Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.202102292
Jornal Vascular Brasileiro
Review Article

Reliability and validity of specific quality of life assessment questionnaires related to chronic venous insufficiency: a systematic review

Confiabilidade e validade dos questionários específicos de avaliação da qualidade de vida relacionada à insuficiência venosa crônica: uma revisão sistemática

Igor Lucas Geraldo Izalino de Almeida; Pedro Henrique Scheidt Figueiredo; Whesley Tanor Silva; Vanessa Amaral Mendonça; Ana Cristina Rodrigues Lacerda; Vanessa Pereira Lima; Alessandra de Carvalho Bastone; Henrique Silveira Costa

Downloads: 2
Views: 866

Abstract

Abstract: This systematic review aimed to discuss the main findings regarding the reliability and validity of health-related quality of life questionnaires for chronic venous insufficiency. Searches were performed on the MEDLINE, CINAHL, Web of Science, LILACS, and Scopus databases. The search terms used were related to “venous insufficiency”, and “quality of life”. The CIVIQ-20 and CIVIQ-14 instruments had adequate internal consistency and both were able to discriminate disease severity. The VEINES-QoL showed adequate internal consistency but was not able to discriminate disease severity. Most studies did not demonstrate a correlation between VEINES-QoL and the mental component of the SF-36. The AVVQ had inadequate reliability but its validity was also doubtful when compared to the SF-36. The VARIShort demonstrated good internal consistency, reproducibility, and validity, but only the original study was included. For venous leg ulcers, the CCVUQ showed adequate reliability and validity when compared to VLU-QoL.

Keywords

venous insufficiency, quality of life, validation study, patient health questionnaire

Resumo

Resumo: Esta revisão sistemática objetivou discutir os principais achados sobre a confiabilidade e validade dos questionários de qualidade de vida relacionada à saúde na insuficiência venosa crônica. A busca foi realizada nas bases de dados MEDLINE, CINAHL, Web of Science, LILACS e Scopus. Os termos de busca foram relacionados a “insuficiência venosa” e “qualidade de vida”. O Chronic Lower Limb Venous Insufficiency Questionnaire (CIVIQ)-20 e o CIVIQ-14 apresentaram consistência interna adequada e foram capazes de discriminar a gravidade da doença. O Venous Insufficiency Epidemiological and Economic Study – Quality of Life (VEINES-QoL) apresentou consistência interna adequada, mas não foi capaz de discriminar a gravidade da doença. A maioria dos estudos não demonstrou associação do VEINES-QoL com o componente mental do Short Form Health Survey (SF-36). O Aberdeen Varicose Vein Questionnaire (AVVQ) apresentou confiabilidade inadequada e validade duvidosa quando comparado ao SF-36. O VARIShort demonstrou consistência interna, reprodutibilidade e validade boas, mas apenas o estudo original foi incluído. Na úlcera venosa, o Charing Cross Venous Ulcer Questionnaire (CCVUQ) apresentou confiabilidade e validade adequadas quando comparado ao Venous Leg Ulcer Quality of Life (VLU-QoL).
 

Palavras-chave

insuficiência venosa, qualidade de vida, estudo de validação, questionário de saúde do paciente

References

1 Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014;130(4):333-46. http://dx.doi.org/10.1161/CIRCULATIONAHA.113.006898. PMid:25047584.

2 van Uden CJ, van der Vleuten CJ, Kooloos JG, Haenen JH, Wollersheim H. Gait and calf muscle endurance in patients with chronic venous insufficiency. Clin Rehabil. 2005;19(3):339-44. http://dx.doi.org/10.1191/0269215505cr809oa. PMid:15859535.

3 Cetin C, Serbest MO, Ercan S, Yavuz T, Erdogan A. An evaluation of the lower extremity muscle strength of patients with chronic venous insufficiency. Phlebology. 2016;31(3):203-8. http://dx.doi.org/10.1177/0268355515577323. PMid:25769839.

4 Santler B, Goerge T. Chronic venous insufficiency - a review of pathophysiology, diagnosis, and treatment. J Dtsch Dermatol Ges. 2017;15(5):538-56. http://dx.doi.org/10.1111/ddg.13242. PMid:28485865.

