Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire for the Brazilian Portuguese language

Brito, Luiz Gustavo Oliveira; Malzone-Lott, Daniela Alves; Fagundes, Mayra Fernanda Sandoval; Magnani, Pedro Sérgio; Arouca, Mariana Alves Fernandes; Neto, Omero Benedicto Poli; Nogueira, Antônio Alberto

doi:10.1590/1516-3180.2016.0223281016

Cited by 8 publications

(6 citation statements)

References 17 publications

(31 reference statements)

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“…UFE has been reported as a less morbid alternative in women who wish to preserve their uterus when hysterectomy and myomectomy are contraindicated, when fibroids are refractory to myomectomy, or when there is a high risk of conversion to hysterectomy (Spies et al 2002;Pisco et al 2017;Mohan et al 2013;Fornazari et al 2019). In this setting, UFS-QOL is a validated tool for measuring patient-reported symptoms and documenting clinical outcomes from surgical and interventional procedures (Spies et al 2002;Williams et al 2006;Harding et al 2008), with good internal consistency, discriminant validity, construct validity, structural validity, test-retest similarity, and responsiveness, including in its Portuguese version (Oliveira Brito et al 2017;Silva et al 2016).…”

Section: Discussionmentioning

confidence: 99%

“…It has since been translated to Portuguese and this translation validated, with good internal consistency, discriminant validity, construct validity, structural validity and responsiveness, along with adequate test-retest results. It is accepted by the Society for Interventional Radiology (Beaton et al 2000), as described in the publications of Oliveira et al (Oliveira Brito et al 2017) and Silva et al (Silva et al 2016).…”

Section: Ufs-qol Questionnairementioning

confidence: 99%

“…Symptomatic uterine leiomyoma is highly prevalent in reproductive women (Vollenhoven et al 1990;Peregrino et al 2017;Mas et al 2017), with a significant impact on quality of life, affecting physical and psychological wellbeing (Spies et al 2002). A validated quality of life questionnaire was developed to specifically assess patients with symptomatic fibroids (Uterine Fibroid UFS-Qol) and it has been widely used to evaluate changes postfibroid treatments in several trials (Spies et al 2002;Williams et al 2006;Harding et al 2008;Oliveira Brito et al 2017;Silva et al 2016;Beaton et al 2000). Uterine fibroid embolization (UFE) is recognized as a Level A treatment option for the management of leiomyomas in carefully selected patients, but its use for reproductiveage women with fibroids is still controversial (Mas et al 2017).…”

Section: Introductionmentioning

confidence: 99%

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Impact of uterine contractility on quality of life of women undergoing uterine fibroid embolization

et al. 2019

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Background: Although changes in uterine contractility pattern after uterine fibroid embolization (UFE) has already been assessed by cine magnetic resonance imaging (MRI), their impact on quality of life outcomes has not been evaluated. The purpose of this study was to evaluate the impact of uterine contractility on the quality of life of women undergoing UFE measured by the Uterine Fibroid Symptom and Quality of Life questionnaire (UFS-QOL). Results: A total of 26 patients were included. MRI scans were acquired 30-7 days before and 6 months after UFE for all patients. The UFS-QOL was applied in person on first MRI exam day and 1 year after UFE and the outcomes were analyzed according to the groups of evolution pattern of uterine contractility: Group A: Unchanged Uterine Contractility Pattern, 38%; Group B: Favorable Modified Uterine Contractility Pattern, 50%; and Group C: Loss of Uterine Contractility, 11%. All UFE patients presented a reduction in the mean score for symptoms and increase in mean scores on quality of life. All patients in this cohort presented a reduction in mean symptom score and increase in the mean score of quality of life subscales. Group A had more relevant complaints regarding their sense of self-confidence; Group B presented worse sexual function scores before UFE, which improved after UFE compared to Group A. Conclusions: Significant improvement in symptoms, quality of life, and uterine contractility was observed after UFE in women of reproductive age with symptomatic fibroids. Functional uterine contractility seems to have a positive impact on quality of life and sexual function in this population. Level of evidence: Level 3, Non-randomized controlled cohort/follow-up study.

