Functional evaluation for patients with lower extremity sarcoma: application of the Chinese version of Musculoskeletal Tumor Society scoring system

Xu, Leilei; Li, Xinhua; Wang, Zhou; Xiong, Jie; Wang, Shoufeng

doi:10.1186/s12955-017-0685-x

Cited by 28 publications

(27 citation statements)

References 21 publications

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“…The good internal consistency found in this study is however comparable to those found by Rebolledo et al[7], Xu et al[9] and Iwata et al[8]. The inter-rater reliability also showed excellent results for both versions, and is in accordance with those found by Rebolledo et al[7] and Xu et al[9]. The original validation of the MSTS questionnaire also reported good inter-observer reliability, although no correlation coefficient was reported[1].…”

Section: Discussionsupporting

confidence: 91%

“…The original validation of the English version of the MSTS unfortunately did not report a Cronbach’s α[1]. The good internal consistency found in this study is however comparable to those found by Rebolledo et al[7], Xu et al[9] and Iwata et al[8]. The inter-rater reliability also showed excellent results for both versions, and is in accordance with those found by Rebolledo et al[7] and Xu et al[9].…”

Section: Discussionsupporting

confidence: 81%

“…We have used well-known standardized guidelines to translate and validate the MSTS questionnaire into Danish[10,16,18]. The lower extremity version of the MSTS questionnaire has also been translated and validated into Brazilian Portuguese, Chinese and Japanese according to these guidelines[7-9]. To our knowledge, it is the first time the upper extremity version of the MSTS questionnaire has been translated into a foreign language following a standardized guideline.…”

Section: Discussionmentioning

confidence: 99%

“…The original English version of the MSTS was never tested for psychometric properties. However, the lower extremity version was translated and validated into Brazilian Portuguese, Chinese and Japanese[7-9].…”

Section: Methodsmentioning

confidence: 99%

“…However, the English version of the MSTS has never been properly validated[1]. The lower extremity version of the MSTS has been translated and validated into Brazilian Portuguese, Chinese and Japanese[7-9]. To our knowledge, the MSTS has never been properly translated and validated for Danish-speaking patients.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the Danish version of the musculoskeletal tumour society score questionnaire

Saebye¹,

Keller²,

Baad‐Hansen³

2019

WJO

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BACKGROUNDThe musculoskeletal tumour society score (MSTS) is a well-known questionnaire for measuring functional outcome in patients with neoplasms in the extremities. Standardized guidelines for cross-cultural translation and validation ensure the equivalence of content between the original and translated versions. The translation and validation provide the possibility to compare different sarcoma populations on an international level. This study is based on the hypothesis that the Danish MSTS questionnaire is a valid tool for measuring the end result after surgery for neoplasms in the extremities.AIMTo validate the Danish version of the upper and lower extremity version of the MSTS.METHODSThe translation of the MSTS was conducted in accordance with international guidelines. Patients operated for sarcomas and aggressive benign tumors were invited to participate in the study. The psychometric properties of the Danish version of the MSTS were tested in terms of validity and reliability and for the risk of floor or ceiling effect. Spearman’s rank coefficient was used to test the validity by comparing with the Toronto Extremity Salvage Score (TESS). The Intraclass Correlation Coefficient (ICC) was used to evaluate inter-rater reliability. Cronbach’s alpha was used to test for internal consistency. Spearman’s rank coefficient was used to compare the MSTS lower extremity version with the objective test, Timed Up and Go (TUG).RESULTSThe upper extremity version demonstrated an ICC of 0.95 in the inter-rater reliability test. The lower extremity version had an ICC of 0.88 in the inter-rater reliability test, respectively. Both MSTS versions showed a ceiling effect. The validity of the MSTS was measured by Spearman’s rank correlation coefficient by comparing the MSTS with the TESS and found it to be of 0.80 (P < 0.01) and 0.83 (P < 0.01) for the upper extremity and lower extremity version, respectively. A Spearman’s rank correlation coefficient of - 0.26 (P < 0.01) was found between the TUG and the MSTS questionnaire. A Spearman’s rank correlation coefficient of - 0.38 (P < 0.01) was found between the TUG and the lower extremity version of the TESS questionnaire.CONCLUSIONThe Danish version of the MSTS questionnaires were found to have good reliability and validity, however a substantial ceiling effect was identified.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validation of the Danish version of the musculoskeletal tumour society score questionnaire