5 Lurie F, Passman M, Meisner M, et al. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020;8(3):342-52. http://dx.doi.org/10.1016/j.jvsv.2019.12.075. PMid:32113854.

6 Rabe E, Berboth G, Pannier F. Epidemiology of chronic venous diseases. Wien Med Wochenschr. 2016;166(9-10):260-3. http://dx.doi.org/10.1007/s10354-016-0465-y. PMid:27277219.

7 Carlton R, Mallick R, Campbell C, Raju A, O’Donnell T, Eaddy M. Evaluating the expected costs and budget impact of interventional therapies for the treatment of chronic venous disease. Am Health Drug Benefits. 2015;8(7):366-74. http://dx.doi.org/10.1016/j.jvir.2014.12.597. PMid:26557230.

8 Padberg FT Jr, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg. 2004;39(1):79-87. http://dx.doi.org/10.1016/j.jvs.2003.09.036. PMid:14718821.

9 Pieper B, Templin TN, Birk TJ, Kirsner RS. Chronic venous disorders and injection drug use: impact on balance, gait, and walk speed. J Wound Ostomy Continence Nurs. 2008;35(3):301-10. http://dx.doi.org/10.1097/01.WON.0000319129.44725.d1. PMid:18496087.

10 Branisteanu DE, Feodor T, Baila S, Mitea IA, Vittos O. Impact of chronic venous disease on quality of life: results of vein alarm study. Exp Ther Med. 2018;17(2):1091-6. http://dx.doi.org/10.3892/etm.2018.7054. PMid:30679979.

11 Alonso J, Ferrer M, Gandek B, et al. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Qual Life Res. 2004;13(2):283-98. http://dx.doi.org/10.1023/B:QURE.0000018472.46236.05. PMid:15085901.

12 Del Buono MG, Arena R, Borlaug BA, et al. Exercise intolerance in patients with heart failure: JACC state-of-the-art review. J Am Coll Cardiol. 2019;73(17):2209-25. http://dx.doi.org/10.1016/j.jacc.2019.01.072. PMid:31047010.

13 Lane TR, Sritharan K, Herbert JR, Franklin IJ, Davies AH. Management of chronic venous disease by primary care. Phlebology. 2013;28(6):299-304. http://dx.doi.org/10.1258/phleb.2012.012012. PMid:22989936.

14 Rocha FA, Lins EM, Almeida CC, et al. Quality of life assessment before and after surgery for lower limb varicose veins. J Vasc Bras. 2020;19:e20190108. http://dx.doi.org/10.1590/1677-5449.190108. PMid:34178063.

15 Silva KLS, Figueiredo EAB, Lopes CP, et al. The impact of exercise training on calf pump function, muscle strength, ankle range of motion, and health-related quality of life in patients with chronic venous insufficiency at different stages of severity: a systematic review. J Vasc Bras. 2021;20:e20200125. http://dx.doi.org/10.1590/1677-5449.200125. PMid:34093685.

16 Silva JL, Lima AG, Diniz NR, Leite JC. Effectiveness of therapeutic exercises for improving the quality of life of patients with chronic venous insufficiency: a systematic review. J Vasc Bras. 2021;20:e20200248. http://dx.doi.org/10.1590/1677-5449.200248. PMid:34211542.

17 Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019;34(2):269-83. http://dx.doi.org/10.3904/kjim.2018.230. PMid:30360023.

18 Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166.e7. http://dx.doi.org/10.1016/j.amjmed.2005.10.036. PMid:16443422.

19 Pittman J, Bakas T. Measurement and instrument design. J Wound Ostomy Continence Nurs. 2010;37(6):603-7. http://dx.doi.org/10.1097/WON.0b013e3181f90a60. PMid:21076260.

20 Terwee CB, Bot SD, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34-42. http://dx.doi.org/10.1016/j.jclinepi.2006.03.012. PMid:17161752.

21 Roach KE. Measurement of health outcomes: reliability, validity and responsiveness. J Prosthet Orthot. 2006;18(6):8-P12. http://dx.doi.org/10.1097/00008526-200601001-00003.

