title: Patient-reported outcome after radical cystectomy: translation and psychometric validation of the Swedish version of the Functional Assessment of Cancer Therapy Scale Vanderbilt Cystectomy Index.
abstract: OBJECTIVE
  The aim of this study was to translate and validate the Swedish version of the Functional Assessment of Cancer Therapy Scale - Vanderbilt Cystectomy Index (FACT-VCI).
  
  
  METHODS
  For adaptation into Swedish, a multiprofessional team was used for translation including cultural adjustment, followed by back-translation. Test and retest in 10 individuals was followed by assessing metric properties in 75 consecutive patients with bladder cancer treated with radical cystectomy. Reliability and internal consistency were measured by Cronbach's alpha. Face validity was tested with two laypersons and construct validity was tested by correlation to the dimensions in the Functional Assessment of Cancer Therapy Scale - General (FACT-G).
  
  
  RESULTS
  The translated Swedish instrument showed validity and reliability similar to the original, and the results were comparable to published studies using FACT-VCI. The correlation between the VCI sum score and FACT-G dimensions was significant in all dimensions and the item-total correlation was over 0.3; therefore, the construct validity was acceptable. In addition, it was possible to detect differences in separate items in the translated version of FACT-VCI between age groups, type of diversion and those treated with chemotherapy, even though the samples were small.
  
  
  CONCLUSIONS
  The Swedish version of FACT-VCI is a valid and reliable instrument for use in the follow-up of patients with bladder cancer treated with urinary diversion. To measure changes after surgery, preoperative assessment with the related FACT-G instrument is advisable.
authors.affiliation: a Faculty of Health and Society , Malmö University , Malmö , Sweden ;|b Department of Urology , Skåne University Hospital , Malmö , Sweden ;
authors.forename: Karin
authors.initials: K
authors.lastname: Stenzelius
authors.affiliation: b Department of Urology , Skåne University Hospital , Malmö , Sweden ;
authors.forename: Anna-Karin
authors.initials: AK
authors.lastname: Lind
authors.affiliation: b Department of Urology , Skåne University Hospital , Malmö , Sweden ;
authors.forename: Jenny
authors.initials: J
authors.lastname: Wanegård
authors.affiliation: b Department of Urology , Skåne University Hospital , Malmö , Sweden ;|c Institution of Translational Medicine , Lund University , Sweden.
authors.forename: Fredrik
authors.initials: F
authors.lastname: Liedberg
mesh_terms: D000368:Aged; D015653:Cystectomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D011594:Psychometrics; D013548:Sweden; D014177:Translations; D001749:Urinary Bladder Neoplasms / Q000601:surgery*
keywords: Bladder cancer; cystectomy; health-related quality of life; questionnaire; validation