Standard setting for a novel esophageal conduit questionnaire: CONDUIT Report Card

Lee, Minji K.; Yost, Kathleen J.; Pierson, Karlyn E.; Schrandt, Amy J.; Skaare, Bobbie J.; Blackmon, Shanda H.

doi:10.1186/s41687-018-0073-2

Journal of Patient-Reported Outcomes

Table 2 Conduit Performance Descriptions

From: Standard setting for a novel esophageal conduit questionnaire: CONDUIT Report Card

	Good	Moderate	Poor (frequent or severe)
Dysphagia	-Able to eat with no limitations -Able to swallow most soft food -Able to swallow all liquids -Some difficulty with certain hard solid food (e.g., bread and meat)	-Difficulty with swallowing soft food -Able to swallow all liquids	-Difficulty swallowing liquids or saliva
Reflux (heartburn and/or acid regurgitation)	-Patient has no reflux symptoms -No reflux symptoms when sleeping with the head elevated -No reflux symptoms with medication	-Patient has mild symptoms when sleeping with head elevated -Patient has mild reflux symptoms with medication	-Patient has aspiration -Patient has constant reflux symptoms -Patient has moderate/severe reflux symptoms with medication -Patient has moderate/severe reflux symptoms when sleeping with head elevated
Dumping-Hypoglycemia within three hours of eating	-Patient experiences none or a few symptoms^a	-Patient experiences several symptoms^a -Some improvement with behavior changes^b	-Patient experiences many symptoms^a -No improvement with behavior changes^b
Dumping-GI within three hours of eating	-Patient experiences none or a few symptoms^c	-Patient experiences several symptoms^c -Some improvement with behavior changes^b	-Patient experiences many symptoms^c -No improvement with behavior changes^b
Surgery Related Pain	-Pain is mild	-Within six months of surgery pain is moderate	- Within six months of surgery pain is severe -After six months pain is moderate to severe
Dyspnea	-Breathlessness is mild	-Breathlessness is moderate	-Breathlessness is severe
Maintaining Weight	-weight has stabilized -weight is changing as expected given the patient’s phase of recovery - less than 10% difference from post-conduit surgery target weight	- minor weight change continues after time when patient should have stabilized - within 10%–20% of post- conduit surgery target weight	- significant weight change continues after time when patient should have stabilized - more than 20% difference from post- conduit surgery target weight

^aDumping-hypoglycemia symptoms include shock, fainting/loss of consciousness/ passing out, dizziness, breathlessness/shortness of breath, weakness, exhaustion/desire to lie down due to weakness, sleepiness/drowsiness, palpitations, restlessness, and headache
^bBehavior changes include avoiding sugar or carbohydrates, taking medication, or eating 5–6 meals a day instead of 3 meals a day
^cDumping-GI symptoms include nausea or feeling like wanting to throw up, abdominal fullness/abnormal collection of gas in the abdomen, rumbling sound from your stomach or intestines, belching/burping, and diarrhea

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