Relationships Between Forced Oscillatory Impedance and 6-minute Walk Distance After Pulmonary Rehabilitation in COPD. The most common HRQL tool studied against the CRQ was the St. George's Respiratory Questionnaire (SGRQ). Gries KS, Esser D, Wiklund I. This study was partially supported by a grant to the Diffuse Lung Disease Research Group from the Ministry of Health, Labor and Welfare, Japan and the NPO Respiratory Disease Conference. It has good discriminative and evaluative properties and is . Available from: https://doi.org/10.1111/j.1524-4733.2005.04054.x. Semi-structured interviews with a group of patients with IPF were performed to obtain the patients’ perspective on the translated version of SGRQ-I. After two weeks, SGRQ-I and Global Rating of Change Scales (GRCS) were completed. Eakin EG, Resnikoff PM, Prewitt LM, Ries AL, Kaplan RM. 2003;168(5):538–42. Correlations to FVC were weaker than correlations to DLCO and 6MWD. This book addresses the topic by providing insight and research from international leaders, making it the go-to reference for those in skeletal muscle physiology. Grufstedt HK, Shaker SB, Konradsen H. Validation of the COPD Assessment Test (CAT) in patients with idiopathic pulmonary fibrosis. 2007 Aug;132 (2):456-63 ( PubMed Abstract) SGRQ-I is a valid measure of HRQL in patients with IPF that can be utilized in patients with different disease durations. All authors participated in interpreting the data and in critical revisions of the manuscript. Description Functions References. Article  We performed all analyses by using SPSS (version 22; Chicago, IL, USA). 3 , 9 , 19 , 23 Hajiro et al 9 also found strong correlations between the CRQ and . Known-groups validity was evaluated by estimating the ability of the SGRQ-I to distinguish groups of patients with different stages of disease severity. Int J Chron Obstruct Pulmon Dis. Age-Dependent Associations Between 25-Hydroxy Vitamin D Levels and COPD Symptoms: Analysis of SPIROMICS. Patients diagnosed with IPF were recruited successively from the three tertiary ILD centres in Denmark at the University Hospitals in Aarhus, Gentofte (Copenhagen) and Odense. Efficacy of a tyrosine kinase inhibitor in idiopathic pulmonary fibrosis. Only one item had a substantial number of missing answers (I1, 49,3% missing) (see Additional file 4). Comorbidities, especially diabetes and orthopedic disease, were related to SGRQ total score. Kuźniar T, Patkowski J. Pol Arch Med Wewn, 104(1):401-412, 01 Jul 2000 Cited by: 1 article | PMID: 11303332. Review For second event analyses in a subset of eligible patients, these trends persisted albeit with reduced risk estimates for exacerbations. It was originally developed to measure the impact of Chronic Obstructive Pulmonary Disease (COPD) on a person's life, but has also been studied and applied to non-COPD pulmonary populations. SGRQ: St George's Respiratory Questionnaire; UMEC: umeclidinium; VI: vilanterol • The scatterplots of SGRQ total score vs CAT score at baseline for each of the three studies are shown in Figure 1. TSP, SBS, JRD, NH and EB collected the data, and the translation and validation was conducted in cooperation with JY. 2nd ed: Lawrence Erlbaum Associates; 1988. The King’s Brief Interstitial Lung Disease questionnaire (K-BILD) is an ILD-specific instrument measuring HRQL that has high validity in patients with IPF [12]. Laszlo G. Standardisation of lung function testing: helpful guidance from the ATS/ERS Task Force. Nagata K, Tomii K, Otsuka K, Tachikawa R, Otsuka K, Takeshita J, et al. Paul W. Jones, MD, PhD, is the global medical expert for the respiratory franchise at GSK. 2017 May [cited 2017 Nov 20];22(4):721–727. Among these, especially the symptoms domain including questions about attacks of chest trouble and wheezing are less relevant to patients with IPF. Part of the Clinical Focus Series, this book provides a complete overview of difficult asthma, discussing the clinical assessment and management of this complex condition. 