Translation of the Tonsil and Adenoid Health Status Instrument to the Arabic language
Ghassan Haddad and Randa Al Barazi*
Department of Otorhinolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Riad EL Solh, Beirut, Lebanon
*Corresponding Author: Randa Al Barazi, Assistant Professor, Department of Otorhinolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Riad EL Solh, Beirut, Lebanon.
Received: May 20, 2021; Published: June 10, 2021
Abstract
Background: Adenotonsillectomy is one of the most commonly performed pediatric surgeries worldwide. To date, no questionnaire assessing the quality of life of patients post-operatively exists in the Arabic language. Our objective is to translate the Tonsil and Adenoid Health Status Instrument from English to Arabic and evaluate its internal consistency. We then attempt to use the translated questionnaire to assess the change in quality of life of patients undergoing adenotonsillectomy.
Methods: Translation of the English TAHSI was performed using the guidelines for cross- cultural translation of quality of life measures. The obtained version of the questionnaire in Arabic was used on 141 patients enrolled prospectively over 3 years to assess for validity and internal consistency. Patients were enrolled from the pediatric otolaryngology clinic at the American University of Beirut Medical Center.
Results: Cronbach alpha coefficients for the pre-operative and post-operative translated questionnaires were 0.79 and 0.78 respectively, confirming adequate internal consistency. Mean total pre-operative score was 28.88 ± 10.80, significantly higher than the mean post-operative score of 5.00 ± 5.57 (p < 0.0001) showing an improvement in quality of life after surgery.
Conclusion: In this study we successfully translated the Tonsil and Adenoid Health Status Instrument from English to Arabic. The questionnaire obtained is the only available quality of life measurement tool in Arabic specific to adenotonsillectomy. It was used to show that adenotonsillectomy significantly improves the quality of life of patients.
Keywords: Adenoidectomy; Tonsillectomy; Quality of Life; Translation
References
- Cohen MS., et al. “Intracapsular vs. extracapsular tonsillectomy: a comparison of pain”. The Laryngoscope10 (2007): 1855-1858.
- Duarte VM., et al. “Coblation total tonsillectomy and adenoidectomy versus coblation partial intracapsular tonsillectomy and adenoidectomy in children”. The Laryngoscope8 (2014): 1959-1964.
- Stewart MG., et al. “Validation of an outcomes instrument for tonsil and adenoid disease”. Archives of Otorhinolaryngology-Head and Neck Surgery 1 (2001): 29-35.
- Naiboglu B., et al. “Improvement in quality of life by adenotonsillectomy in children with adenotonsillar disease”. Clinical Otolaryngology 5 (2010): 383-389.
- Mukhatiyar P., et al. “Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea”. JAMA Otolaryngology–Head and Neck Surgery 1 (2016): 25-31.
- Walton J., et al. “Systematic review of randomized controlled trials comparing intracapsular tonsillectomy with total tonsillectomy in a pediatric population”. Archives of Otorhinolaryngology-Head and Neck Surgery 3 (2012): 243-249.
- Andreou N., et al. “Does tonsillectomy improve quality of life in adults? A systematic literature review”. The Journal of Laryngology and Otology4 (2013): 332-338.
- Steinbichler T., et al. “Evaluation of a German version of the tonsil and adenoid health status instrument”. Journal of Otolaryngology - Head and Neck Surgery1 (2014): 41.
- Robinson K., et al. “Measuring patient benefit from otorhinolaryngological surgery and therapy”. Annals of Otology, Rhinology, and Laryngology6 (1996): 415-422.
- Ericsson E., et al. “Long-term improvement of quality of life as a result of tonsillotomy (with radiofrequency technique) and tonsillectomy in youths”. Laryngoscope7 (2007): 1272-1279.
- Powell HR., et al. “Improved quality of life in adults undergoing tonsillectomy for recurrent tonsillitis. Is adult tonsillectomy really a low priority treatment?” European Archives of Oto-Rhino-Laryngology12 (2012): 2581-2584.
- Guillemin F., et al. “Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines”. Journal of Clinical Epidemiology12 (1993): 1417-1432.
- Gates GA and Folbre TW. “Indications for adenotonsillectomy”. Archives of Otorhinolaryngology-Head and Neck Surgery5 (1986): 501-502.
- Kavanagh KT and Beckford NS. “Adenotonsillectomy in children: indications and contraindications”. Southern Medical Journal4 (1988): 507-514.
- Suen JS., et al. “Adenotonsillectomy for treatment of obstructive sleep apnea in children”. Archives of Otorhinolaryngology-Head and Neck Surgery5 (1995): 525-530.
- Potsic WP., et al. “Relief of upper airway obstruction by adenotonsillectomy”. Otolaryngology–Head and Neck Surgery4 (1986): 476-480.
- Paradise JL., et al. “Efficacy of adenoidectomy for recurrent otitis media in children previously treated with tympanostomy-tube placement. Results of parallel randomized and nonrandomized trials”. The Journal of the American Medical Association15 (1990): 2066-2073.
- Fry TL and Pillsbury HC. “The implications of "controlled" studies of tonsillectomy and adenoidectomy”. Otolaryngologic Clinics of North America2 (1987): 409-413.
- Ramos SD., et al. “Tonsillectomy and adenoidectomy”. Pediatric Clinics of North America4 (2013): 793-807.
- Byars SG., et al. “Association of Long-Term Risk of Respiratory, Allergic, and Infectious Diseases With Removal of Adenoids and Tonsils in Childhood”. JAMA Otolaryngology–Head and Neck Surgery7 (2018): 594-603.
- Goldstein NA., et al. “Quality of life after tonsillectomy in children with recurrent tonsillitis”. Otolaryngology–Head and Neck Surgery1 (2008): S9-S16.
- Torretta S., et al. “Impact of adenotonsillectomy on pediatric quality of life: review of the literature”. Italian Journal of Pediatrics1 (2017): 107.
- Kao SS., et al. “Scoping review of pediatric tonsillectomy quality of life assessment instruments”. Laryngoscope10 (2017): 2399-2406.
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