22 Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737-45. http://dx.doi.org/10.1016/j.jclinepi.2010.02.006. PMid:20494804.

23 Caggiati A, De Maeseneer M, Cavezzi A, Mosti G, Morrison N. Rehabilitation of patients with venous diseases of the lower limbs: state of the art. Phlebology. 2018;33(10):663-71. http://dx.doi.org/10.1177/0268355518754463. PMid:29361892.

24 Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350(1):g7647. http://dx.doi.org/10.1136/bmj.g7647. PMid:25555855.

25 Deeks JJ, Higgins J, Altman DG, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [Internet]. 2022 [cited 2022 dec 30]. https://handbook-5-1.cochrane.org

26 Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Internet]. 2022 [cited 2022 dec 30]. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

27 Lee J, Park JH, Jwa H, Kim YH. Comparison of efficacy of intravenous peramivir and oral oseltamivir for the treatment of influenza: systematic review and meta-analysis. Yonsei Med J. 2017;58(4):778-85. http://dx.doi.org/10.3349/ymj.2017.58.4.778. PMid:28540991.

28 Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 2003;80(1):99-103. http://dx.doi.org/10.1207/S15327752JPA8001_18. PMid:12584072.

29 Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: métodos, avaliação e utilização. 7ª ed. Porto Alegre: Artmed; 2011.

30 Asunta P, Viholainen H, Ahonen T, Rintala P. Psychometric properties of observational tools for identifying motor difficulties: a systematic review. BMC Pediatr. 2019;19(1):322. http://dx.doi.org/10.1186/s12887-019-1657-6. PMid:31493795.

31 Prinsen CAC, Mokkink LB, Bouter LM, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res. 2018;27(5):1147-57. http://dx.doi.org/10.1007/s11136-018-1798-3. PMid:29435801.

32 Mokkink LB, Prinsen CA, Patrick DL, Alonso J, Bouter LM, de Vet HC, et al. COSMIN methodology for systematic reviews of Patient‐Reported Outcome Measures (PROMs) [Internet]. 2022 [cited 2022 dec 30]. https://cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf

33 Launois R, Le Moine JG, Lozano FS, Mansilha A. Construction and international validation of CIVIQ-14 (a short form of CIVIQ-20), a new questionnaire with a stable factorial structure. Qual Life Res. 2012;21(6):1051-8. http://dx.doi.org/10.1007/s11136-011-0008-3. PMid:21947689.

34 Launois R, Mansilha A, Jantet G. International psychometric validation of the Chronic Venous Disease quality of life Questionnaire (CIVIQ-20). Eur J Vasc Endovasc Surg. 2010;40(6):783-9. http://dx.doi.org/10.1016/j.ejvs.2010.03.034. PMid:20920862.

35 Launois R, Reboul-Marty J, Henry B. Construction and validation of a quality of life questionnaire in chronic lower limb venous insufficiency (CIVIQ). Qual Life Res. 1996;5(6):539-54. http://dx.doi.org/10.1007/BF00439228. PMid:8993100.

36 Biemans AA, van der Velden SK, Bruijninckx CM, Buth J, Nijsten T. Validation of the chronic venous insufficiency quality of life questionnaire in Dutch patients treated for varicose veins. Eur J Vasc Endovasc Surg. 2011;42(2):246-53. http://dx.doi.org/10.1016/j.ejvs.2011.04.007. PMid:21531589.

37 Ozdemir OC, Tonga E, Tekindal A, Bakar Y. Cross-cultural adaptation, reliability and validity of the Turkish version of the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20). Springerplus. 2016;5(1):381. http://dx.doi.org/10.1186/s40064-016-2039-2. PMid:27066388.

38 Sinozic T, Bazdaric K, Sverko D, Ruzic A, Katic M. Validation of the Croatian version of CIVIQ quality of life questionnaire in patients with chronic venous disorders. Croat Med J. 2017;58(4):292-9. http://dx.doi.org/10.3325/cmj.2017.58.292. PMid:28857522.

