151. Cross-cultural adaptation and validation of the Chinese version of Toronto Extremity Salvage Score for patients with extremity sarcoma
- Author
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Zezhang Zhu, Xiaodong Qin, Minghui Sun, Weixiang Sun, Shoufeng Wang, and Leilei Xu
- Subjects
medicine.medical_specialty ,Toronto Extremity Salvage Score ,03 medical and health sciences ,Chinese version ,symbols.namesake ,0302 clinical medicine ,Physical medicine and rehabilitation ,Cronbach's alpha ,Rating scale ,medicine ,Cross-cultural ,030212 general & internal medicine ,Function ,Chinese ,Multidisciplinary ,TESS ,business.industry ,Research ,Extremity sarcoma ,medicine.disease ,Pearson product-moment correlation coefficient ,Convergent validity ,030220 oncology & carcinogenesis ,Physical therapy ,symbols ,Sarcoma ,business - Abstract
Objective As a widely used instrument for patients with extremity sarcoma, the Toronto Extremity Salvage Score (TESS) has never been cross-culturally adapted for Chinese population. The objective of our study was to investigate the comprehensibility, reliability and validity of the Chinese version of TESS for use in patients with extremity sarcoma. Methods A consensus version of the Chinese TESS was developed under the review of a committee according to international guidelines. 64 patients were recruited to complete the Chinese TESS, the Musculoskeletal Tumor Society (MSTS) Rating Scale, and the Quality of Life Questionnaire Core 30 (QLQ-C30). Reliability was assessed using the intra-class correlation coefficient (ICC) and Cronbach’s α. Validity was assessed with Pearson’s correlation between the similar domains of the two questionnaires. Results The ICCs for the test–retest reliability was 0.932 for the upper extremity questionnaire and 0.893 for lower extremity questionnaire, respectively. The Cronbach’s α was 0.953 for the lower extremity questionnaire and 0.921 for the upper extremity questionnaire, respectively. Convergent validity of the TESS based on Pearson correlation coefficients indicated significantly moderate to high correlations between the TESS and the MSTS as well as the QLQ-C30, with r ranging from 0.535 to 0.782. Conclusions The Chinese TESS is a comprehensible, reliable, and valid instrument that can be utilized for future cross-cultural international studies of extremity sarcoma.
- Published
- 2016
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