A New Patient-reported Outcomes Measure for Surgically Treated Epiphora: Tearing Assessment and Rating Scale-12 (TEARS-12).
Am J Rhinol Allergy
; 38(4): 211-217, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38623636
ABSTRACT
BACKGROUND:
No widely accepted, validated instrument currently exists to measure clinical outcomes in patients who undergo dacryocystorhinostomy (DCR) for treatment of epiphora.OBJECTIVE:
To develop a patient-reported outcome measure applicable to this population.METHODS:
Psychometric evaluations, consultation with experts, and review of the literature informed item generation of a 12-question questionnaire to incorporate the most relevant symptoms experienced by patients with nasolacrimal duct obstruction. This questionnaire, known as the Tearing Assessment and Rating Scale-12 (TEARS-12), was administered to 32 patients before and after intervention, in the form of endoscopic DCR. Statistical analysis was performed to measure internal consistency, responsiveness, and test-retest reliability.RESULTS:
Pre-operative and post-operative TEARS-12 scores (28.2 [standard error (SE) 3.19] vs 11.8 [SE 3.25], respectively, P = 0.001) demonstrated improved patient outcome within 6 weeks following endoscopic DCR. Cronbach's alpha for the questionnaire was 0.90, indicating high overall reliability. Additionally, each question demonstrated internal reliability, with a corrected item-total correlation greater than 0.30. The intraclass correlation between the two pre-operative scores was 0.858 (P < 0.001), indicating high test-retest reliability.CONCLUSION:
TEARS-12 is a statistically valid, easy-to-administer instrument to measure clinical outcomes in patients who undergo endoscopic DCR.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psychometrics
/
Tears
/
Dacryocystorhinostomy
/
Patient Reported Outcome Measures
/
Lacrimal Apparatus Diseases
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Am J Rhinol Allergy
Journal subject:
ALERGIA E IMUNOLOGIA
/
OTORRINOLARINGOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
United States