(LARS) Score Validation of Turkish Language

NCT ID: NCT05289531

Last Updated: 2022-03-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

222 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-02-01

Study Completion Date

2020-02-28

Brief Summary

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Long-term bowel dysfunction after resection for rectal cancer, known as low anterior resection syndrome (LARS), is observed in many patients. The LARS score was developed to measure this syndrome and its impact on quality of life in Danish patients. Recently, English and many other language versions have been validated. The aim of this study was to validate the Turkish translation of the LARS score in Turkish patients who have undergone treatment for rectal cancer.

Detailed Description

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A total of 326 patients were reviewed and contacted for the study, and 222 (68%) were eligible for the analyses. The association between the LARS score and quality of life and the test-retest reliability were studied. The intraclass correlation coefficient (ICC) was calculated to understand the degree of reliability.

Conditions

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LARS - Low Anterior Resection Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Rectal resection patients

Four Turkish centers participated in data collection in 2016. The inclusion criteria were rectal adenocarcinoma within 15 cm from the anal verge and LAR with either PME or TME. All patients had bowel continuity restored for at least 18 months when invited for the study. Exclusion criteria included failed R0 surgery, recurrence or dissemination, having intestinal stoma, previous cancer (except minor skin cancers) dementia and inability to speak Turkish (i.e., the need for a translator during treatment). A research assistant at each center identified the consecutive series of eligible patients for each participating consultant surgeon

Rectal Resection Patients

Intervention Type PROCEDURE

Patients who have had low anterior resection of rectum was categorized for their quality of life related to surgery

52 patients re-questioned to answer the same questionaire as control group

The test-retest reliability of the LARS score was evaluated by asking 52 randomly selected subgroup of eligible patients to repeat the assessment of the LARS score 2 to 4 weeks after their initial response. Agreement between tests for the LARS score category and for each of the five LARS score items is presented as proportions with 95% confidence intervals. We considered it a perfect agreement if the patient ticked the exact same response category at both tests, a moderate agreement if responses differed by one category, while 'no agreement' was applied to patients whose responses differed by two or more categories.

The intraclass correlation coefficient was used to evaluate the agreement between the initial test and the retest. The limit of agreements was calculated by using the Bland-Altman method. An ICC between 0.61 and 0.80 is considered strong agreement. A "p value" less than 0.05 was considered significant.

Rectal Resection Patients

Intervention Type PROCEDURE

Patients who have had low anterior resection of rectum was categorized for their quality of life related to surgery

Interventions

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Rectal Resection Patients

Patients who have had low anterior resection of rectum was categorized for their quality of life related to surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* rectal adenocarcinoma within 15 cm from the anal verge
* LAR with either PME or TME.
* Bowel continuity restored for at least 18 months when invited for the study.

Exclusion Criteria

* failed R0 surgery,
* recurrence or dissemination,
* having intestinal stoma,
* previous cancer (except minor skin cancers)
* dementia and inability to speak Turkish (i.e., the need for a translator during treatment).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role collaborator

Dokuz Eylul University

OTHER

Sponsor Role collaborator

Lokman Hekim University

OTHER_GOV

Sponsor Role collaborator

Ankara University

OTHER

Sponsor Role lead

Responsible Party

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I Ethem Gecim

Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Celasin H, Akyol C, Gecim IE, Halil Elhan A, Juul T, Sokmen S, Sungurtekin U, Akyuz S. Validation of the Turkish translation of the low anterior resection syndrome (LARS) score. Tech Coloproctol. 2023 Jun;27(6):465-474. doi: 10.1007/s10151-023-02751-z. Epub 2023 Jan 18.

Reference Type DERIVED
PMID: 36650405 (View on PubMed)

Other Identifiers

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3

Identifier Type: -

Identifier Source: org_study_id

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