Translation, adaptation and validation of the Toronto Symptom Assessment System for Wounds (TSAS-W) to Portuguese

Authors

  • Helena Vicente Portuguese Institute of Oncology of Lisbon Francisco Gentil E.P.E., Multidisciplinary Consultation for the Study and Treatment of Wounds, Lisbon, Portugal https://orcid.org/0000-0002-8083-4130
  • dorafranco Order of Nurses, Southern Region, Lisbon, Portugal https://orcid.org/0000-0002-8263-3631
  • cristinasilva Portuguese Institute of Oncology of Lisbon Francisco Gentil E.P.E., Multidisciplinary Consultation for the Study and Treatment of Wounds, Lisbon, Portugal https://orcid.org/0000-0001-7584-8004
  • saracarvalhal Portuguese Institute of Oncology of Lisbon Francisco Gentil E.P.E., Multidisciplinary Consultation for the Study and Treatment of Wounds, Lisbon, Portugal; Portuguese Institute of Oncology of Lisbon Francisco Gentil E.P.E., General Surgery, Lisbon, Portugal https://orcid.org/0000-0002-0867-5876
  • anarocha Nursing School of Coimbra, Unit Scientific and Pedagogical Unit of Fundamental Nursing, Coimbra, Portugal https://orcid.org/0000-0002-2571-9607
  • katiafurtado Local Health Unit of Northern Alentejo, Out-patient department, Portalegre, Portugal https://orcid.org/0000-0002-1130-3678
  • sergiodeodato Portuguese Catholic University, Center for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Lisbon, Portugal https://orcid.org/0000-0002-8076-8276
  • taniacarvalho Portuguese Catholic University, Center for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Porto, Portugal https://orcid.org/0000-0003-0915-9950
  • elisabetenunes Innovation and Development Center of Lisbon, Nursing School of Lisbon, Lisboa, Portugal https://orcid.org/0000-0001-7598-0670
  • pauloalves Portuguese Catholic University, Center for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Lisbon, Portugal; Portuguese Catholic University, Center for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Porto, Portugal https://orcid.org/0000-0002-6348-3316

DOI:

https://doi.org/10.31877/on.2024.50.05%20

Keywords:

Complex Wounds, Palliative Care, Comfort, Quality of Life, Validation Study

Abstract

Effective symptom management and patient comfort require a systematic assessment to better control symptoms. The Toronto Symptom Assessment System for Wounds (TSAS-W) is a tool designed to evaluate the complexity and specificity of wounds, focusing not on healing but on the effective control of symptoms. This study aims to translate, adapt and validate the TSAS-W for the Portuguese population and to analyze its feasibility.

This is a methodological study involving the cross-cultural adaptation of a quantitative, cross-sectional, observational, and descriptive tool. This resulted in an instrument
formed of 10 items. Data collection was conducted in two oncology hospitals and within a Continuing Care Network, between October 2018 and May 2019 encompassing a sample of 90 Individuals with 94 chronic wounds.

The tool demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.827 in the first evaluation and 0.867 in the second evaluation. Observers confirmed the feasibility of the tool in a clinical setting.

This validation came to fill the lack of recording instruments for non-healing wounds, and emphasizes patient comfort.

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References

1. Maida, V., Ennis, M., & Corban, J. (2012). Wound outcomes in Individuals with advanced illness. International Journal of Wounds, 9, 683–692.

2. Ennis, J., et al. (2017). Wound healing outcomes: Using big data and a modified intent-to-treat method as a metric for reporting healing rates. Wound Repair and Regeneration, 25(4), 665-672. https://doi.org/10.1111/wrr.12575

3. Hess, C. (2020). Checklist for successful wound healing outcomes. Advances in Skin & Wound Care, 33(1), 54-55. https://doi.org/10.1097/01.ASW.0000617008.87552.bc

4. Sibbald, R. G., et al. (2011). Special considerations in wound bed preparation: An update. Journal of Wound Care, September. Retrieved from www.woundcarejournal.com

5. Sibbald, G., et al. (2021). Wound bed preparation. Advances in Skin & Wound Care, 34(4), 183-195. https://doi.org/10.1097/01.ASW.0000733724.87630.d6

6. McManus, J. (2007). Principles of skin and wound care: The palliative approach. End of Life Care, 1(1), 8-19.

7. Maida, V., Ennis, M., & Kuziemsky, C. (2009). The Toronto Symptom Assessment System for Wounds: A new clinical and research tool. Advances in Skin & Wound Care, 22(10), 468-474.

8. Maida, V., et al. (2009). Wounds and survival in cancer Individuals. European Journal of Cancer, 45, 3237-3242.

9. Alexander, S. (2009). Malignant fungating wounds: Managing malodor and exudate. Journal of Wound Care, 18(9), 374-382.

10. Garbuio, C., et al. (2018). Assessment tools for the healing of wounds: An integrative review. Revista Eletrônica de Enfermagem, 20, v20a40. https://doi.org/10.5216/ree.v20.4

11. Cardinelli, C., et al. (2021). Instruments for wound assessment: Scoping review. Research, Society and Development, 10(11), e144101119246. https://doi.org/10.33448/rsd-v10i11.19246

12. Maida, V., et al. (2008). Correlation between Braden Scale and Palliative Performance Scale in advanced illness. International Journal of Wounds, 5(4), 585–590.

