Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study

Ellen Ten Dam; Astrid G W Korsten-Meijer; Eelco W Hoving; Jos M Kuijlen; Bernard F A M van der Laan; Robert A Feijen; Paul F M Krabbe

doi:10.1111/coa.13334

Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study

Ellen Ten Dam, Astrid G W Korsten-Meijer, Eelco W Hoving, Jos M Kuijlen, Bernard F A M van der Laan, Robert A Feijen, Paul F M Krabbe

Group Hoving

Research output: Contribution to journal › Article › peer-review

12 Citations (Scopus)

Abstract

OBJECTIVES: The patients' perspective on health has become increasingly important when assessing treatment outcomes. Recently, the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire (EES-Q) was developed to determine the impact of endoscopic endonasal surgery on health-related quality of life (HRQoL). The aim of this study was to evaluate the test-retest reliability, construct validity and responsiveness of the EES-Q.

DESIGN: Prospective cohort study.

SETTING: University Medical Center Groningen, tertiary referral hospital, the Netherlands.

PARTICIPANTS: One hundred patients who underwent endoscopic endonasal surgery because of sinus or anterior skull base pathology.

MAIN OUTCOME MEASURES: Test-retest reliability, construct validity and responsiveness.

RESULTS: The EES-Q domains exhibited good test-retest reliability (ICC > 0.90). Construct validity was corroborated by significant positive and negative correlations between the EES-Q and the Sino-Nasal Outcome Test-22 (SNOT-22) and postoperative health status (P < 0.01) respectively. The correlation between the social EES-Q domain and the ability to move and perform usual activities (EuroQol-5D-3L [EQ-5D-3L]) was significant positive (P < 0.01). In patients with paranasal sinus pathology, the EES-Q was responsive to clinical change (Cohen's d = 0.6).

CONCLUSION: The EES-Q is a reliable and acceptable responsive disease-specific HRQoL instrument. The expected construct validity of the EES-Q is supported by the results in this study. Inconveniences in social functioning had the greatest negative impact on postoperative health status rating. This reflects the importance of a multidimensional HRQoL assessment after EES. The results indicate that the EES-Q is a promising disease-specific tool for the HRQoL assessment after endoscopic endonasal sinus or anterior skull base surgery.

Original language	English
Pages (from-to)	565-571
Number of pages	7
Journal	Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
Volume	44
Issue number	4
DOIs	https://doi.org/10.1111/coa.13334
Publication status	Published - Jul 2019

Keywords

Endoscopy
Female
Humans
Male
Middle Aged
Netherlands
Paranasal Sinus Diseases/surgery
Prospective Studies
Psychometrics
Reproducibility of Results
Sino-Nasal Outcome Test
Skull Base/surgery
Surveys and Questionnaires

Access to Document

10.1111/coa.13334

Cite this

Ten Dam, E., Korsten-Meijer, A. G. W., Hoving, E. W., Kuijlen, J. M., van der Laan, B. F. A. M., Feijen, R. A., & Krabbe, P. F. M. (2019). Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 44(4), 565-571. https://doi.org/10.1111/coa.13334

Ten Dam, Ellen ; Korsten-Meijer, Astrid G W ; Hoving, Eelco W et al. / Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study. In: Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery. 2019 ; Vol. 44, No. 4. pp. 565-571.

@article{4dba8fd30d4c451fab948c608cc38b09,

title = "Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study",

abstract = "OBJECTIVES: The patients' perspective on health has become increasingly important when assessing treatment outcomes. Recently, the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire (EES-Q) was developed to determine the impact of endoscopic endonasal surgery on health-related quality of life (HRQoL). The aim of this study was to evaluate the test-retest reliability, construct validity and responsiveness of the EES-Q.DESIGN: Prospective cohort study.SETTING: University Medical Center Groningen, tertiary referral hospital, the Netherlands.PARTICIPANTS: One hundred patients who underwent endoscopic endonasal surgery because of sinus or anterior skull base pathology.MAIN OUTCOME MEASURES: Test-retest reliability, construct validity and responsiveness.RESULTS: The EES-Q domains exhibited good test-retest reliability (ICC > 0.90). Construct validity was corroborated by significant positive and negative correlations between the EES-Q and the Sino-Nasal Outcome Test-22 (SNOT-22) and postoperative health status (P < 0.01) respectively. The correlation between the social EES-Q domain and the ability to move and perform usual activities (EuroQol-5D-3L [EQ-5D-3L]) was significant positive (P < 0.01). In patients with paranasal sinus pathology, the EES-Q was responsive to clinical change (Cohen's d = 0.6).CONCLUSION: The EES-Q is a reliable and acceptable responsive disease-specific HRQoL instrument. The expected construct validity of the EES-Q is supported by the results in this study. Inconveniences in social functioning had the greatest negative impact on postoperative health status rating. This reflects the importance of a multidimensional HRQoL assessment after EES. The results indicate that the EES-Q is a promising disease-specific tool for the HRQoL assessment after endoscopic endonasal sinus or anterior skull base surgery.",

keywords = "Endoscopy, Female, Humans, Male, Middle Aged, Netherlands, Paranasal Sinus Diseases/surgery, Prospective Studies, Psychometrics, Reproducibility of Results, Sino-Nasal Outcome Test, Skull Base/surgery, Surveys and Questionnaires",

author = "{Ten Dam}, Ellen and Korsten-Meijer, {Astrid G W} and Hoving, {Eelco W} and Kuijlen, {Jos M} and {van der Laan}, {Bernard F A M} and Feijen, {Robert A} and Krabbe, {Paul F M}",

note = "{\textcopyright} 2019 John Wiley & Sons Ltd.",

year = "2019",

month = jul,

doi = "10.1111/coa.13334",

language = "English",

volume = "44",

pages = "565--571",

journal = "Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery",

issn = "1749-4478",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "4",

}

Ten Dam, E, Korsten-Meijer, AGW, Hoving, EW, Kuijlen, JM, van der Laan, BFAM, Feijen, RA & Krabbe, PFM 2019, 'Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study', Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, vol. 44, no. 4, pp. 565-571. https://doi.org/10.1111/coa.13334

Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study. / Ten Dam, Ellen; Korsten-Meijer, Astrid G W; Hoving, Eelco W et al.
In: Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, Vol. 44, No. 4, 07.2019, p. 565-571.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study

AU - Ten Dam, Ellen

AU - Korsten-Meijer, Astrid G W

AU - Hoving, Eelco W

AU - Kuijlen, Jos M

AU - van der Laan, Bernard F A M

AU - Feijen, Robert A

AU - Krabbe, Paul F M

PY - 2019/7

Y1 - 2019/7

N2 - OBJECTIVES: The patients' perspective on health has become increasingly important when assessing treatment outcomes. Recently, the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire (EES-Q) was developed to determine the impact of endoscopic endonasal surgery on health-related quality of life (HRQoL). The aim of this study was to evaluate the test-retest reliability, construct validity and responsiveness of the EES-Q.DESIGN: Prospective cohort study.SETTING: University Medical Center Groningen, tertiary referral hospital, the Netherlands.PARTICIPANTS: One hundred patients who underwent endoscopic endonasal surgery because of sinus or anterior skull base pathology.MAIN OUTCOME MEASURES: Test-retest reliability, construct validity and responsiveness.RESULTS: The EES-Q domains exhibited good test-retest reliability (ICC > 0.90). Construct validity was corroborated by significant positive and negative correlations between the EES-Q and the Sino-Nasal Outcome Test-22 (SNOT-22) and postoperative health status (P < 0.01) respectively. The correlation between the social EES-Q domain and the ability to move and perform usual activities (EuroQol-5D-3L [EQ-5D-3L]) was significant positive (P < 0.01). In patients with paranasal sinus pathology, the EES-Q was responsive to clinical change (Cohen's d = 0.6).CONCLUSION: The EES-Q is a reliable and acceptable responsive disease-specific HRQoL instrument. The expected construct validity of the EES-Q is supported by the results in this study. Inconveniences in social functioning had the greatest negative impact on postoperative health status rating. This reflects the importance of a multidimensional HRQoL assessment after EES. The results indicate that the EES-Q is a promising disease-specific tool for the HRQoL assessment after endoscopic endonasal sinus or anterior skull base surgery.

AB - OBJECTIVES: The patients' perspective on health has become increasingly important when assessing treatment outcomes. Recently, the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire (EES-Q) was developed to determine the impact of endoscopic endonasal surgery on health-related quality of life (HRQoL). The aim of this study was to evaluate the test-retest reliability, construct validity and responsiveness of the EES-Q.DESIGN: Prospective cohort study.SETTING: University Medical Center Groningen, tertiary referral hospital, the Netherlands.PARTICIPANTS: One hundred patients who underwent endoscopic endonasal surgery because of sinus or anterior skull base pathology.MAIN OUTCOME MEASURES: Test-retest reliability, construct validity and responsiveness.RESULTS: The EES-Q domains exhibited good test-retest reliability (ICC > 0.90). Construct validity was corroborated by significant positive and negative correlations between the EES-Q and the Sino-Nasal Outcome Test-22 (SNOT-22) and postoperative health status (P < 0.01) respectively. The correlation between the social EES-Q domain and the ability to move and perform usual activities (EuroQol-5D-3L [EQ-5D-3L]) was significant positive (P < 0.01). In patients with paranasal sinus pathology, the EES-Q was responsive to clinical change (Cohen's d = 0.6).CONCLUSION: The EES-Q is a reliable and acceptable responsive disease-specific HRQoL instrument. The expected construct validity of the EES-Q is supported by the results in this study. Inconveniences in social functioning had the greatest negative impact on postoperative health status rating. This reflects the importance of a multidimensional HRQoL assessment after EES. The results indicate that the EES-Q is a promising disease-specific tool for the HRQoL assessment after endoscopic endonasal sinus or anterior skull base surgery.

KW - Endoscopy

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Paranasal Sinus Diseases/surgery

KW - Prospective Studies

KW - Psychometrics

KW - Reproducibility of Results

KW - Sino-Nasal Outcome Test

KW - Skull Base/surgery

KW - Surveys and Questionnaires

UR - http://www.scopus.com/inward/record.url?scp=85064516982&partnerID=8YFLogxK

U2 - 10.1111/coa.13334

DO - 10.1111/coa.13334

M3 - Article

C2 - 30901156

SN - 1749-4478

VL - 44

SP - 565

EP - 571

JO - Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

JF - Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

IS - 4

ER -

Ten Dam E, Korsten-Meijer AGW, Hoving EW, Kuijlen JM, van der Laan BFAM, Feijen RA et al. Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery. 2019 Jul;44(4):565-571. doi: 10.1111/coa.13334

Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study

Abstract

Keywords

Access to Document

Fingerprint

Cite this