKey="Chu C">CS Chu</name></author><author><name sortKey="Cheville, Al" uniqKey="Cheville A">AL Cheville</name></author><author><name sortKey="Schmitz, Kh" uniqKey="Schmitz K">KH Schmitz</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Se Ik" sort="Kim, Se Ik" uniqKey="Kim S" first="Se Ik" last="Kim">Se Ik Kim</name></noRegion><name sortKey="Chung, Seung Hyun" sort="Chung, Seung Hyun" uniqKey="Chung S" first="Seung Hyun" last="Chung">Seung Hyun Chung</name><name sortKey="Joo, Jungnam" sort="Joo, Jungnam" uniqKey="Joo J" first="Jungnam" last="Joo">Jungnam Joo</name><name sortKey="Kim, Namjoo" sort="Kim, Namjoo" uniqKey="Kim N" first="Namjoo" last="Kim">Namjoo Kim</name><name sortKey="Kim, Namjoo" sort="Kim, Namjoo" uniqKey="Kim N" first="Namjoo" last="Kim">Namjoo Kim</name><name sortKey="Lee, Seonjoo" sort="Lee, Seonjoo" uniqKey="Lee S" first="Seonjoo" last="Lee">Seonjoo Lee</name><name sortKey="Lee, Seonjoo" sort="Lee, Seonjoo" uniqKey="Lee S" first="Seonjoo" last="Lee">Seonjoo Lee</name><name sortKey="Lee, Sujung" sort="Lee, Sujung" uniqKey="Lee S" first="Sujung" last="Lee">Sujung Lee</name><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><name sortKey="Seo, Sang Soo" sort="Seo, Sang Soo" uniqKey="Seo S" first="Sang-Soo" last="Seo">Sang-Soo Seo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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