2). This improves the relevance of the items of the instrument to patients and will probably make them more responsive to changes than generic instruments [5]. Thus, efforts might include discussing advance care planning and palliation at an early stage in patients with this progressive disease, which is also recommended by the World Health Organization (WHO) [14, 15]. The solid line is the mean difference, while the dashed lines are the 95% limits of agreement. It has been designed to allow comparative measurements of health between patient populations and quantify changes in health following therapy. Respirology [Internet]. The St. George's Respiratory Questionnaire (SGRQ) was designed to measure health status impairment in airways disease. MeSH Wedzicha JA, Calverley PM, Seemungal TA, Hagan G, Ansari Z, Stockley RA, INSPIRE Investigators. SOBQ has been validated for use in patients with IPF [10, 11] and covers dyspnea associated with a wide range of daily activities. respiratory patients, and provide St George 9 s Respiratory Questionnaire norms, a useful method for interpreting the St George 9 s Respiratory Questionnaire score in a given patient or study samples. PubMed Central  Article  Scores range from 0 to 100, with higher scores indicating more impaired HRQL. We examined the stability, validity and responsiveness of a measure designed for asthma and COPD, the St. George's Respiratory Questionnaire (SGRQ), in this condition. A 76-item questionnaire was developed, the St. George's Respiratory Questionnaire (SGRQ). Privacy Springer Nature. B, C. B, et al. Agreement between SGRQ-I and SGRQ measured by ICCs was good in the symptoms domain and excellent in the total and other domain scores (Table 2). 2011 Mar 15 [cited 2019 Feb 19];183(6):788–824. Am Rev Respir Dis 145(6):1321-1327. SGRQ-I proved to be valid at distinguishing between different disease severities, valid compared to other HRQL instruments, applicable across different disease durations and reliable upon repetition. Eur Clin Respir J [Internet]. King TE, Bradford WZ, Castro-Bernardini S, Fagan EA, Glaspole I, Glassberg MK, et al. Springer Nature. Recently the importance of comorbidities in IPF was reported, however, the relationship between HRQL and comorbidity in IPF has not been fully examined. SGRQ-I: IPF-specific version of the St. George’s Respiratory Questionnaire. Medium to large effect sizes supports the high discriminative strength of SGRQ-I. Clinical burden of illness among patients with severe eosinophilic COPD. SGRQ = St George's Respiratory Questionnaire, CAT = COPD Assessment Test, CCQ = Clinical COPD Questionnaire. The modified versions of SGRQ-I were reviewed by the developers during the course of translation and at the final approval. (DOCX 14 kb), Changes and comments in the translation process. SOBQ estimates dyspnea associated with activities of daily living in a 24-item self-completed questionnaire [21]. 2008;246(3):935–40. Respiratory Research The authors of that study examined a smaller sample size and made diagnoses from 2000 to 2005 based on 2000 guidelines that were different from the 2011 ones with a formal multidisciplinary discussion (MDD) used in the present study. Respir Med. The Respiratory Symptoms Questionnaire (RSQ), a simple 4-item tool designed to assess symptoms and severity of respiratory symptoms independent of diagnosis, is a valid and useful tool for monitoring patients with chronic obstructive pulmonary disease (COPD), asthma, or both COPD and asthma, according to study results published in European Respiratory Society Open Research. Am Rev Respir Dis. As SGRQ-I is shorter than SGRQ but equally valid and reliable, SGRQ-I is an improvement and a better option for use in future clinical trials. YK, KK, ON, KS, and YH contributed to the study design, the analysis and interpretation of the data, and the writing of the paper. We investigated the relationship between HRQL assessed using the St. George’s Respiratory Questionnaire (SGRQ) and survival time in patients with IPF, and tried to determine a clinical meaningful cut off value to predict poorer survival rates. 