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VALIDATION OF A RUSSIAN-LANGUAGE VERSION OF THE VEINES-QOL/SYM QUESTIONNAIRE IN PATIENTS WITH RHEUMATIC DISEASES AND LOWER EXTREMITY CHRONIC VENOUS DISEASES

https://doi.org/10.14412/1995-4484-2017-514-520

Abstract

Objective: to assess the psychometric properties (reliability, sensitivity, and validity) of a Russian-language version of the VEINES-QOL/Sym questionnaire in patients with rheumatic diseases and lower extremity chronic venous diseases.

Subjects and methods. The investigation enrolled 89 patients (66 (74%) women and 23 (26%) men) (their mean age was 46.3±13.4 years) with rheumatic diseases. The majority (n=62 (70%)) of patients were recorded to have a history of one case of venous thrombosis of the lower extremity; the others (n=27 (30%)) had more than one case of thrombosis. To calculate the scores the VEINES-QOL/Sym questionnaire, a standard method proposed by its authors was used. The patients filled out the VEINES-QOL/Sym questionnaire thrice: on inclusion, at 2 weeks, and at 6 months.

Results and discussion. The internal consistency (Cronbach’s α coefficient) of VEINES-QOL and VEINES-Sym was equal to 0.973 and 0.975, respectively, which reflects the high level of reliability. The coefficient κ varied from 0.825 to 1, which indicates good reproducibility (p < 0.001). The correlation coefficients of VEINES-QOL and VEINES-Sym with the physical component of SF36 were 0.59 and 0.42, and those with its psychological component were 0.42 and 0.35, respectively (p<0.05). The correlation coefficients of VEINES-QOL and VEINES-Sym with general health assessment on the visual analogue scale were -0.41 and -0.36, with a pain intensity of -0.56 and -0.46, respectively (p<0.05). The moderate relationships of VEINES-QOL and VEINES-Sym to the above parameters, as well as to the SF36 physical and psychological components suggest that the questionnaire is able to display quality of life in patients with rheumatic diseases and lower extremity venous diseases. The sensitivity of the VEINES-QOL/Sym questionnaire was assessed after its completion, at baseline, and at 6 months. According to the presence or absence of positive postthrombotic changes, as evidenced by duplex ultrasound scanning (DUSS), all the patients were divided into two groups. Calculation of a 6-month change in VEINES-QOL scores revealed that Group 1 with positive DUSS changes showed better quality of life (ΔVEINES-QOL=0.95 [-2.8; 6.7]); at the same time, Group 2 with no or negative DUSS changes displayed worse quality of life (ΔVEINES-QOL=-1.71 [5.7; 3.27]; p = 0.06); this suggests that the questionnaire can be used for assessing the quality of life in patients with lower extremity venous diseases over time. Thus, the VEINES/Qol-Sym questionnaire is a reliable and valid tool. It can be used to assess quality of life over time in patients with rheumatic diseases and lower extremity chronic venous diseases. The investigation confirmed the good psychometric properties of the VEINES/Qol-Sym questionnaire.

About the Authors

M. A. Satybaldyeva
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522



N. V. Seredavkina
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522


S. I. Glukhova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522


I. N. Gorskikh
Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Biomedical Agency of Russia
Russian Federation

28, Orekhovyi  Boulevard, Moscow 115682



T. M. Reshetnyak
V.A. Nasonova Research Institute of Rheumatology Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522

2/1, Barrikadnaya St., Moscow 125993



E. L. Nasonov
V.A. Nasonova Research Institute of Rheumatology I.M. Sechenov First Moscow State Medical University
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522

Department of Rheumatology, Institute of Professional Education

8, Trubetskaya St., Build. 2, Moscow 119991



References

1. Swadzba J, Iwaniec T, Szczeklik A, et al. Revised classification criteria for antiphospholipid syndrome and the thrombotic risk in patients with autoimmune diseases. J Thromb Haemost. 2007 Sep;5(9):1883-9. doi: 10.1111/j.1538-7836.2007.02669.x. Epub 2007 Jun 26.

