Year 2024 / Volume 116 / Number 9
Original
Validation and adaptation to Spanish of the quality-of-life questionnaire in patients with hemorrhoidal disease and anal fissure (HEMO-FISS-CdV)

472-477

DOI: 10.17235/reed.2024.10308/2024

Manuel García-Redondo, Ana María Fernández-Alonso, Manuel Ferrer-Márquez, Francisco Rubio-Gil, Ángel Reina Duarte,

Abstract
Introduction: hemorrhoidal disease and anal fissure are the two most frequent entities within benign anal pathology, both of which have a negative impact on quality of life. To date, there is no specific questionnaire in Spanish to assess the impact on quality of life in patients suffering from these conditions. Objective: the aim of this study was to validate a questionnaire in Spanish for this purpose, adapting it to our daily clinical practice. Material and methods: the HEMO-FISS-Quality of Life Questionnaire (HEMO-FISS-CdV) is the Spanish version of the original HEMO-FISS-Quality of Life Questionnaire (HEMO-FISS-QoL) by Abramowitz. The questionnaire consists of 23 items organized in four dimensions (physical, psychological, defecation and sexuality). The reliability of the new tool was assessed by determining internal consistency using Cronbach’s alpha and Guttman’s coefficient. It was also correlated with the quality of life questionnaire SF12 Health Questionnaire version 2 (SF12v2). Results: the Cronbach’s alpha obtained for our questionnaire (HEMO-FISS-CdV) was 0.951 (CI 95 % ± 0.016), with a range between 0.935 and 0.967. The Guttman two-half coefficient had a value of 0.910. Patients with internal hemorrhoids, anal fissure or both had higher values on the HEMO-FISS-CdV questionnaire than patients without internal hemorrhoids, and these differences were significant (p < 0.05). Conclusion: both diseases have a negative impact on quality of life. The HEMO-FISS-CdV provides a tool in Spanish that easily and specifically assesses the impact of hemorrhoidal disease and anal fissure on quality of life.
Lay Summary
Benign perianal pathology, such as haemorrhoidal disease and anal fissure, are a very frequent reason for consultation in both primary care and specialised care practices. These diseases have a negative impact on the quality of life of the patients. To date, there is no questionnaire in Spanish that assesses the impact of this pathology on the quality of life of patients. A group of patients was selected and underwent a clinical interview and a proctological examination, during which they were also asked to complete a general quality of life questionnaire (SF12v2) as awell as the questionnaire to be validated (HEMO-FISS-CdV). Statistically significant results were found regarding the impact on quality of life in patients suffering from haemorrhoids or anal fissure. On the other hand, the HEMO-FISS-CdV questionnaire has shown sufficient internal validity and applicability. Both anal fissure and haemorrhoidal disease have a negative impact on the quality of life of patients, which has not been specifically assessed with a tool in Spanish until now. For this reason, the validation of the HEMO-FISS-CdV questionnaire has provided us with a simple and specific tool to assess the presence of these pathologies in daily life and the impact on the quality of life of our patients.
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García-Redondo M, Fernández-Alonso A, Ferrer-Márquez M, Rubio-Gil F, Reina Duarte Á. Validation and adaptation to Spanish of the quality-of-life questionnaire in patients with hemorrhoidal disease and anal fissure (HEMO-FISS-CdV). 10308/2024


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Publication history

Received: 29/01/2024

Accepted: 25/04/2024

Online First: 20/05/2024

Published: 09/09/2024

Article revision time: 82 days

Article Online First time: 112 days

Article editing time: 224 days


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