39 Radak DJ, Vlajinac HD, Marinkovic JM, Maksimovic MZ, Maksimovic ZV. Quality of life in chronic venous disease patients measured by short Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-14) in Serbia. J Vasc Surg. 2013;58(4):1006-13. http://dx.doi.org/10.1016/j.jvs.2011.08.003. PMid:22051876.

40 Lamping DL, Schroter S, Kurz X, Kahn SR, Abenhaim L. Evaluation of outcomes in chronic venous disorders of the leg: development of a scientifically rigorous, patient-reported measure of symptoms and quality of life. J Vasc Surg. 2003;37(2):410-9. http://dx.doi.org/10.1067/mva.2003.152. PMid:12563215.

41 Kutlu A, Yilmaz E, Cecen D, Eser E, Ozbakkaloglu A. The Turkish validity and reliability of the venous insufficiency epidemiological and economic study-quality of life/symptoms scales. Angiology. 2011;62(4):329-37. http://dx.doi.org/10.1177/0003319710394159. PMid:21421620.

42 Tuygun AK, Ketenci B, Gunay R, et al. Validity and reliability of VEINES-QOL/Sym questionnaire in chronic venous disorders. J Cardiovasc Surg. 2012;53(3):355-61. PMid:22269893.

43 van der Velden SK, Biemans AA, Nijsten T, Sommer A. Translation and validation of the Dutch VEINES-QOL/Sym in varicose vein patients. Phlebology. 2014;29(4):227-35. http://dx.doi.org/10.1177/0268355513476279. PMid:23559592.

44 Bland JM, Dumville JC, Ashby RL, et al. Validation of the VEINES-QOL quality of life instrument in venous leg ulcers: repeatability and validity study embedded in a randomised clinical trial. BMC Cardiovasc Disord. 2015;15(1):85. http://dx.doi.org/10.1186/s12872-015-0080-7. PMid:26260973.

45 Sinabulya H, Bergstrom G, Hagberg J, Johansson G, Blomgren L. Cultural adaptation and validation of the Swedish VEINES-QOL/Sym in patients with venous insufficiency. Phlebology. 2018;33(8):540-6. http://dx.doi.org/10.1177/0268355517733406. PMid:28954585.

46 Ribeiro-Samora GA, Carvalho MLV, Moura RMF, Pereira DAG. Limitations of VEINES QOL/SYM for discriminating chronic venous insufficiency severity. J Vasc Bras. 2019;19:e20180096. http://dx.doi.org/10.1590/1677-5449.180096. PMid:31839797.

47 Smith JJ, Garratt AM, Guest M, Greenhalgh RM, Davies AH. Evaluating and improving health-related quality of life in patients with varicose veins. J Vasc Surg. 1999;30(4):710-9. http://dx.doi.org/10.1016/S0741-5214(99)70110-2. PMid:10514210.

48 Klem TM, Sybrandy JE, Wittens CH. Measurement of health-related quality of life with the Dutch translated Aberdeen Varicose Vein Questionnaire before and after treatment. Eur J Vasc Endovasc Surg. 2009;37(4):470-6. http://dx.doi.org/10.1016/j.ejvs.2008.11.036. PMid:19117775.

49 Klem TM, Sybrandy JE, Wittens CH, Bot MLE. Reliability and validity of the Dutch translated Aberdeen Varicose Vein Questionnaire. Eur J Vasc Endovasc Surg. 2009;37(2):232-8. http://dx.doi.org/10.1016/j.ejvs.2008.08.025. PMid:18993090.

50 Leal FJ, Couto RC, Pitta GBB. Validação no Brasil de Questionário de Qualidade de Vida na Doença Venosa Crônica (Questionário Aberdeen para Veias Varicosas no Brasil/AVVQ-Brasil). J Vasc Bras. 2015;14(3):241-7. http://dx.doi.org/10.1590/1677-5449.0025.

51 Garratt AM, Macdonald LM, Ruta DA, Russell IT, Buckingham JK, Krukowski ZH. Towards measurement of outcome for patients with varicose veins. Qual Health Care. 1993;2(1):5-10. http://dx.doi.org/10.1136/qshc.2.1.5. PMid:10132081.