Saebye¹,

Keller²,

Baad‐Hansen³

2019

WJO

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Cross-cultural adaptation and validation of the Musculoskeletal Tumor Society (MSTS) scoring system and Toronto Extremity Salvage Score (TESS) for musculoskeletal sarcoma patients in Greece

Bolia

Savvidou

Kang

et al. 2021

Eur J Orthop Surg Traumatol

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Purpose To perform translation, cross-cultural adaptation, and validation of the Toronto Extremity Salvage Score (TESS) and Musculoskeletal Tumor Society (MSTS) scoring system in Greek patients with lower extremity sarcoma. Methods The Greek version of the MSTS for the lower extremity and TESS questionnaires was developed using previously reported methods. Included were 100 patients with musculoskeletal sarcoma who underwent limb salvage surgery. The test–retest reliability [interclass correlation coefficient (ICC) between 2 different time points], internal consistency (Cronbach’s alpha), construct validity (Kaiser’s criteria, Eigenvalue > 1 rule), and external validity (Short form-36, Spearman’s Rho) were assessed. Results The test–retest reliability (ICC was 0.99 for MSTS-LE and 1 for TESS) and internal consistency were high (Cronbach’s alpha was 0.763 for MSTS-LE and 0.924 for TESS) for both questionnaires. Based on the Scree plot, the number of factors retained was 1 for MSTS-LE and 2 for TESS. The TESS showed a strong correlation with SF-36 (Spearman’s rho = 0.714, p < 0.001), but the correlation between MSTS for lower extremity and SF-36 was weak (Spearman’s Rho = 0.313, p = 0.002). Conclusions The Greek version of both the MSTS for lower extremity and TESS questionnaire showed sufficient reliability, internal consistency and good performance using the loading factor analysis when used postoperatively in Greek patients who underwent surgical resection of lower extremity sarcoma. However, only the TESS showed strong correlation with the SF-36, indicating that MSTS for lower extremity was not as powerful for the evaluation of the global health status of these patients. Supplementary Information The online version contains supplementary material available at 10.1007/s00590-021-02921-5.

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The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors

Rizzo,

Paderno,

Saccomanno

et al. 2024

Musculoskelet Surg

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Purpose The main purpose of the present study was to evaluate if there is a difference between objective or subjective administration of the MSTS score in a cohort of patients affected by musculoskeletal oncological diseases. Materials and methods All patients who underwent surgery for bone or soft tissue localization of neoplastic disease in lower or upper limb from June 2015 to June 2020 were considered eligible. In order to administer the score as a PROM, the MSTS was first translated and cross-culturally adapted in Italian. During follow up visits, all patients filled out Italian versions of SF36, TESS and MSTS. Psychometric properties of the Italian version of MSTS were analyzed. Correlation between objective and self-administered MSTS score was assessed through Pearson’s coefficient. Results A finale sample of 110 patients were included: 59 affected by lower extremity involvement and 51 affected by upper extremity involvement. The Italian version of the MSTS score showed good psychometric properties for both lower and upper extremity. The correlation between self-administered and hetero-administered version of the questionnaire was as high as r = 0.97 for lower extremities and r = 0.96 for upper extremities. Conclusions The Italian version of the MSTS is a valid tool to evaluate outcomes of surgical treatment of patients affected by extremities tumors and it can be used as a subjective tool for both lower and upper extremity.

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Functional evaluation for patients with lower extremity sarcoma: application of the Chinese version of Musculoskeletal Tumor Society scoring system

Cited by 28 publications

References 21 publications

Validation of the Danish version of the musculoskeletal tumour society score questionnaire

Validation of the Danish version of the musculoskeletal tumour society score questionnaire

Cross-cultural adaptation and validation of the Musculoskeletal Tumor Society (MSTS) scoring system and Toronto Extremity Salvage Score (TESS) for musculoskeletal sarcoma patients in Greece

The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors

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