2. Решетняк ТМ, Штивельбанд ИБ, Середавкина НВ и др. Диагностические критерии антифосфолипидного синдрома: сравнительная оценка критериев 1999 и 2006 гг. (ретроспективное исследование). Тромбоз, гемостаз и реология. 2016;(3):20-9 [Reshetnyak TM, Shtivel'band IB, Seredavkina NV, et al. Diagnostic criteria for antiphospholipid syndrome: a comparative assessment of the criteria for 1999 and 2006 (retrospective study). Tromboz, Gemostaz i Reologiya. 2016;(3):20-9 (In Russ.)].

3. Mok CC, Tang SS, To CH, et al. Incidence and risk factors of thromboembolism in systemic lupus erythematosus: a comparison of three ethnic groups. Arthritis Rheum. 2005 Sep;52(9):2774-82. doi: 10.1002/art.21224

4. Petri M. Update on anti-phospholipid antibodies in SLE: the Hopkins’ Lupus Cohort. Lupus. 2010 Apr;19(4):419-23. doi: 10.1177/0961203309360541

5. Topaloglu R, Akierli C, Bakkaloglu A, et al. Survey of factor V Leiden and prothrombin gene mutations in systemic lupus erythematosus. Clin Rheumatol. 2001;20(4):259-61. doi: 10.1007/s100670170040

6. Сатыбалдыева МА, Решетняк ТМ, Середавкина НВ и др. Факторы риска развития венозных тромбоэмболических осложнений у больных ревматоидным артритом. Научно-практическая ревматология. 2016;54(4):398-403 [Satybaldyeva MA, Reshetnyak TM, Seredavkina NV, et al. Risk factors for venous thromboembolic events in patients with rheumatoid arthritis. Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2016;54(4):398- 403 (In Russ.)]. doi: 10.14412/1995-4484-2016-398-403

7. Seriolo B, Fasciolo D, Sulli A, et al. Homocysteine and anticardiolipin antibodies in rheumatoid arthritis patients: relationships with thrombotic events. Clin Exp Rheumatol. 2001;19(5):561-4.

8. Kang JH, Keller JJ, Lin YK, et al. A population-based case-control study on the association between rheumatoid arthritis and deep vein thrombosis. J Vasc Surg. 2012 Dec;56(6):1642- 8. doi: 10.1016/j.jvs.2012.05.087. Epub 2012 Oct 22.

9. Holmqvist ME, Neovius M, Eriksson J, et al. Risk of venous thromboembolism in patients with rheumatoid arthritis and association with disease duration and hospitalization. JAMA. 2012 Oct 3;308(13):1350-6. doi: 10.1001/2012.jama.11741

10. Choi HK, Rho YH, Zhu Y, et al. The risk of pulmonary embolism and deep vein thrombosis in rheumatoid arthritis: a UK population- based outpatient cohort study. Ann Rheum Dis. 2013 Jul;72(7):1182-7. doi: 10.1136/annrheumdis-2012-201669. Epub 2012 Aug 28.

11. Merkel PA, Chang Y, Pierangeli SS, et al. The prevalence and clinical associations of anticardiolipin antibodies in a large inception cohort of patients with connective tissue diseases. Am J Med. 1996 Dec;101(6):576-83. doi: 10.1016/S0002-9343(96)00335-X

12. Bonnet C, Vergne P, Bertin P, et al. Antiphospholipid antibodies and RA: presence of beta2GP1 independent aCL. Ann Rheum Dis. 2001 Mar;60(3):303-4. doi: 10.1136/ard.60.3.303a

13. Kahn SR, Partsch H, Vedantham S, et al. Definition of postthrombotic syndrome of the leg for use in clinical investigations: a recommendation for standardization. J Thromb Haemost. 2009;7:879. doi: 10.1111/j.1538-7836.2009.03294.x

14. Grosse SD, Nelson RE, Nyarko KA, et al. The economic burden of incident venous thromboembolism in the United States: A review of estimated attributable healthcare costs. Thromb Res. 2016;137:3. doi: 10.1016/j.thromres.2015.11.033

15. Porter JM, Moneta GL. Reporting standards in venous disease: an update. International Consensus Committee on Chronic Venous Disease. J Vasc Surg. 1995;21:635. doi: 10.1016/S0741-5214(95)70195-8

