title: [Multicenter validation study of a questionnaire assessing patient satisfaction with and acceptance of totally-implanted central venous access devices].
abstract: OBJECTIVE
  Most cancer patients require a totally-implanted central venous access device (TIVAD) for their treatment. This was a prospective, multicenter, open study to: (i) develop and validate a French-language questionnaire dubbed QASICC (Questionnaire for Acceptance of and Satisfaction with Implanted Central Venous Catheter) assessing patient's satisfaction with and acceptance of their TIVAD; (ii) develop a mean score of patient's acceptance and satisfaction; (iii) look for correlation between QASICC score and TIVAD patient/tumor pathology/device characteristics.
  
  
  METHODS
  From 2011 November to 2012 December, the first version of the QASICC questionnaire that included 27 questions assessing seven dimensions was re-tested among 998 cancer patients in eleven French cancer hospitals (eight cancer research institutes and three university/general hospitals). The goal was: (i) to reduce the questionnaire item and dimension number (pertinency, saturation effect, item correlation); (ii) to assess its psychometric properties, demonstrate its validity and independency compared to (EORTC) QLQC30; (iii) to correlate clinical and pathological patient's/tumor's/TIVAD's parameters with the QASICC questionnaire score (the higher the overall score, the greater the acceptance and satisfaction). The questionnaire was administered to the patient 30 days (±15 days) after TIVAD's implantation.
  
  
  RESULTS
  Among 998 questionnaires given to cancer patients, 658 were analyzed and 464 were fully assessed as there was no missing data. Time to fill-in the questionnaire was five minutes in 90% patients. Final QASICC tool included twenty-two questions assessing four homogeneous dimensions (65%<Cronbach coefficient<85%): (i) impact on daily activities and professional activities; (ii) esthetics and privacy; (iii) pain, contribution to the comfort of the treatment; (iv) local discomfort. Respective assessment scores were 23.6%, 32.9%, 20.4% and 18.0%. Overall satisfaction score was 75.8%; global assessment score was 76.2%. These scores were significantly linked to patient's gender, anesthesia type, TIVAD's implantation side, patient's age and tumor type.
  
  
  CONCLUSIONS
  This second and final methodological and statistical validation of this auto-questionnaire QASICC allows us to propose it as a dedicated questionnaire to TIVAD's cancer patients by using a score assessing acceptance and satisfaction regarding their device.
authors: Centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 1, France. Electronic address: pymarcy@icloud.com.
authors: Pierre Yves
authors: PY
authors: Marcy
authors: Centre Paul-Strauss, 03, rue de la Porte de l'Hôpital, 67065 Strasbourg cedex, France.
authors: Christian
authors: C
authors: Dahlet
authors: Centre Paul-Papin, ICO, 2, rue Moll, 49933 Angers cedex 9, France.
authors: Olivier
authors: O
authors: Brenet
authors: Institut Jean-Godinot, 01, avenue du Général-Koenig, BP171, 51056 Reims cedex, France.
authors: Gabriel
authors: G
authors: Yazbec
authors: Institut Jean-Godinot, 01, avenue du Général-Koenig, BP171, 51056 Reims cedex, France.
authors: Pierre Yves
authors: PY
authors: Dubois
authors: Centre Alexis-Vautrin, 6, avenue de Bourgogne, 54511 Vandœuvre-lès-Nancy, France.
authors: Bernard
authors: B
authors: Salm
authors: Centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 1, France.
authors: Yves
authors: Y
authors: Fouche
authors: Hôpital de Jour, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 1, France.
authors: Veronique
authors: V
authors: Mari
authors: Institut Claudius-Rigaud, 20-24, rue du Pont-Saint-Pierre, 31052 Toulouse cedex, France.
authors: Marion
authors: M
authors: Montastruc
authors: Centre Paul-Papin, ICO, 2, rue Moll, 49933 Angers cedex 9, France.
authors: Nathalie
authors: N
authors: Lebrec
authors: Centre Alexis-Vautrin, 6, avenue de Bourgogne, 54511 Vandœuvre-lès-Nancy, France.
authors: Benoit
authors: B
authors: Ancel
authors: Centre Paul-Papin, ICO, 2, rue Moll, 49933 Angers cedex 9, France.
authors: Nicolas
authors: N
authors: Paillocher
authors: Centre Paul-Papin, ICO, 2, rue Moll, 49933 Angers cedex 9, France.
authors: Denis
authors: D
authors: Dupoiron
authors: Centre Alexis-Vautrin, 6, avenue de Bourgogne, 54511 Vandœuvre-lès-Nancy, France.
authors: Olivier
authors: O
authors: Rangeard
authors: Unité de recherche clinique, département de recherche clinique, innovation et statistiques, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 02, France.
authors: Cécile
authors: C
authors: Michel
authors: Unité d'épidémiologie et de biostatistiques, département de recherche clinique, innovation et statistiques, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 02, France.
authors: Yann
authors: Y
authors: Chateau
authors: Unité d'épidémiologie et de biostatistiques, département de recherche clinique, innovation et statistiques, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 02, France.
authors: Marc
authors: M
authors: Ettaiche
authors: Unité de recherche clinique, département de recherche clinique, innovation et statistiques, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 02, France.
authors: Jean-Marc
authors: JM
authors: Ferrero
authors: Unité d'épidémiologie et de biostatistiques, département de recherche clinique, innovation et statistiques, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 02, France.
authors: Emmanuel
authors: E
authors: Chamorey
mesh_terms: D000203:Activities of Daily Living; D002405:Catheterization, Central Venous / Q000523:psychology*; D062905:Central Venous Catheters; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D010146:Pain / Q000523:psychology; D017060:Patient Satisfaction; D018907:Privacy; D011795:Surveys and Questionnaires
keywords: Cancer; Cathéter veineux central; Chambre à cathéter implantable; Dispositif veineux implantable; Neoplasms; Oncologie; Patient acceptance of health care; Patient's satisfaction; Qualité de vie; Questionnaire; Questionnaires; Satisfaction; Totally-implanted central venous access device; Validation studies; Vascular access devices; Venous catheter; Voie veineuse centrale; Étude de validation