2016 Dec 8;12(12):CD005305. Idiopathic pulmonary fibrosis in US Medicare beneficiaries aged 65 years and older: incidence, prevalence, and survival, 2001–11. Scores range from 0 to 120 and higher scores denote more dyspnea. Quantification of subjective morbidity is essential in research and clinical management of patients with respiratory disease. SGRQ-I total score in (a) the lower and upper quartile of FVC % predicted, (b) the lower and upper quartile of DLCO % predicted, (c) long-term oxygen therapy and (d) GAP index. Posts about scoring written by norbert. Based on these results, one could argue that SGRQ-I should be used instead of SGRQ in patients with IPF, as the results differ slightly and SGRQ-I is targeted at IPF. The present study was approved by a local institutional review board of Tosei General Hospital without the consent because of retrospective study (IRB No. The minimal important clinical difference is estimated as a 4 unit difference or change in the SGRQ total score. Swigris JJ, Han M, Vij R, Noth I, Eisenstein EL, Anstrom KJ, et al. Eur Respir J. Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. A licensing agreement and fee is required to use the questionnaire. Noble PW, Albera C, Bradford WZ, Costabel U, Glassberg MK, Kardatzke D, et al. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21571362. This software calculates scores derived from the St George's Respiratory Questionnaire (SGRQ) and the SGRQ-C. Overall, these findings indicate a good concurrent validity. The SF-36 and SGRQ: validity and first look at minimum important differences in IPF. Bethesda, MD 20894, Copyright Overall, these findings indicate a good concurrent validity. Content validity of CASA-Q cough domains and UCSD-SOBQ for use in patients with Idiopathic Pulmonary Fibrosis. The St George's Respiratory Questionnaire (SGRQ) is an instrument for the measuring of Health-Related Quality-of-Life in patients with diseases of airways obstruction. K-BILD consists of 15 items and has validity and reliability comparable to SGRQ-I [12]. Respir Med [Internet] 2016; Available from: http://linkinghub.elsevier.com/retrieve/pii/S0954611116300191. Between August 2016 and March 2018, 150 patients with IPF were included in the study from the three tertiary ILD centers in Denmark (110 patients in Aarhus, 24 in Gentofte and 16 in Odense). Researchers are becoming aware of the importance of quality of life measurements in judging the efficacy of a given treatment. It is essential that the results of the instrument are repeatable with minimal variation in stable patients. We retrospectively analyzed consecutive patients with IPF who underwent an initial evaluation from May 2007 to December 2012. Up to now, the best-known and most frequently administered disease-specific tools among the pneumologists are the Chronic Respiratory Questionnaire (CRQ)4 and the St. George's Respiratory Questionnaire (SGRQ).5 The CRQ covers aspects of disability in patients with chronic 2016; 150(3):747-8 (ISSN: 1931-3543). HRQL tools can thus capture various information that physiologic or radiologic measures cannot. "An empirical comparison of the St George's Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a clinical trial setting." Thorax 54(11): 995-1003. Am J Respir Crit Care Med. The AQ20 and AQ30 correlated well with the St. George Respiratory Questionnaire (SGRQ) and the Asthma Quality of Life Questionnaire (AQLQ). Raghu G, Chen S-Y, Yeh W-S, Maroni B, Li Q, Lee Y-C, et al. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. In order to select final prognostic predictors in multivariate analysis, all candidate predictors for which the p-value was < 0.1 on univariate analysis were included in a forward selection method, with a p-value of 0.05 used for final entry or removal. An IPF-specific version of the SGRQ (SGRQ-I) was developed based on a cohort of patients with IPF [9]. Three component scores were calculated: symptoms, activity, and impacts (on daily life), and a total score. Description. Swigris JJ, Wilson SR, Green KE, Sprunger DB, Brown KK, Wamboldt FS. ; Hasegawa Y reports grants and personal fees from Shionogi & Co., Ltd., Boehringer