52 Hultman KH, Sinabulya H, Blomgren L. Validation of a Swedish version of a short patient-reported outcome measure for superficial venous insufficiency. J Vasc Surg Venous Lymphat Disord. 2021;9(2):416-422.e4. http://dx.doi.org/10.1016/j.jvsv.2020.07.005. PMid:32736096.

53 Hareendran A, Doll H, Wild DJ, et al. The venous leg ulcer quality of life (VLU-QoL) questionnaire: development and psychometric validation. Wound Repair Regen. 2007;15(4):465-73. http://dx.doi.org/10.1111/j.1524-475X.2007.00253.x. PMid:17650089.

54 Araújo RB, Fortes MR, Abbade LP, Miot HA. Translation, cultural adaptation to Brazil and validation of the venous leg ulcer quality of life questionnaire (VLU-QoL-Br). Rev Assoc Med Bras. 2014;60(3):249-54. http://dx.doi.org/10.1590/1806-9282.60.03.014. PMid:25004271.

55 Smith JJ, Guest MG, Greenhalgh RM, Davies AH. Measuring the quality of life in patients with venous ulcers. J Vasc Surg. 2000;31(4):642-9. http://dx.doi.org/10.1067/mva.2000.104103. PMid:10753271.

56 Wong IK, Lee DT, Thompson DR. Translation and validation of the Chinese version of the Charing Cross Venous Ulcer Questionnaire. J Clin Nurs. 2006;15(3):356-7. http://dx.doi.org/10.1111/j.1365-2702.2006.01307.x. PMid:16466486.

57 Couto RC, Leal FJ, Pitta GBB. Validação do questionário de qualidade de vida na úlcera venosa crônica em língua portuguesa. J Vasc Bras. 2016;15(1):4-10. http://dx.doi.org/10.1590/1677-5449.003015.

58 Tafernaberry G, Otero G, Agorio C, Dapueto JJ. Adaptación y evaluación inicial del Charing Cross Venous Ulcer Questionnaire en pacientes con úlceras venosas crónicas en Uruguay. Rev Med Chil. 2016;144(1):55-65. http://dx.doi.org/10.4067/S0034-98872016000100008. PMid:26998983.

59 Amaral KVA, Melo PG, Alves GR, et al. Charing Cross Venous Ulcer Questionnaire - Brasil: estudo bicêntrico de confiabilidade. Acta Paul Enferm. 2019;32(2):147-52. http://dx.doi.org/10.1590/1982-0194201900021.

60 Les Laboratoires Servier. CIVIQ users’ guide [Internet]. 2022 [cited 2022 dec 30]. https://www.civiq-20.com

61 Bergan JJ, Schmid-Schonbein GW, Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006;355(5):488-98. http://dx.doi.org/10.1056/NEJMra055289. PMid:16885552.

62 van Korlaar IM, Vossen CY, Rosendaal FR, et al. The impact of venous thrombosis on quality of life. Thromb Res. 2004;114(1):11-8. http://dx.doi.org/10.1016/j.thromres.2004.04.007. PMid:15262479.

63 Chan CY, Chen TC, Hsieh YK, Huang JH. Retrospective comparison of clinical outcomes between endovenous laser and saphenous vein-sparing surgery for treatment of varicose veins. World J Surg. 2011;35(7):1679-86. http://dx.doi.org/10.1007/s00268-011-1093-8. PMid:21509638.

64 Mekako AI, Hatfield J, Bryce J, Lee D, McCollum PT, Chetter I. A nonrandomised controlled trial of endovenous laser therapy and surgery in the treatment of varicose veins. Ann Vasc Surg. 2006;20(4):451-7. http://dx.doi.org/10.1007/s10016-006-9095-y. PMid:16802211.

65 Nandhra S, El-sheikha J, Carradice D, et al. A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. J Vasc Surg. 2015;61(3):741-6. http://dx.doi.org/10.1016/j.jvs.2014.09.037. PMid:25720930.
 


Submitted date:
12/30/2021

Accepted date:
08/05/2022

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
635accd9a95395615b38fc73 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections