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Validation of the French version of the Edmonton Symptom Assessment System
Article indépendant
CONTEXT: The Edmonton Symptom Assessment System is a brief, widely adopted, multidimensional questionnaire to evaluate patient-reported symptoms.
OBJECTIVES: To define a standard French version of the ESAS (F-ESAS), to determine the psychometric properties in French speaking patients Methods: In a first pilot study health professionals (n: 20) and patients (n: 33) defined the most adapted terms in French (F-ESAS). In a prospective multicentric study, palliative care patients completed the three forms of F-ESAS (F-ESAS-VI; VE; NU), the Hospital Anxiety and Depression Scale (HADS). All patients had a test-retest evaluation during the same half-day. Standardized distraction material was used between each scale. RESULTS: 124 patients were included (mean age (±SD): 68.3 ±12; 70F; 54 M). Test retest reliability was high for all 3 F-ESAS and the correlation between these scales was nearly perfect (Spearman rs=0.66-0.91; p< 0.05). F-ESAS-VI, VE and NU performed similarly and were equally reliable, although there was a trend towards lower reliability for F-ESAS-VI. Correlation between respectively F-ESAS depression and anxiety and HADS depression and anxiety were positive (Spearman rs=0.38-0.41 for depression; Spearman rs=0.48-0.57 for anxiety p< 0.05). Among patients, respectively 59 (48 %), 45 (36%) and 20 (16 %) preferred to assess their symptoms with F-ESAS-VE, F-ESAS-NU and F-ESAS-VI.
CONCLUSION: The F-ESAS is a valid and reliable tool for measuring multidimensional symptoms in French speaking patients with an advanced cancer. All forms of F-ESAS performed well with a trend for better psychometric performance for F-ESAS-NU, but patients preferred the F-ESAS-VE.
http://dx.doi.org/10.1016/j.jpainsymman.2017.07.032
Voir la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 54»
Autres numéros de la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT»
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