Validación y adaptación transcultural al español de colombia del cuestionario del túnel carpiano de boston bctq (boston carpal tunnel questionnaire).

El cuestionario de Boston mide la función y la severidad de los síntomas de un paciente con síndrome del túnel carpiano, consta de 19 preguntas, 8 del estado funcional y 11 de la severidad de los síntomas, usa un sistema tipo escala Likert de 1 a 5, no tiene un punto de corte, pero entre más puntaje, mayor severidad habrá. Sin embargo, hay controversia respecto a cuantos dominios tiene este instrumento, pero, la mayoría de estudios coincidne en que son tres: uno funcional y dos de síntomas (dolor y alteración de la sensibilidad)ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1186/s12891-020-03626-2","ISSN":"14712474","PMID":"32919457","abstract":"Background: The Boston Carpal Tunnel Questionnaire (BCTQ) and its shorter version, the Six-Item Carpal Tunnel Symptoms Scale (CTS-6), are widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. This study examined the structural validity of the BCTQ and CTS-6 among patients who had undergone surgery for treatment of carpal tunnel syndrome. Methods: The data for this cross-sectional analysis were obtained from 217 adult patients who had undergone carpal tunnel release surgery 1 year earlier. All patients completed the CTS-6, Symptom Severity Scale (SSS) and Functional Status Scale (FSS) of the BCTQ at 12 months after surgery. The Rasch Measurement Theory (RMT) was applied to investigate the unidimensionality, residual correlation, differential item functioning, scale coverage/targeting, and person separation of the CTS-6, SSS and FSS of the BCTQ. Results: The FSS showed unidimensionality and good scale and item fit. All items showed ordered response category thresholds. Eight of the FSS items displayed differential item functioning favoring age or gender. The multidimensional structure of the CTS-6 was absorbed by creating a testlet for frequency of symptoms or testlets for pain and numbness. The testlets supported unidimensionality in the BCTQ SSS. One item in the CTS-6 and two items in the BCTQ SSS showed differential item functioning favoring age or gender. Four items in the BCTQ SSS and two items in the CTS-6 exhibited disordered response category thresholds. Merging of the relevant response categories led to ordered response category thresholds. The person separation indices were 0.73, 0.86 and 0.77 for the CTS-6, BCTQ SSS and FSS, respectively. Conclusions: Based on the RMT analysis, the CTS-6 has superior psychometric properties compared to the BCTQ SSS in surgically treated patients. The CTS-6 might be more accurate when separated into item sets measuring pain or numbness. The FSS of the BCTQ has acceptable construct validity, although gender differences at some ages were observed in responses.","author":[{"dropping-particle":"","family":"Multanen","given":"Juhani","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Ylinen","given":"Jari","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Karjalainen","given":"Teemu","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Ikonen","given":"Joona","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Häkkinen","given":"Arja","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Repo","given":"Jussi P.","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"BMC Musculoskeletal Disorders","id":"ITEM-1","issue":"1","issued":{"date-parts":[["2020"]]},"page":"1-14","publisher":"BMC Musculoskeletal Disorders","title":"Structural validity of the Boston Carpal Tunnel Questionnaire and its short version, the 6-Item CTS symptoms scale: A Rasch analysis one year after surgery","type":"article-journal","volume":"21"},"uris":["http://www.mendeley.com/documents/?uuid=ee4b0d9c-d1ae-4030-adfd-24d743a1453d"]},{"id":"ITEM-2","itemData":{"DOI":"10.1007/s10926-015-9579-0","ISSN":"10530487","PMID":"25894722","abstract":"Purpose Carpal tunnel syndrome (CTS) is one of the most common hand problems and a major cause of work disability. The purpose of this study was to use confirmatory factor analysis (CFA) to assess the factor structure of the Boston Carpal Tunnel Questionnaire (BCTQ) in patients with CTS. Methods One hundred and twenty-three patients with CTS were recruited from two hospitals. Each patient completed the functional status scale and the symptom severity scale of the BCTQ. CFA was used to assess the model fit between the data and pre-established theoretical measurement models. Results CFA showed that all three-factor models were better than the original two-factor model. Among the three-factor models, the simplified model, with 11 items assessing daytime pain, nocturnal numbness/tingling, and hand function was the best, for the model fit the data better than did the other models. Specifically, the Comparative Indices were larger than 0.95 (Tucker–Lewis Index and Comparative Fit Index values), and the Absolute Fit Indices and information-theoretic measures were the smallest. Moreover, all factor loadings were significant and high in magnitude (ranging from 0.66 to 0.99), the composite reliabilities exceeded 0.60 (ranging from 0.78 to 0.94), and the average variance extracted exceeded 0.50 (ranging from 0.61 to 0.89). Conclusion The simplified model showed the highest reliability and validity, and the factor structure was the simplest/clearest one. The simplified model is recommended for clinical use due to its convenience and precision for assessing the problems of patients with CTS.","author":[{"dropping-particle":"","family":"Lue","given":"Yi Jing","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Wu","given":"Yuh Yih","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Liu","given":"Ya Fen","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Lin","given":"Gau Tyan","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Lu","given":"Yen Mou","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Journal of Occupational Rehabilitation","id":"ITEM-2","issue":"4","issued":{"date-parts":[["2015"]]},"page":"717-724","publisher":"Springer US","title":"Confirmatory Factor Analysis of the Boston Carpal Tunnel Questionnaire","type":"article-journal","volume":"25"},"uris":["http://www.mendeley.com/documents/?uuid=fe2d6bd7-7ab9-4c1d-8f80-02a5fef0829b"]},{"id":"ITEM-3","itemData":{"DOI":"10.1007/s11136-021-02860-y","ISBN":"0123456789","ISSN":"15732649","PMID":"33961186","abstract":"Purpose: To perform a comprehensive psychometric analysis of the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) by means of factor and Rasch analyses in subjects with neurophysiologic confirmation of carpal tunnel syndrome (CTS). Relationship between clinical severity assessed with the log-linear version of the BCTQ and neurophysiologic severity assessed with nerve conduction studies was further examined. Methods: Five hundred and twenty-eight individuals completed the questionnaire. Confirmatory and exploratory factor analyses were used to determine the latent structure of the BCTQ. Through Rasch methodology, a log-linear version was proposed given the latent structure of the questionnaire. Linear relationship between the proposed questionnaire and neurophysiologic findings was established. Results: The BCTQ underlying structure comprises, at least, three factors that may be represented by Functionality, Paresthesia and Pain domains. Two log-linear subscales may be proposed: subscale 1 comprised of the Functionality factor and subscale 2 which incorporates the Paresthesia and Pain factors under a bifactor solution. Neurophysiologic and clinical severity classification system displays a very weak linear correlation. Conclusion: A log-linear version of the BCTQ, useful as an outcome tool in clinical and trial settings, is proposed. Neurophysiological data lack the ability to resemble changes in clinical status of individuals with CTS.","author":[{"dropping-particle":"","family":"Mendoza-Pulido","given":"Camilo","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Ortiz-Corredor","given":"Fernando","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Quality of Life Research","id":"ITEM-3","issue":"9","issued":{"date-parts":[["2021"]]},"page":"2697-2710","publisher":"Springer International Publishing","title":"Measurement properties of the Boston Carpal Tunnel Questionnaire in subjects with neurophysiological confirmation of carpal tunnel syndrome: a Rasch analysis perspective","type":"article-journal","volume":"30"},"uris":["http://www.mendeley.com/documents/?uuid=9fa93741-efe2-4288-a23a-51c3538d4d19"]},{"id":"ITEM-4","itemData":{"DOI":"10.1007/s00776-006-1087-9","ISSN":"09492658","PMID":"17260112","abstract":"Background. The Carpal Tunnel Syndrome Instrument (CTSI) is a disease-specific, self-administered questionnaire that consists of a symptom severity scale (SS) and a functional status scale (FS). The CTSI was cross-culturally adapted and developed by the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand (JSSH). The purpose of this study was to test the reliability, validity, and responsiveness of the Japanese version of the CTSI (CTSI-JSSH). Methods. A consecutive series of 87 patients with carpal tunnel syndrome completed the CTSI-JSSH, the JSSH version of the Disability of the Arm, Shoulder, and Hand questionnaire (DASH-JSSH), and the 36-Item Short-Form Health Survey (SF-36). Seventy-two of the patients were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated by the reproducibility and the internal consistency. To analyze the validity, a factor analysis (principal axis factoring) of the CTSI-JSSH and the correlation coefficients between the CTSI-JSSH and DASH-JSSH were obtained. The responsiveness was examined by calculating the standardized response mean (SRM; mean change/SD) and effect size (mean change/SD of baseline value) after carpal tunnel release in 42 patients. Results. Cronbach's alpha coefficients for the CTSI-JSSH-SS and the CTSI-JSSH-FS were 0.84 and 0.90, respectively, and the intraclass correlation coefficients were 0.82 and 0.83, respectively. The unidimensionality of the CTSI-JSSH-SS was barely confirmed; the unidimensionality of the CTSI-JSSH-FS was confirmed. The correlation coefficients between the CTSI-JSSH-FS and the CTSI-JSSH-SS or DASH-JSSH were 0.58 and 0.80, respectively. The correlation coefficient between the CTSI-JSSH-SS and DASH-JSSH was 0.54. The correlation coefficients between the subscales of SF-36 and the CTSI-JSSH-SS or the CTSI-JSSH-FS ranged from -0.23 to -0.66 and from -0.19 to -0.63, respectively. The SRMs/effect sizes of the CTSI-JSSH-SS and the CTSI-JSSH-FS were -0.85/-0.99 and -0.70/-0.61, which indicated that they were more than moderately sensitive. Conclusions. The CTSI-JSSH has sufficient reliability, validity, and responsiveness to assess the health status in carpal tunnel syndrome. © 2007 The Japanese Orthopaedic Association.","author":[{"dropping-particle":"","family":"Imaeda","given":"Toshihiko","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Uchiyama","given":"Shigeharu","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Toh","given":"Satoshi","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Wada","given":"Takuro","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Okinaga","given":"Shuji","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Sawaizumi","given":"Takuya","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Nishida","given":"Jun","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Kusunose","given":"Koichi","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Omokawa","given":"Shohei","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Journal of Orthopaedic Science","id":"ITEM-4","issue":"1","issued":{"date-parts":[["2007"]]},"page":"14-21","title":"Validation of the Japanese society for surgery of the hand version of the carpal tunnel syndrome instrument","type":"article-journal","volume":"12"},"uris":["http://www.mendeley.com/documents/?uuid=903d2533-9e16-4321-a0f8-b6bfba19c5b8"]},{"id":"ITEM-5","itemData":{"DOI":"10.1016/j.medcli.2015.10.013","ISSN":"15788989","PMID":"26683079","abstract":"Introduction and Objective To describe the process of cultural adaptation and validation of the Boston Carpal Tunnel Questionnaire (BCTQ) measuring symptom intensity, functional status and quality of life in carpal tunnel syndrome patients and to report the psychometric properties of this version. Material and methods A 3 expert panel supervised the adaptation process. After translation, review and back-translation of the original instrument, a new Spanish version was obtained, which was administered to 2 patient samples: A pilot sample of 20 patients for assessing comprehension, and a 90 patient sample for assessing structural validity (factor analysis and reliability), construct validity and sensitivity to change. A re-test measurement was carried out in 21 patients. Follow-up was accomplished in 40 patients. Results The questionnaire was well accepted by all participants. Celling effect was observed for 3 items. Reliability was very good, internal consistency: αS = 0.91 y αF = 0.87; test-retest stability: RS = 0.939 and rF = 0.986. Both subscales fitted to a general dimension. Subscales correlated with dynamometer measurements (rS = 0.77 and rF = 0.75) and showed to be related to abnormal 2-point discrimination, muscle atrophy and electromyography deterioration level. Scores properly correlated with other validated instruments: Douleur Neuropatique 4 questions and Brief Pain Inventory. BCTQ demonstrated to be sensitive to clinical changes, with large effect sizes (dS =-3.3 and dF =-1.9). Conclusions The Spanish version of the BCTQ shows good psychometric properties warranting its use in clinical settings.","author":[{"dropping-particle":"","family":"Oteo-Álvaro","given":"Ángel","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Marín","given":"Mariá T.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Matas","given":"José A.