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Development and Validation of a Disease-Specific Instrument to Measure Diet-Targeted Quality of Life for Postoperative Patients with Esophagogastric Cancer

  • Gastrointestinal Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Patients who have undergone esophagectomy or gastrectomy have certain dietary limitations because of changes to the alimentary tract. This study attempted to develop a psychometric scale, named “Esophago-Gastric surgery and Quality of Dietary life (EGQ-D),” for assessment of impact of upper gastrointestinal surgery on diet-targeted quality of life.

Methods

Using qualitative methods, the study team interviewed both patients and surgeons involved in esophagogastric cancer surgery, and we prepared an item pool and a draft scale. To evaluate the scale’s psychometric reliability and validity, a survey involving a large number of patients was conducted. Items for the final scale were selected by factor analysis and item response theory. Cronbach’s alpha was used for assessment of reliability, and correlations with the short form (SF)-12, esophagus and stomach surgery symptom scale (ES4), and nutritional indicators were analyzed to assess the criterion-related validity.

Results

Through multifaceted discussion and the pilot study, a draft questionnaire comprising 14 items was prepared, and a total of 316 patients were enrolled. On the basis of factor analysis and item response theory, six items were excluded, and the remaining eight items demonstrated strong unidimensionality for the final scale. Cronbach’s alpha was 0.895. There were significant associations with all the subscale scores for SF-12, ES4, and nutritional indicators.

Conclusions

The EGQ-D scale has good contents and psychometric validity and can be used to evaluate disease-specific instrument to measure diet-targeted quality of life for postoperative patients with esophagogastric cancer.

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Acknowledgments

The authors would like to thank Dr. Savtaj Singh Brar, MD MSc, Mount Sinai Hospital, University of Toronto for his excellent support in the translation of the symptom scale. This research was supported by Kansai University’s Overseas Research Program for the year of 2012.

Disclosure

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, Cancer Institute Hospital, Gastroenterological Center, Japanese Foundation for Cancer Research, Tokyo, Japan

    Michitaka Honda MD & Souya Nunobe MD

  2. Department of Sociology, Kansai University, Osaka, Japan

    Takafumi Wakita PhD

  3. Institute for Health Outcomes & Process Evaluation Research (iHope International), Kyoto, Japan

    Yoshihiro Onishi PhD

  4. Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan

    Akinori Miura MD

  5. Department of Surgery, Tenri Hospital, Nara, Japan

    Tatsuto Nishigori MD

  6. Department of Surgery, Kameda Medical Center, Chiba, Japan

    Hiroshi Kusanagi MD

  7. Department of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan

    Takatsugu Yamamoto MD

  8. Department of Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK

    Alexander Boddy MD

  9. Department of Healthcare Epidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto, Japan

    Shunichi Fukuhara MD

  10. Center for Innovative Research for Community and Clinical Excellence, Fukushima Medical University, Fukushima, Japan

    Shunichi Fukuhara MD

Authors
  1. Michitaka Honda MD
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  2. Takafumi Wakita PhD
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  3. Yoshihiro Onishi PhD
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  4. Souya Nunobe MD
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  5. Akinori Miura MD
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  6. Tatsuto Nishigori MD
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  7. Hiroshi Kusanagi MD
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  8. Takatsugu Yamamoto MD
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  9. Alexander Boddy MD
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  10. Shunichi Fukuhara MD
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Corresponding author

Correspondence to Michitaka Honda MD.

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Honda, M., Wakita, T., Onishi, Y. et al. Development and Validation of a Disease-Specific Instrument to Measure Diet-Targeted Quality of Life for Postoperative Patients with Esophagogastric Cancer. Ann Surg Oncol 22 (Suppl 3), 848–854 (2015). https://doi.org/10.1245/s10434-015-4696-8

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  • DOI: https://doi.org/10.1245/s10434-015-4696-8

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