16. Franzeck UK, Schalch I, Jä ger KA, et al. Prospective 12-year follow-up study of clinical and hemodynamic sequelae after deep vein thrombosis in low-risk patients (Zü rich study). Circulation. 1996;93:74. doi: 10.1161/01.CIR.93.1.74

17. Bergan JJ, Schmid-Schönbein GW, Smith PD, et al. Chronic venous disease. N Engl J Med. 2006;355:488. doi: 10.1056/NEJMra055289

18. Новик АА, Ионова ТИ; Шевченко ЮЛ, редактор. Руководство по исследованию качества жизни в медицине. 2-е изд. Москва: ОЛМА Медиа Групп; 2007 [Novik AA, Ionova TI; Shevchenko YuL, editor. Rukovodstvo po issledovaniyu kachestva zhizni v meditsine [Guide to the study of quality of life in medicine]. 2nd ed. Moskcow: OLMA Media Grupp; 2007].

19. Комелягина ЕЮ, Уварова ОМ, Анциферов МБ. Русскоязычная версия опросника для оценки качества жизни больных с периферической полинейропатией: валидация и перспективы применения. Сахарный диабет. 2014;(2):56-65 [Komelyagina EYu, Uvarova OM, Antsiferov MB. Russian version of the questionnaire for assessing the quality of life of patients with peripheral polyneuropathy: validation and prospects of use. Sakharnyi Diabet. 2014;(2):56-65 (In Russ.)]. doi: 10.14341/DM2014256-65

20. Lamping DL, Schroter S, Kurz X, et al. Evaluating outcomes in chronic venous disorders of the leg: Development of a scientifically rigorous, patient-reported measure of symptoms and quality of life. J Vasc Surg. 2003;37:410-9. doi: 10.1067/mva.2003.152

21. Lamping DL, Schroter S. VEINES-QOL/VEINES-SYM Scoring Manual. London: London School of Hygiene & Tropical Medicine; 2007.

22. Ware JE, Kosinski M. SF-36 Physical and Mental Health Summary Scales: a Manual for Users of Version 1. 2nd ed. Lincoln, RI: QualityMetric Inc.; 2001.

23. Bowling A. Measuring Health: a review of quality of life measurement scales. 2nd ed. Philadelphia: Open University Press; 1997. 160 p.

24. Morris A, Perez D, McNoe B. The use of quality of life data in clinical practice. Qual Life Res. 1998 Jan;7(1):85-91. doi: 10.1023/A:1008893007068

25. Nunnally JC, Bernstein IR. Psychometric Theory. 3rd ed. New-York; 1994. 243 p.

26. Spilker B, editor. Quality of life and pharmacoeconomics in clinical trials. 2nd ed. Phaladelphia, New-York: Lippincott-Raven; 1996. 1259 p.

27. Staquet MJ, editor. Quality of life assessment in clinical trials. Oxford, New York, Tokyo: Oxford University Press; 1998. 360 p.

28. Spilker B, editor. Quality of life assessments in clinical trials. New York; 1990. 24 p.

29. Старкова АС, Амирджанова ВН. Валидация русскоязычной версии опросника RAPID-3. Научно-практическая ревматология. 2011;49(4):36-40 [Starkova AS, Amirdzhanova VN. Validation of the Russian-language version of the RAPID-3 Questionnaire. Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2011;49(4):36-40 (In Russ.)]. doi: 10.14412/1995-4484-2011-59

30. Meenan RF, Gertman PM, Mason JH. Measuring health status in arthritis. The arthritis Impact Scales. Arthritis Rheum. 1980 Feb;23(2):146-52. doi: 10.1002/art.1780230203


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For citations:


Satybaldyeva M.A., Seredavkina N.V., Glukhova S.I., Gorskikh I.N., Reshetnyak T.M., Nasonov E.L. VALIDATION OF A RUSSIAN-LANGUAGE VERSION OF THE VEINES-QOL/SYM QUESTIONNAIRE IN PATIENTS WITH RHEUMATIC DISEASES AND LOWER EXTREMITY CHRONIC VENOUS DISEASES. Rheumatology Science and Practice. 2017;55(5):514-520. (In Russ.) https://doi.org/10.14412/1995-4484-2017-514-520

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)