Ingelheim Japan, and Astellas Pharma Inc, outside the submitted work. Found inside – Page 450Chronic Respiratory Questionnaire (CRQ)51 ICF: Participation A self-administered 20 items over 4 Score of 20–140; ... higher score signifying function, and mastery. greater impact on St. George's Respiratory Questionnaire (SGRQ)52 ICF: ... Results above 0.7 are regarded as reliable internal consistency [25]. It was developed as a standardized, self-administered, disease-specific health status evaluation scale for patients with chronic obstructive disease . Impact of baseline symptoms and health status on COPD exacerbations in the FLAME study. Found inside – Page 4With this approach, a score of approximately 4 units is regarded as having a clinically meaningful effect in the St. George's Respiratory Questionnaire (SGRQ), a common health status instrument used to evaluate a COPD patient's quality ... Fourteen days later, SGRQ-I and Global Rating of Change Scales (GRCS) were completed. The eligible patients had undergone all of the tests and assessments that were physical examination and assessment of physiological function, dyspnoea (modified Medical Research Council (MMRC) scale and Baseline Dyspnoea Index (BDI) score), exercise capacity (6-minute-walk test (6MWT) and desaturation during 6MWT), and HRQL, which was assessed using the SGRQ [6] at the initial evaluation. The impact of dyspnea on HRQL is well represented in SGRQ-I and HRQL measured by SGRQ-I reflect the results of another ILD-specific HRQL instrument. In multivariate analysis using a forward selection method, the SGRQ total score was an independent predictor for mortality (HR, 1.012; 95% CI, 1.001–1.023; P = .029), along with percent predicted FVC (HR, 0.957; 95% CI, 0.944–0.971; P  <.001) (Table 3). N Engl J Med [Internet]. The patients are divided into three groups with different 1-year mortalities ranging from 6 to 39%. Most patients were stable in overall health status as well as in the three domains of SGRQ-I, as evaluated by GRCS after two weeks. Lo C, Liang W-M, Hang L-W, Wu T-C, Chang Y-J, Chang C-H. A psychometric assessment of the St. George's respiratory questionnaire in patients with COPD using rasch model analysis. However, in patients with IPF, the relationship between HRQL assessed using the SGRQ and mortality has not fully been studied. Respir Res. High ICC (0.92) and a Bland-Altman plot indicated good test-retest reliability. St. George's Respiratory Questionnaire (SGRQ) Total Score Change From Baseline at 6 Months [ Time Frame: Baseline and 6 Months ] SGRQ total score change from baseline at 6 months is presented. SGRQ domain as predictors for mortality. Both prevalent and incident patients were included. Hajiro T, Nishimura K, Tsukino M, Ikeda A, Koyama H, Izumi T. Comparison of discriminative properties among disease-specific questionnaires for measuring health-related quality of life in patients with chronic obstructive pulmonary disease. . In the univariate analysis in this study, the SGRQ as well as various dimensional clinical factors previously reported as prognostic factors were significant predictors for mortality rate. Thorax [Internet]. 2018 Dec 11;12(12):CD011594. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Also, SGRQ-I proved to be equally valid in patients with different disease durations which is a novel finding. Ley B, Ryerson CJ, Vittinghoff E, Ryu JH, Tomassetti S, Lee JS, Poletti V, Buccioli M, Elicker BM, Jones KD, King Jr TE, Collard HR. 2012;156(10):684–91. et al. Neither has SGRQ-I been compared to a dyspnea instrument which is validated for use in patients with IPF nor to another ILD-specific HRQL instrument. The solid line is the mean difference, while the dashed lines are the 95% limits of agreement. The study sample was composed of 862 individuals. Spine (Phila Pa 1976) [Internet]. The results were comparable in the TSD subgroups (data not shown), except for the symptoms domain having a slightly smaller Cronbach’s alpha value of 0.67. Article  https://doi.org/10.1186/s12931-017-0503-3, DOI: https://doi.org/10.1186/s12931-017-0503-3. A good test-retest reliability of SGRQ-I was seen in the stable patients by high ICC values and a Bland-Altman plot when comparing answers at baseline and after two weeks (Table 4 and Fig. SGRQ-I: IPF-specific version of the St. George’s Respiratory Questionnaire; SGRQ: St. George’s Respiratory Questionnaire. Four GRCS scores composed: One for overall health status and three for the SGRQ-I domains. © 2021 BioMed Central Ltd unless otherwise stated. 