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Section: Discussionmentioning

confidence: 99%

Section: Ufs-qol Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of uterine contractility on quality of life of women undergoing uterine fibroid embolization

et al. 2019

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“…The uterine fibroid symptom and quality of life (UFS-QoL) English questionnaire was published in 2002 as the only questionnaire designed to assess the whole spectrum of fibroid-related symptoms and their impact on QoL [ 15 ]. The UFS-QoL questionnaire has been used in Brazilian, Portuguese [ 16 , 17 ], Spanish [ 18 ], traditional Chinese [ 19 ], and simplified Chinese [ 20 ] as a disease-specific measure of health-related QoL. It has been shown to be sensitive to treatment-related changes [ 18 ], with the 4-week recall version being sensitive to treatment-related changes in Western culture [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Adaptability and clinical applicability of UFS-QoL in Chinese women with uterine fibroid

Chen

et al. 2022

BMC Women's Health

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Objective To demonstrate the applicability and adaptability of uterine fibroid symptoms and quality of life (UFS-QoL) in assessing the efficacy of treatment in Chinese populations. Methods This is a secondary analysis of a prospective cohort study involving 20 Chinese hospitals and 2,411 Chinese women with fibroids. Patients completed UFS-QoL and short form-36 (SF-36) at pre-surgery, 6-month and 12-month post-treatments. Internal consistency of the quality of life assessed by the UFS-QoL questionnaire using Cronbach’s α coefficient (α). Principal axis factor analysis with orthogonal rotation was established to investigate relationships between items and subscales. Concurrent validity refers to the Spearman's correlation estimate of the correlation between UFS-QoL and SF-36. Using effect size and standardized response mean, the ability to detect change was evaluated by comparing pre- and post-6-month and post-12-month treatment scores. Results Exploratory factor analysis yielded six subscales (concern, activities, energy/mood, control, self-consciousness, and sexual function) with eigenvalues > 1 in UFS-QoL. A 63.61% total variance was explained by the test items. Ceiling effects of self-consciousness and sexual functioning subscales from UFS-QoL were > 15%. UFS-QoL showed a positive and moderate correlation with SF-36 to establish good concurrent validity. And showed good consistency reliability (Cronbach α > 0.7 in all subscales), ability to detect change after treatment. This excluded self-consciousness (α = 0.56), which demonstrated the lowest effect size (0.38) and standardized response means (0.38) 6- and 12-months post-treatment. Conclusions Symptom severity, activity, and mood subscales of the Chinese UFS-QoL were valid and reliable. However, the self-consciousness domain needs further investigation on cultural adaptation, such as cognitive debriefing for how Chinese interpret these questions.

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“…[6][7][8] It has been translated in Brazilian Portuguese, Chinese and Spanish. [9][10][11] International guidelines for validating questionnaires have been developed by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) initiative. 12 These guidelines provide recommendations regarding a systematic translation of a questionnaire and measuring its validity, reliability, responsiveness and interpretability.…”

Section: Introductionmentioning

confidence: 99%

Uterine Fibroid Symptom and Quality of Life questionnaire (UFS-QOL NL) in the Dutch population: a validation study

et al. 2021

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ObjectiveUterine fibroids can cause a variety of symptoms in women, from heavy menstrual bleeding and dysmenorrhea to bulk symptoms. The Uterine Fibroid Symptom and health-related Quality Of Life questionnaire (UFS-QOL) is a patient-reported outcome measure developed for assessing fibroid-related symptoms in a standardised way. Our aim was to translate and validate the UFS-QOL in Dutch.DesignValidation study.SettingPatients were recruited by a gynaecologist at the outpatient clinic.ParticipantsWomen with uterine fibroids.MethodsThe UFS-QOL was translated into Dutch (UFS-QOL NL) and validated through testing construct validity (comprising of structural validity and hypotheses testing), reliability, responsiveness and interpretability, assessing floor and ceiling effects and minimal important change. An option to answer ‘not applicable’ was added to the translated questionnaire.Results191 women with uterine fibroids completed the UFS-QOL NL at baseline, after 2 weeks and after 3 months. The questionnaire retained the same factor structure after translation (Comparative Fit Index 0.94–0.95; Tucker-Lewis fit Index 0.93–0.95; Root Mean Square Error of Approximation 0.10–0.11) and correlations to other questionnaires (RAND 36, Hospital Anxiety and Depression Scale and Golombok Rust Inventory of Sexual Satisfaction) were generally moderate, as hypothesised (Pearson’s r 0.3–0.7). We found a sufficient reliability with intraclass correlation coefficients of approximately 0.8–0.9 for all subscales. Responsiveness was sufficient when testing hypotheses comparing women who had surgery with those who did not. Cronbach’s alpha was higher than 0.7 for all subscales, indicating sufficient internal consistency and there were no concerns about floor or ceiling effects. Minimal important change could not be calculated due to low correlation between the different subscales and the anchor question.ConclusionsThe results support the measurement properties of the Dutch UFS-QOL for assessing fibroid-related symptoms and health-related quality of life in Dutch women with uterine fibroids.

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Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire for the Brazilian Portuguese language

Cited by 8 publications

References 17 publications

Impact of uterine contractility on quality of life of women undergoing uterine fibroid embolization

Impact of uterine contractility on quality of life of women undergoing uterine fibroid embolization

Adaptability and clinical applicability of UFS-QoL in Chinese women with uterine fibroid

Uterine Fibroid Symptom and Quality of Life questionnaire (UFS-QOL NL) in the Dutch population: a validation study

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