Skip to main content
SpringerLink
Log in

Translation, cross-cultural adaptation, and validation of the sino-nasal outcome test (SNOT)-22 for Lithuanian patients

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The objective of this study was to perform translation, cross-cultural adaptation, and validation of the SNOT-22 in the Lithuanian language. This is a prospective case–control study. The study was conducted at the University clinic. The sino-nasal outcome test 22 (SNOT-22) was translated into the Lithuanian language; the pilot study involved 34 patients, the test–retest group consisted of 34 patients with chronic rhinosinusitis (CRS), and the control group of 115 patients with no CRS complaints; 36 patients were evaluated before surgery and 3 months after surgery. The results showed a good internal correlation with Cronbach’s alpha—0.89 in the initial test, and 0.93 in the retest; both values suggesting good internal consistency within the SNOT-22. Pearson’s correlation coefficient was 0.72 (p < 0.001), revealing good correlation between the initial scores and the retests scores. Our sample of healthy individuals had a median score of 12 points, and the instrument was capable of differentiating between the healthy and the patient group, demonstrating its validity (p < 0.0001). The statistically significant reduction in the post-operative scores, vis-à-vis pre-operative values, demonstrates the responsiveness of the instrument. The minimally important difference was 13 points in the SNOT-22 score. The Lithuanian version of the SNOT-22 is a valid instrument for assessing patients with CRS. It demonstrated good internal consistency, reproducibility, validity, and responsiveness.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Fokkens W, Lund V, Mullol J (2007) EP 3 OS 2007: European position paper on rhinosinusitis and nasal polyps 2007. A summary for otorhinolaryngologists. Rhinology 45(2):97–101

    PubMed  Google Scholar 

  2. Anand VK, Osguthorpe JD, Rice D (1997) Surgical management of adult rhinosinusitis. Otolaryngology Head Neck Surg 117(3 Pt 2):S50–S52

    Article  CAS  Google Scholar 

  3. Gliklich RE, Metson R (1995) The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg 113(1):104–109

    Article  PubMed  CAS  Google Scholar 

  4. Melen I (1994) Chronic sinusitis: clinical and pathophysiological aspects. Acta Oto-Laryngologica 114(S515):45–48

    Article  Google Scholar 

  5. Lange B, Thilsing T, Al-kalemji A, Bælum J, Martinussen T, Kjeldsen A (2011) The sino-nasal outcome test 22 validated for Danish patients. Dan Med Bull 58(2):A4235

    PubMed  Google Scholar 

  6. Piccirillo J (2002) Psychometric and clinimetric validity of the 20-item sino-nasal outcome test (SNOT-20). Otolaryngol Head Neck Surg 126(1):41–47

    Article  PubMed  Google Scholar 

  7. Hopkins C (2009) Patient reported outcome measures in rhinology. Rhinology 47(1):10–17

    PubMed  Google Scholar 

  8. Morley AD, Sharp HR (2006) A review of sinonasal outcome scoring systems–which is best? Clin Otolaryngol 31(2):103–109

    Article  PubMed  CAS  Google Scholar 

  9. Schalek P, Otruba L, Hahn A (2010) Quality of life in patients with chronic rhinosinusitis: a validation of the Czech version of SNOT-22 questionnaire. Eur Arch Otorhinolaryngol 267(3):473–475

    Article  PubMed  Google Scholar 

  10. Browne JP, Hopkins C, Slack R, Cano SJ (2007) The sino-nasal outcome test (SNOT): can we make it more clinically meaningful? Otolaryngol Head Neck Surg 136(5):736–741

    Article  PubMed  Google Scholar 

  11. Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46(12):1417–1432

    Article  PubMed  CAS  Google Scholar 

  12. Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP (2009) Psychometric validity of the 22-item sinonasal outcome test. Clin Otolaryngol 34(5):447–454

    Article  PubMed  CAS  Google Scholar 

  13. Kosugi EM, Chen VG, Fonseca VMG, Cursino MMP, Mendes Neto JA, Gregório LC (2011) Translation, cross-cultural adaptation and validation of sinonasal outcome test (SNOT): 22 to Brazilian Portuguese. Braz J Otorhinolaryngol 77(5):663–669

    Article  PubMed  Google Scholar 

  14. Jaeschke R, Singer J, Guyatt GH (1989) Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 10(4):407–415

    Article  PubMed  CAS  Google Scholar 

  15. Soler ZM, Smith TL (2010) Quality of life outcomes after functional endoscopic sinus surgery. Otolaryngol Clin North Am 43(3):605

    Article  PubMed  Google Scholar 

  16. Koller M, Aaronson NK, Blazeby J, Bottomley A, Dewolf L, Fayers P et al (2007) Translation procedures for standardised quality of life questionnaires: the European organisation for research and treatment of cancer (EORTC) approach. Eur J Cancer 43(12):1810–1820

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, 50009, Kaunas, Lithuania

    Saulius Vaitkus, Evaldas Padervinskis, Tomas Balsevicius & Nora Siupsinskiene

  2. Department of Pulmonology and Immunology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Jurate Staikuniene

  3. Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Silvija Ryskiene

  4. Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Laura Lisauskaite & Justinas Vaitkus

Authors
  1. Saulius Vaitkus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Evaldas Padervinskis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomas Balsevicius
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nora Siupsinskiene
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jurate Staikuniene
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Silvija Ryskiene
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Laura Lisauskaite
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Justinas Vaitkus
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Evaldas Padervinskis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vaitkus, S., Padervinskis, E., Balsevicius, T. et al. Translation, cross-cultural adaptation, and validation of the sino-nasal outcome test (SNOT)-22 for Lithuanian patients. Eur Arch Otorhinolaryngol 270, 1843–1848 (2013). https://doi.org/10.1007/s00405-012-2282-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-012-2282-2

Keywords

Search

Navigation