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Vaquero","given":"Javier","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Medicina Clinica","id":"ITEM-5","issue":"6","issued":{"date-parts":[["2016"]]},"page":"247-253","publisher":"SEGO","title":"Validación al castellano de la escala Boston Carpal Tunnel Questionnaire","type":"article-journal","volume":"146"},"uris":["http://www.mendeley.com/documents/?uuid=2d003879-201c-45b0-88f0-bea500d24a39"]}],"mendeley":{"formattedCitation":"(17,37–40)","plainTextFormattedCitation":"(17,37–40)","previouslyFormattedCitation":"(17,37–40)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(17,37–40). De tal forma, para la validez estructural se ha pensado realizar un análisis  factorial confirmatorio (AFC); debido a que este análisis requiere un número alto de participantes, los demás análisis serán subsidiaros de este, por lo tanto la muestra se determinará de acuerdo al AFC. Debería tomarse menos de dos meses entre la discusión de grupo de expertos, del comité de conciliación, y la realización de la prueba de campo. Para esta prueba de campo se plantea captar 15 pacientes para llenar los cuestionarios y hacer las entrevistas cognitivas, este número está acorde con lo publicado en los estudios de validación transcultural del BCTQ Para la sensibilidad al cambio, se piensa medir pacientes antes y después de cirugía (liberación del túnel carpiano), requiriendo una sub-muestra de unos 30 pacientes tomada de la muestra anterior. Siendo una cirugía frecuente y en la que podemos esperar cambios en menos de 3 meses ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1016/j.jhsa.2022.04.003","ISSN":"15316564","PMID":"35717419","abstract":"Purpose: The aim of this study was to evaluate electrodiagnostic studies and clinical outcomes after carpal tunnel release surgery in moderate and severe cases of carpal tunnel syndrome (CTS). Methods: Seventy-two patients with moderate or severe CTS who underwent carpal tunnel release surgery (46 unilateral; 26 bilateral; total, 98 surgeries) between 2009 and 2014 were included in the study. The cases were divided into 2 groups according to electrodiagnostic results: those with moderate CTS and those with severe CTS. Michigan Hand Outcomes Questionnaire scores and electrodiagnostic data (sensory nerve action potentials and compound muscle action potentials) were recorded before surgery and in postoperative follow-up studies obtained at 3 months, 1 year, and 5 years. Results: There were 56 surgeries in the moderate CTS group and 42 surgeries in the severe CTS group. Sensory nerve action potentials and compound muscle action potentials were significantly lower in the severe CTS group when compared to the moderate CTS group at all follow-up times. There was a significant difference in Michigan Hand Outcomes Questionnaire scores between the groups before surgery, but no significant differences at the final follow-up. It was found that the values of all parameters (sensory nerve action potentials, compound muscle action potentials, and Michigan Hand Outcomes Questionnaire score) demonstrated significant improvements with time in both the severe and the moderate CTS groups. Conclusions: Carpal tunnel release surgery improves symptoms, regardless of the preoperative severity. Postoperative electrodiagnostic study results of patients with moderate CTS improve to a greater degree than those of patients with severe CTS, but all remain abnormal. Type of study/level of evidence: Prognosis IIb.","author":[{"dropping-particle":"","family":"Dagtas","given":"Mirza Zafer","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Unal","given":"Omer Kays","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Journal of Hand Surgery","id":"ITEM-1","issue":"8","issued":{"date-parts":[["2022"]]},"page":"727-735","publisher":"American Society for Surgery of the Hand","title":"Long-Term Outcome of Electrodiagnostic Values and Symptom Improvement After Carpal Tunnel Release: A Retrospective Cohort Study","type":"article-journal","volume":"47"},"uris":["http://www.mendeley.com/documents/?uuid=3fdaf813-7e24-42e1-b532-f09a30dd91e0"]},{"id":"ITEM-2","itemData":{"DOI":"10.1186/s12891-016-1046-3","ISSN":"14712474","PMID":"27121725","abstract":"Background: Carpal tunnel syndrome (CTS) causes a substantial burden of disease in society. While CTS can be resolved by surgical carpal tunnel release, it still remains unclear as to what degree outcomes depend on patients' characteristics. This study assesses patient-centered outcomes after surgical carpal tunnel release in a large outpatient clinic in Germany. Methods: Patients with CTS were recruited prospectively between August 1st and December 31st, 2013. We assessed socio-demographic and psychological factors as well as nerve conduction velocities at baseline (before the surgery) and at three and six months after surgery. We analyzed the improvement of patient-centered outcomes (symptoms and function of the affected hand as well as measures of well-being and subjective quality of life) at the two follow-up time points and investigated if socio-demographic characteristics and CTS-related variables predict the success of the surgery with respect to nerve conduction velocities and patient-centered outcomes by means of analysis of covariance (ANCOVA). Factors influencing the duration of sick leave were investigated by means of Cox regression. Results: The study sample consisted of 71 CTS