Highlights
- •The Cervantes-SF scale is designed to measure health-rate quality of life (HRQoL) in peri- and post-menopausal women.
- •HRQoL norms are a key attribute to interpret patient’s health either from a clinical perspective and health decision maker as well.
- •This work was designed to develop population norms for Cervantes-SF for the first time.
- •These results support the validity of the Cervantes-SF scale as valid instrument for measuring the impact of menopause on HRQOL.
- •The norms obtained facilitate the interpretation of these scores in clinical practice, research, and health management.
Abstract
Objectives
To develop the population-based norms for the Cervantes-SF scale, which measures the
impact of menopause on the health-related quality of life (HRQOL) of women in Spain.
Methods
We used a sample obtained from representative studies of the Spanish population according
to geographic density and autonomous community. This sample was composed of 5,237
non- institutionalized peri- and post-menopausal women, aged 40−75 years. Measures
of central tendency, dispersion and percentiles were calculated for the total score
and its dimensions, in 11 three-year age categories. Construct validity was analyzed
based on a comparison with known groups to confirm the validity of the normative scales.
Results
The norms show a monotonic gradient, with an incremental impact on HRQOL as age increases,
as shown by an increase in the total score and each of the dimensions. Fifty percent
of women showed that peri-/post-menopausal symptomatology interfered with HRQOL > 39
%, ranging from 25 % (40−44 years) to 47 % (72−75 years). The population norms showed
significant differences between groups according to generic HRQOL, number of comorbidities,
history of osteoporotic fracture, educational level, and presence of obesity.
Conclusions
These results support the validity of the population-based norms for the Cervantes-SF
scale, a valid instrument for measuring the impact of menopause on HRQOL in Spain.
The norms obtained facilitate the interpretation of these scores in clinical practice,
research, and health management.
Abbreviations:
AC (Autonomous Communities), Cervantes-SF (Cervantes scale sort form), CI (confidence interval), ES (effect size), HRQOL (health-related quality of life), MID (minimal important difference), PRO (patient-reported health outcomes), SEM (standard error of measurement)Keywords
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Article info
Publication history
Published online: January 30, 2021
Accepted:
January 19,
2021
Received in revised form:
January 18,
2021
Received:
November 30,
2020
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