509). Müllerová H, Meeraus WH, Galkin DV, Albers FC, Landis SH. Idiopathic Pulmonary Fibrosis Study Group. Am Rev Respir Dis [Internet]. The study sample was composed of 862 individuals. Am J Respir Crit Care Med. SGRQ-I was translated into Danish and proved to be a valid tool to measure HRQL with a good internal consistency, solid concurrent validity, high test-retest reliability and a good ability to discriminate between patients with different stages of disease. Two questionnaires for asthma and COPD, one COPD specific questionnaire and one for left ventricular failure have been developed at St George's, University of London. All authors gave final approval for publication. As the psychological domain of K-BILD also had weaker correlations to SGRQ-I, the psychological impact of living with IPF may be more diffuse and difficult to incorporate into a HRQL instrument than the physical symptoms accompanying IPF. Find it on PubMed. 2014;12:124. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2213260017303831. Fax: 905-540-8019. The relationship between SGRQ and baseline physiological measures is shown in Additional file 1: Table S1. As such, SGRQ-I scores indicate a broader spectrum of HRQL, as patient have better HRQL measured by SGRQ-I than by SGRQ with low average scores and worse HRQL with higher average scores. Other HRQL questionnaires validated for IPF and other ILDs include K-BILD and the COPD Assessment Test (CAT). Another aspect of generalizability is the use of instruments in other languages. Interstitial lung disease guideline: the British Thoracic Society in collaboration with the Thoracic Society of Australia and new Zealand and the Irish thoracic society. The SGRQ contains 50 items covering three domains: Symptoms (8 items), Activity (16 items), and Impacts (26 items). Follow our use case example to learn how to use heoro.com to find out what diseases the Saint George's Respiratory Questionnaire has been used in.http://www.. Found inside – Page 860Higher scores indicate greater perceived quality of life St George's Respiratory 50 items are measured to generate scores in two distinct areas: Questionnaire (SGRQ) (1) symptoms and (2) activity and limitations. Scores are on a 0–100 ... The authors have reported to the following conflicts of interest: Furukawa T, Ando M, Kataoka K, Johkoh T, Fukuoka J, and Sakamoto K have nothing to disclose; Taniguchi H reports personal fees from Shionogi & Co., Ltd., Nippon Boehringer Ingelheim, Asahi Kasei Pharma Corp., Bayer in Japan, Chugai Pharmaceutical Co., Ltd., GlaxoSmithKline plc., Ono Pharmaceutical Co., Ltd., TEIJIN PHARMA LIMITED, AstraZeneca K.K, DAIICHI SANKYO COMPANY, LIMITED, Eli Lilly Japan K.K., Novartis Pharma K.K., Fukuda Denshi Co., Ltd., TERUMO CORPORATION, TAIHO Phamaceutical Co., Ltd., KYORIN Pharmaceutical Co., Ltd., Meiji Seika Pharma Co., Ltd., Philips Respironics GK, Pfizer Japan Inc., ABBOTT JAPAN CO., LTD, NIPPON SHINYAKU CO.,LTD, Eisai Co., Ltd., MSD K.K., outside the submitted work. The interrelatedness of the items in SGRQ-I was examined to measure the internal consistency of the questionnaire. The St George's Respiratory Questionnaire (SGRQ) is a validated, commonly used questionnaire for measuring quality of life in patients with chronic obstructive pulmonary disease (COPD). Please contact: St George's Health Status Research Team. Aim . Introduction . 2007;60(1):34–42. The present study showed that comorbidities, especially diabetes and orthopedic disease, were related to total score, however, they didn’t have predictive value in age and gender adjusted models.

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