Validation of the Japanese version of the quality of recovery score QoR-40

Abstract

The results of the psychometric analysis indicated that the QoR-40J has characteristics of acceptable validity, reliability, and responsiveness in clinical practice in Japan. The QoR-40J may aid in evaluating the quality of recovery after surgery or the quality of methods of anesthesia.

Evaluation of Postoperative Pain Control and Quality of Recovery in Patients Using Intravenous Patient-Controlled Analgesia with Fentanyl: A Prospective Randomized Study

“…It has been reported that the quality of recovery from anesthesia and surgery is one of the factors that is directly associated with patients' satisfaction 12,15,19,20 . Likewise, postoperative discomfort and complications could lead to later feeding, ambulation, and a prolonged hospital stay.…”

“…Efforts towards precisely measuring and evaluating the QoR-40 could improve the overall quality of recovery and enhance patient satisfaction 9 . In our study, we used the Japanese version of the QoR-40 (QoR-40J), which has been tested for its validity, reliability, and feasibility in clinical evaluations of postoperative recovery 12 . The QoR-40J pain scores on postoperative days 1 and 2 tended to be better in the F30 than in the F15 group.…”

“…on pain 12 . The score of the HADS ranged from 0 to 21, and assesses whether the symptoms of anxiety/depression are absent (0 7), possible (8 10), or severe (11 21) 13 .…”

Validação da versão brasileira do questionário Quality of Recovery - 40 Items

“…In Turkey, the internal consistence of the total was 0.93, with a variation in dimensions of 0.82 to 0.92; in Iran, alpha was 0.89 for the total, and 0.89 to 0.93 for dimensions; in Japan, it was 0.91 for the total and 0.74 to 0.88 for dimensions. (3,16,18) Despite the questionnaire's acceptable reliability, items that might have interfered negatively in the results were identified. Items that investigate skills of communication and self-care did not receive variability of responses (preoperative and second return), i.e., all patients pointed to the best response.…”

“…(14) The QoR-40 responsiveness in other cultures was investigated between measures of pre-and postoperative periods, obtaining similar results -a moderate to significant effect. (15)(16)(17)(18) When investigating long term responsiveness, measurement between pre-and postoperative (90 days) of patients submitted to neurological surgeries, Australian researchers identified the QoR-40 good ability in detecting recovery changes (SRM>0.80). (19) The recovery monitoring over time showed that in the second return (about seven months after surgery), the QoR-40 scores were higher than the ones found in the preoperative period, characterizing an improvement in health status identified by the instrument.…”