Development and Validation of a Turkish Version of Obstetric Quality of Recovery-10

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Abstract

Objective:

The 10-item Obstetric Quality-of-Recovery 10 scale is a validated patient-reported outcome questionnaire that measures the quality of recovery following delivery. This study aims to develop a Turkish version of the Obstetric Quality of Recovery 10 to evaluate its validity, reliability, and clinical feasibility.

Methods:

Term parturients who underwent vaginal delivery or elective caesarean delivery were asked to complete a Turkish version of Obstetric Quality-of-Recovery 10 scoring tool and EuroQol 5-dimension 3L scores (including a global health visual analogue scale) 24 hours after delivery. To validate the Obstetric Quality of Recovery 10-Turkish, we assessed validity, reliability, and clinical feasibility and compared it with the EQ-5D-3L questionnaires.

Results:

One hundred parturients completed the questionnaire in 24 hours (100% response rate). Obstetric Quality of Recovery 10-Turkish correlated highly with EQ-5D-3L score ( r = -0.611) and global health visual analogue scale score ( r = 0.652) at 24 hours and discriminated well between good versus poor recovery (global health visual analogue scale score ≥70 vs <70; median interquartile range were 86 [80-90] and 68 [59-75] ( P < .001), respectively). Scores were similar for caesarean and vaginal deliveries, 83 (76-89) and 82.5 (69-90), respectively ( P = .5). Twenty-four-hour Obstetric Quality of Recovery 10-Turkish scores did not correlate with any baseline demographic and clinical data parameters. Internal consistency was good (Cronbach's alpha = 0.87 and inter-item correlation = 0.41), and split-half reliability was very good (Spearman-Brown prophesy reliability estimate = 0.86). Test-retest reliability was excellent (intra-class correlation coefficient = 0.99). No floor or ceiling effects were demonstrated.

Conclusion:

The Obstetric Quality of Recovery 10-Turkish is a valid, reliable, and clinically feasible measure of inpatient postpartum recovery following caesarean and vaginal delivery modes.

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Most cited references 24

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EQ-5D and the EuroQol Group: Past, Present and Future

Nancy J Devlin, Richard Brooks (2017)

Over the period 1987–1991 an inter-disciplinary five-country group developed the EuroQol instrument, a five-dimensional three-level generic measure subsequently termed the ‘EQ-5D’. It was designed to measure and value health status. The salient features of its development and its consolidation and expansion are discussed. Initial expansion came, in particular, in the form of new language versions. Their development raised translation and semantic issues, experience with which helped feed into the design of two further instruments, the EQ-5D-5L and the youth version EQ-5D-Y. The expanded usage across clinical programmes, disease and condition areas, population surveys, patient-reported outcomes, and value sets is outlined. Valuation has been of continued relevance for the Group as this has allowed its instruments to be utilised as part of the economic appraisal of health programmes and their incorporation into health technology assessments. The future of the Group is considered in the context of: (1) its scientific strategy, (2) changes in the external environment affecting the demand for EQ-5D, and (3) a variety of issues it is facing in the context of the design of the instrument, its use in health technology assessment, and potential new uses for EQ-5D outside of clinical trials and technology appraisal. Electronic supplementary material The online version of this article (doi:10.1007/s40258-017-0310-5) contains supplementary material, which is available to authorized users.

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Self-Reported Population Health: An International Perspective based on EQ-5D

Agota Szende, Bas Janssen, Juan Cabasés (2014)

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Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean

Laurent Bollag, Grace J. Lim, Pervez Sultan … (2020)

The purpose of this article is to provide a summary of the Enhanced Recovery After Cesarean delivery (ERAC) protocol written by a Society for Obstetric Anesthesia and Perinatology (SOAP) committee and approved by the SOAP Board of Directors in May 2019. The goal of the consensus statement is to provide both practical and where available, evidence-based recommendations regarding ERAC. These recommendations focus on optimizing maternal recovery, maternal-infant bonding, and perioperative outcomes after cesarean delivery. They also incorporate management strategies for this patient cohort, including recommendations from existing guidelines issued by professional organizations such as the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists. This consensus statement focuses on anesthesia-related and perioperative components of an enhanced recovery pathway for cesarean delivery and provides the level of evidence for each recommendation.

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Author and article information

Journal

Journal ID (nlm-ta): Turk J Anaesthesiol Reanim

Journal ID (iso-abbrev): Turk J Anaesthesiol Reanim

Title: Turkish Journal of Anaesthesiology and Reanimation

Publisher: Turkish Society of Anaesthesiology and Reanimation

ISSN (Print): 2667-677X

ISSN (Electronic): 2667-6370

Publication date Collection: October 2022

Publication date (Electronic): 01 October 2022

Volume: 50

Issue: 5

Pages: 366-372

Affiliations

[1 ]Department of Anaesthesiology and Reanimation , University of Health Sciences, Konya City Hospital, Konya, Turkey

[2 ]Department of Obstetric and Gynecology , University of Health Sciences, Konya City Hospital, Konya, Turkey

[3 ]Department of Medical Education and Informatics , Necmettin Erbakan University, Konya, Turkey

[4 ]Stanford University Faculty of Medicine , California, USA

Author notes

Corresponding author: Betül Kozanhan, e-mail: betulkozanhan@ 123456gmail.com

Cite this article as: Kozanhan B, Yıldız M, Polat A, et al. Development and validation of a Turkish version of obstetric quality of recovery-10. Turk J Anaesthesiol Reanim. 2022; 50(5): 366-372.