Development and Validation of the Korean Version of Expanded Prostate Cancer Index Composite: Questionnaire Assessing Health-Related Quality of Life after Prostate Cancer Treatment
정경진, 김정준, 임수현, 김태헌, 한덕현, 이성원,
소속 상세정보
정경진 ( Chung Kyung-Jin )
가천의과학대학교 길병원 비뇨기과학교실
김정준 ( Kim Jung-Jun )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
임수현 ( Lim Soo-Hyun )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
김태헌 ( Kim Tae-Heon )
성균관대학교 의과대학 비뇨기과학교실
한덕현 ( Han Deok-Hyun )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
이성원 ( Lee Sung-Won )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
KMID : 0358320100510090601
Abstract
Purpose Although the quality of life (QoL) of prostate cancer (PCa) patients is a major issue, there is no unified and useful methodology for assessing QoL. The Expanded Prostate Cancer Index Composite (EPIC) is a globally used tool to measure QoL after PCa treatment that comprises urinary, bowel, sexual, and hormonal domains. Acknowledging the need for such a tool applicable to Korean PCa patients, we translated EPIC into Korean and validated the new version.
Materials and Methods The Korean version of EPIC was devised by translation, back-translation, and reconciliation. Subsequently, we randomly selected 153 patients with localized PCa treated with radical perineal prostatectomy (67, 43.8%), radical retropubic prostatectomy (19, 12.4%), laparoscopic radical prostatectomy (12, 7.8%), robot-assisted laparoscopic radical prostatectomy (36, 23.5%), and high-intensity focused ultrasound ablation of the prostate (19, 12.4%) and asked them to complete EPIC. Reliability was assessed by test-retest correlation and Cronbach’s alpha. Validity was assessed by factor analysis, interscale correlation, and correlation with Functional Assessment of Cancer Therapy-Prostate (FACT-P).
Results Test-retest correlation and Cronbach’s alpha were high in each of the domains (0.92, 0.91, 0.76, 0.84 and 0.86, 0.84, 0.92, 0.83, p<0.0001). Interscale correlation among the domains was low (r<0.37), which indicated that EPIC is composed of proper domains. Interscale correlation between the function and bother subscales was high (0.94, 0.81, 0.84 and 0.80, p<0.0001). EPIC domains had low correlation with FACT-P, permitting complementary use.
Conclusions The Korean version of EPIC was developed by a proper process, as evident by its high reliability and validity. Therefore, it is a reliable, comprehensive, systematic method that evaluates QoL in Korean patients after PCa treatment. Furthermore, it can be adapted as an objective methodology for research globally.
키워드
Prostatic neoplasms;Quality of life;Reproducibility of results
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