cases. Surgical carpal tunnel release generally improved nerve conduction velocity and patient-centered outcomes. Regarding the former, the improvement was proportional to the severity score at baseline. The presence of muscular atrophy in the thenar area at baseline displayed medium size effects for the patient-centered outcomes. Other socio-demographic characteristics and CTS-related variables did not have a strong predictive effect on the improvement of nerve conduction velocity and patient-centered outcomes. Conclusions: There is a significant improvement of clinical and subjective outcomes after CTS surgery in the outpatient sector. The improvement is largely independent of socio-demographic and clinical characteristics of the patients.","author":[{"dropping-particle":"","family":"Conzen","given":"Catharina","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Conzen","given":"Michael","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Rübsamen","given":"Nicole","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Mikolajczyk","given":"Rafael","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"BMC Musculoskeletal Disorders","id":"ITEM-2","issue":"1","issued":{"date-parts":[["2016"]]},"publisher":"BMC Musculoskeletal Disorders","title":"Predictors of the patient-centered outcomes of surgical carpal tunnel release - A prospective cohort study","type":"article-journal","volume":"17"},"uris":["http://www.mendeley.com/documents/?uuid=a91cf748-3dab-4141-a4c0-cbf11d23c6e5"]},{"id":"ITEM-3","itemData":{"DOI":"10.1016/j.jhsa.2014.07.017","ISSN":"15316564","abstract":"Purpose To prospectively report the outcomes of open carpal tunnel release with respect to patient age and medical comorbidities.\nMethods Nine hundred fifty open carpal tunnel procedures in 826 patients (age range, 21-100 y) at a high-volume orthopedic surgery center were evaluated. Self-reported symptom severity and functional scores were collected using the validated Boston Carpal Tunnel Outcomes questionnaire preoperatively, and at 2 weeks, 6 weeks, and 12 weeks postoperatively.\nResults Patients demonstrated a significant improvement in symptom severity scores at 2 weeks and functional severity scores at 6 weeks. Documented patient medical comorbidities did not affect improvement after surgery. Patients with diabetes improved more slowly but were not significantly different at 6 weeks. Patients with workers' compensation insurance were significantly worse at baseline, 2 weeks, and 6 weeks but were not significantly different at 3 months. The risk of negative postoperative endpoints was slightly higher in patients with a medical comorbidity, though not statistically different.\nConclusions Significant improvements in symptom severity and hand function may be expected after open carpal tunnel release in the general population regardless of age, medical comorbidities, or workers' compensation status. Type of study/level of evidence Therapeutic III.","author":[{"dropping-particle":"","family":"Cagle","given":"Paul J.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Reams","given":"Megan","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Agel","given":"Julie","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Bohn","given":"Deb","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Journal of Hand Surgery","id":"ITEM-3","issue":"11","issued":{"date-parts":[["2014"]]},"page":"2175-2180","publisher":"Elsevier Inc","title":"An outcomes protocol for carpal tunnel release: A comparison of outcomes in patients with and without medical comorbidities","type":"article-journal","volume":"39"},"uris":["http://www.mendeley.com/documents/?uuid=632f3ae6-9533-41ed-b924-9c6eb001ac87"]},{"id":"ITEM-4","itemData":{"DOI":"10.1177/1558944717701240","ISSN":"15589455","PMID":"28387162","abstract":"Background: Carpal tunnel syndrome (CTS) is a common occupational pathology, representing a high percentage of workers’ compensation (WC) claims. Methods: The literature was reviewed for all studies evaluating CTS outcomes including WC patients between 1993 and 2016. A total of 348 articles were identified; 25 of which met inclusion and exclusion criteria. A systematic review was generated; patient demographics, outcomes, and complications were recorded. Weighted averages were calculated for the demographic and outcome data. Categorical data such as complications were pooled from the studies and used to determine the overall complication rate. Statistical significance was determined between WC and non-WC cohorts when applicable with the chi-square statistic. Results: The WC cohort included 1586 wrists, and the non-WC cohort included 2781 wrists. The WC cohort was younger and more often involved the dominant extremity. The WC cohort was less likely to have appropriate physical exam findings confirming diagnosis and electrodiagnostic studies