HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN PATIENTS TREATED BY NOVEL ORAL ANTICOAGULANTS (NOACS)- REDUCED VERSION OF THE SAWICKI QUESTIONNAIRE

Author(s)

Rodríguez-Aguilella A1;Viñolas Prat X2;Campillo-Álvarez Á1;Martínez Sande JL3;Alegret Colomé JM4;Castejón N*1, Osorio Fernández G5 1LASER Analytica, Oviedo, Spain, 2Hospital de Santa Creu i Sant Pau, Barcelona, Spain, 3Hospital Clinico Universitario de Santiago de Compostela, Santiago de Compostela, Spain, 4Hospital Universitario Sant Joan de Reus, Reus, Spain, 5Bayer Hispania SL, Barcelona, Spain

OBJECTIVES: Sawicki questionnaire is a 32-item specific measure for the evaluation of the change in the measure of the Quality of Health Related Life (HRQOL) experienced by patients treated by Novel Oral Anticoagulants (NOACs) versus traditional Oral Anticoagulant Therapies (OAT). The objective of this research focuses on the application of the Rasch model in selecting the most appropriate items of Sawicki questionnaire. METHODS: Sample was composed of 689 Atrial Fibrillation (AF) patients in whom an attempt of electrical or pharmacological cardioversion was scheduled within a 4 months inclusion period from baseline (CARDIOVERSE study). Data were analyzed with WinSteps version 3.75 using the Rasch Partial Credit Model. Statistical criteria taken into account for the selection of those items with better psychometric properties were: model-fit and separation statistics, Differential Item Functioning (DIF), unexpected responses and item content.  The results were compared with those of the original version of the questionnaire in CARDIOVERSE sample. RESULTS: Misfiting items were deleted, resulting in a 12 items version rated on a 4-point Likert-scale. This short form of the questionnaire showed good model fit and represented an accurate measure of the construct. Infit MNSQ ranged from 0.90 to 1.15 (M=1.02; SD=0.09) and outfit MNSQ ranged from 0.90 to 1.18 (M=1.02; SD=0.08). Person separation index and item reliability were 2.11 and 0.99 respectively and item-person map showed that the test was on-target and covered the wide range of the ability scale. Finally, the criterion validity of the short version by age, sex and risk groups was similar to the original version of the questionnaire. CONCLUSIONS: Short version of Sawicki questionnaire has adequate psychometric properties in terms of goodness-of-fit-test and reliability. This version makes it possible to have a new short and appropriate HRQoL measure for the study of the effect in QoL experienced by patients treated by NOACs.

Conference/Value in Health Info

2013-11, ISPOR Europe 2013, The Convention Centre Dublin

Value in Health, Vol. 16, No. 7 (November 2013)

Code

PRM140

Topic

Methodological & Statistical Research

Topic Subcategory

PRO & Related Methods

Disease

Cardiovascular Disorders, Respiratory-Related Disorders

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