<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_sjph-2019-0019_s_005">
<h3>Purpose</h3>
<p>The purpose of this study was to translate the low anterior resection syndrome (LARS) score into Slovenian and to test its validity on Slovenian patients who underwent low anterior rectal resection.</p></sec>
<sec id="j_sjph-2019-0019_s_006">
<h3>Methods</h3>
<p>The LARS score was translated from English into Slovenian and then back-translated following international recommendations. The Slovenian version of the LARS questionnaire was completed by patients who underwent low anterior rectal resection between 1 January 2006 and 31 December 2010 at the University Medical Centre Ljubljana. An anchor question assessing the impact of bowel function on lifestyle was included. To assess test-retest reliability, some of the patients answered the LARS score questionnaire twice.</p></sec>
<sec id="j_sjph-2019-0019_s_007">
<h3>Results</h3>
<p>A total of 100 patients (66.7%) of the 150 patients who were contacted for participation, were included in the final analysis. A total of 58 patients reported major LARS score. The LARS score was able to discriminate between patients who received radiotherapy and those who did not (p&lt;0.001), and between total and partial mesorectal excision (p&lt;0.001). Age was not associated with a greater LARS score (p=0.975). There was a perfect fit between the QoL category question and the LARS score in 66.0% of cases and a moderate fit was found in 24.0% of the cases, showing good convergent validity. Test-retest reliability of 51 patients showed a high intraclass correlation coefficient of 0.86.</p></sec>
<sec id="j_sjph-2019-0019_s_008">
<h3>Conclusions</h3>
<p>The Slovenian translation of the LARS score is a valid tool for measuring LARS.</p></sec>
</abstract>

Purpose
The purpose of this study was to translate the low anterior resection syndrome (LARS) score into Slovenian and to test its validity on Slovenian patients who underwent low anterior rectal resection.

Methods
The LARS score was translated from English into Slovenian and then back-translated following international recommendations. The Slovenian version of the LARS questionnaire was completed by patients who underwent low anterior rectal resection between 1 January 2006 and 31 December 2010 at the University Medical Centre Ljubljana. An anchor question assessing the impact of bowel function on lifestyle was included. To assess test-retest reliability, some of the patients answered the LARS score questionnaire twice.

Results
A total of 100 patients (66.7%) of the 150 patients who were contacted for participation, were included in the final analysis. A total of 58 patients reported major LARS score. The LARS score was able to discriminate between patients who received radiotherapy and those who did not (p<0.001), and between total and partial mesorectal excision (p<0.001). Age was not associated with a greater LARS score (p=0.975). There was a perfect fit between the QoL category question and the LARS score in 66.0% of cases and a moderate fit was found in 24.0% of the cases, showing good convergent validity. Test-retest reliability of 51 patients showed a high intraclass correlation coefficient of 0.86.

Conclusions
The Slovenian translation of the LARS score is a valid tool for measuring LARS.

Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Potrditev Slovenske verzije vprašalnika o sindromu nizke sprednje resekcije rektuma pri bolnikih z rakom danke po operaciji

Purpose
The purpose of this study was to translate the low anterior resection syndrome (LARS) score into Slovenian and to test its validity on Slovenian...

Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Article Category: Original scientific article

Published Online: Oct 01, 2019

Page range: 148 - 154

Received: Oct 12, 2018

Accepted: Jul 03, 2019

DOI: https://doi.org/10.2478/sjph-2019-0019

Keywords
low anterior resection, low anterior resection syndrome, rectal cancer, bowel function, quality of life

© 2019 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Article Category: Original scientific article

Published Online: Oct 01, 2019

Page range: 148 - 154

Received: Oct 12, 2018

Accepted: Jul 03, 2019

DOI: https://doi.org/10.2478/sjph-2019-0019

Keywordslow anterior resection, low anterior resection syndrome, rectal cancer, bowel function, quality of life

© 2019 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
low anterior resection, low anterior resection syndrome, rectal cancer, bowel function, quality of life