An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire

OBJECTIVE: This study aimed to research the reliability and validity of the Turkish version of the gynecologic cancer lymphedema questionnaire for individuals with gynecologic cancer. STUDY DESIGN: The study included 60 patients who underwent gynecologic cancer surgery with lower limb lymphedema...

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Main Authors: Hanife Abakay, Ummuhan Abdulrezzak, Turkan Akbayrak
Format: Article
Language:English
Published: Medical Network 2023-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1348
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author Hanife Abakay
Ummuhan Abdulrezzak
Turkan Akbayrak
author_facet Hanife Abakay
Ummuhan Abdulrezzak
Turkan Akbayrak
author_sort Hanife Abakay
collection DOAJ
description OBJECTIVE: This study aimed to research the reliability and validity of the Turkish version of the gynecologic cancer lymphedema questionnaire for individuals with gynecologic cancer. STUDY DESIGN: The study included 60 patients who underwent gynecologic cancer surgery with lower limb lymphedema in the lymphedema group and 30 who underwent gynecologic cancer surgery without lower limb lymphedema in the non-lymphedema group. The Turkish adaptation of the gynecologic cancer lymphedema questionnaire was completed by considering the cultural adaptation process. For the evaluation of lymphedema, circumference measurement, skin layer thickness, and lymphoscintigraphy assessments were performed. The intraclass correlation coefficient was calculated for gynecologic cancer lymphedema questionnaire test-retest reliability, the Cronbach alpha was calculated for internal consistency reliability and the criteria validity method was used for survey validity. RESULTS: The symptom subsections and total score of the gynecologic cancer lymphedema questionnaire, the intraclass correlation values for test-retest points were 0.780, 0.968, 0.695, 0.945, 0.896, 0.945, and 0.947. The Cronbach a values for internal consistency were 0.928, 0.824, 0.656, 0.429, 0.923 and 0.948 for the subsections. Criteria validity was used for the validity analysis and statistically significant (p<0.05) positive correlations were determined between skin fold thickness measurements and total points on the scale in the lymphedema group for values at the midpoint of the right and left tibial shaft (r=0.336, r=0.284). CONCLUSION: The gynecologic cancer lymphedema questionnaire was determined to be a reliable and valid scale to differentiate patients with lower limb lymphedema from those without lower limb lymphedema in a Turkish female population.
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spelling doaj-art-ad82d3ebd3824b35bbf1a137b1750e692025-02-11T21:17:24ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182023-08-0129210.21613/GORM.2022.1348An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema QuestionnaireHanife Abakay 0Ummuhan Abdulrezzak1Turkan Akbayrak2drdrprof OBJECTIVE: This study aimed to research the reliability and validity of the Turkish version of the gynecologic cancer lymphedema questionnaire for individuals with gynecologic cancer. STUDY DESIGN: The study included 60 patients who underwent gynecologic cancer surgery with lower limb lymphedema in the lymphedema group and 30 who underwent gynecologic cancer surgery without lower limb lymphedema in the non-lymphedema group. The Turkish adaptation of the gynecologic cancer lymphedema questionnaire was completed by considering the cultural adaptation process. For the evaluation of lymphedema, circumference measurement, skin layer thickness, and lymphoscintigraphy assessments were performed. The intraclass correlation coefficient was calculated for gynecologic cancer lymphedema questionnaire test-retest reliability, the Cronbach alpha was calculated for internal consistency reliability and the criteria validity method was used for survey validity. RESULTS: The symptom subsections and total score of the gynecologic cancer lymphedema questionnaire, the intraclass correlation values for test-retest points were 0.780, 0.968, 0.695, 0.945, 0.896, 0.945, and 0.947. The Cronbach a values for internal consistency were 0.928, 0.824, 0.656, 0.429, 0.923 and 0.948 for the subsections. Criteria validity was used for the validity analysis and statistically significant (p<0.05) positive correlations were determined between skin fold thickness measurements and total points on the scale in the lymphedema group for values at the midpoint of the right and left tibial shaft (r=0.336, r=0.284). CONCLUSION: The gynecologic cancer lymphedema questionnaire was determined to be a reliable and valid scale to differentiate patients with lower limb lymphedema from those without lower limb lymphedema in a Turkish female population. https://gorm.com.tr/index.php/GORM/article/view/1348Gynecologic cancerLymphedemaValidity
spellingShingle Hanife Abakay
Ummuhan Abdulrezzak
Turkan Akbayrak
An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
Gynecology Obstetrics & Reproductive Medicine
Gynecologic cancer
Lymphedema
Validity
title An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
title_full An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
title_fullStr An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
title_full_unstemmed An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
title_short An Important Tool in Lymphedema Management: Validation of the Turkish Version of the Gynecologic Cancer Lymphedema Questionnaire
title_sort important tool in lymphedema management validation of the turkish version of the gynecologic cancer lymphedema questionnaire
topic Gynecologic cancer
Lymphedema
Validity
url https://gorm.com.tr/index.php/GORM/article/view/1348
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