Cancer-related symptom assessment in Russia: Validation and utility of the Russian M. D. Anderson Symptom Inventory

Maria O. Ivanova, Tatyana I. Ionova, Svetlana A. Kalyadina, Olga S. Uspenskaya, Anton V. Kishtovich, Hong Guo, Tito R. Mendoza, Andrei Novik, Charles S. Cleeland, Xin S. Wang

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

This multicenter cross-sectional study (n = 226) validated the Russian-language M. D. Anderson Symptom Inventory (MDASI-R) in Russian cancer patients with hematological malignancies or solid tumors. The Russian-language Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36-R) also was used for validation. Factor analysis found three underlying constructs for symptom items - general, treatment-related, and affective symptoms - with Cronbach alphas of 0.86, 0.68, and 0.90, respectively. Convergent validity was established by comparing MDASI-R items with SF-36-R subscales. The MDASI-R detected significant differences in symptom severity and interference levels by performance status, supporting known-group validity. The most prevalent symptoms were fatigue, sleep disturbance, pain, sadness, and poor appetite; 53% of the sample reported one to four moderate-to-severe symptoms (≥5 on 0-10 scale). Symptoms interfered most with work and general activity. Medical professionals underestimated the severity of pain, fatigue, and distress. The MDASI-R is valid and reliable for measuring symptom severity and interference in Russian cancer patients.

Original languageEnglish (US)
Pages (from-to)443-453
Number of pages11
JournalJournal of pain and symptom management
Volume30
Issue number5
DOIs
StatePublished - Nov 2005

Keywords

  • Assessment
  • Cancer-related symptoms
  • Factor analysis
  • MDASI
  • Russia
  • Validation

ASJC Scopus subject areas

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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