13. Alves, P., et al. (2017). Differential diagnosis in pressure ulcers and medical devices. Ceska a Slovenska Neurologie a Neurochirurgie. 80/113(Suppl 1), S29–S35. https://doi.org/10.14735/amcsnn2017S

14. Alves, P., et al. (2022). Shifting the distribution curve for healthcare resource use through topical oxygen therapy for wound healing. Journal of Wound Care, 31(3), 196-206. https://doi.org/10.12968/jowc.2022.31.3.196

15. EPUAP/NPIAP/PPPIA. (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide (E. Haesler, Ed.).

16. European Oncology Nursing Society (EONS). (2015). Recommendations for the care of Individuals with malignant fungating wounds. https://www.nfnn.com.au/wp-content/uploads/2020/01/EONSMalignantFungatingWounds.pdf

17. Robinson, P., & Holloway, S. (2019). Psychological factors associated with malignant fungating breast wounds. Journal of the European Wound Management Association, 20(2), 19-22. https://doi.org/10.35279/jewma201910.02

18. Reynolds, H., & Gethin, G. (2015). The psychological effects of malignant fungating wounds. Journal of the European Wound Management Association, 15(2), 29-32.

19. White D & Kondasinghe S. . Managing a malignant wound in palliative care. Wound Practice and Research 2022; 30(3):150-157 DOI: 10.33235/wpr.30.3.150-157

20. Grocott, P., Gethin, G., & Probst, S. (2013). Malignant wound management in advanced illness: New insights. Current Opinion in Supportive and Palliative Care, 7, 101–105. https://doi.org/10.1097/SPC.0b013e32835c0482

21. Fromantin, I., et al. (2014). A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in Individuals with breast cancer. Ostomy Wound Management, 60, 38–46.

22. Vicente, H. (2017). Úlceras Malignas. In R. Marques & A. Parreira (Eds.), Feridas: Manual de boas práticas (pp. 188-200). Lisboa: Lidel.

23. Vardhan, M., et al. (2019). The microbiome, malignant fungating wounds, and palliative care. Frontiers in Cellular and Infection Microbiology, 9, 373. https://doi.org/10.3389/fcimb.2019.00373

24. Merz, T., et al. (2011). Fungating wounds - Multidimensional challenge in palliative care. Breast Care, 6, 21–24. https://doi.org/10.1159/000324923

25. Marques, R., & Veludo, F. A. (2019). Competências do gestor de feridas: Scoping review. Revista Gaúcha de Enfermagem, 40, e20180421. https://doi.org/10.1590/1983-1447.2019.20180421

26. Lo, S., Hayter, M., & Hu, W. (2011). Symptom burden and quality of life in Individuals with malignant fungating wounds. Journal of Advanced Nursing, 1-10.

27. International Consensus. (2012). Optimising wellbeing in people living with a wound: An expert working group review. Wounds International. http://www.woundsinternational.com

28. Vicente, H., Matos, M., Gomes, S., Rocha, A., Carvalhal, S., Ramos, P., & Moura, A. (2021). (Des)Cobrindo a ferida maligna. Associação Portuguesa de Tratamento de Feridas.

29. Vicente, H., Rocha, A., Ramos, P., Matos, M., Gomes, S., & Carvalhal, S. (2023). Feridas na pessoa em situação paliativa. Associação Portuguesa de Tratamento de Feridas.

30. Naylor, W. (2002). Part 2: Symptom self-assessment in the management of fungating wounds. Worldwide Wounds. http://www.worldwidewounds.com/2002/july/Naylor-Part2/Wound-Assessment-Tool.html

31. Schulz, V., et al. (2009). The malignant wound assessment tool: A validation study using a Delphi approach. Palliative Medicine, 23, 266–273. https://doi.org/10.1177/0269216309102536

32. Browne, N., et al. (2004). Woundcare research for appropriate products (WRAP): Validation of the TELER method involving users. International Journal of Nursing Studies, 41(5), 559-571. https://doi.org/10.1016/j.ijnurstu

33. Akhmetova, A., et al. (2016). A comprehensive review of topical odor-controlling treatment options for chronic wounds. Journal of Wound Ostomy Continence Nursing, 43(6), 598-609. https://doi.org/10.1097/WON.0000000000000273

34. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417–1432.

35. Beaton, D., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191.

36. Beaton, D., et al. (2007). Recommendations for the cross-cultural adaptation of the DASH & QuickDASH outcome measures. Institute for Work & Health.

37. Pestana, M., & Gageiro, J. (2005). *Análise de dados para ciências. Análise de Dados para Ciências Sociais. A complementaridade do SPSS. Lisboa: Edições Silabo, 2014.

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Published

2025-04-02

How to Cite

1.
Vicente H, Lisa Rocha Franco D, Alexandra de Sousa e Silva C, Rodrigues Crespim Carvalhal S, Maria Neves Rocha A, Augusta Xavier Furtado K, et al. Translation, adaptation and validation of the Toronto Symptom Assessment System for Wounds (TSAS-W) to Portuguese. Onco.News [Internet]. 2025 Apr. 2 [cited 2025 Jun. 5];(50):0267. Available from: https://onco.news/index.php/journal/article/view/267

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