Evidence map›Paper›PMID 27467254›Full record

ArticlePloS one2016

Psychometric Assessment of the Japanese Version of the Zurich Claudication Questionnaire (ZCQ): Reliability and Validity.

Nobuhiro Hara, Ko Matsudaira, Kazuhiro Masuda, Juichi Tohnosu, Katsushi Takeshita, Atsuki Kobayashi, Motoaki Murakami, Naohiro Kawamura, Kiyohumi Yamakawa, Sei Terayama and 10 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Do postoperative changes in physical function affect patient-reported outcomes in patients with lumbar spinal stenosis undergoing rehabilitation? A secondary analysis of a randomized controlled trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Calculation of the minimum clinically important difference (MCID) using different methodologies: case study and practical guide.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 11 institutions in 1 country.

Nobuhiro HaraDepartment of Orthopaedic Surgery, Musashino Red Cross Hospital, Musashino, Tokyo, Japan.
Ko MatsudairaDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Kazuhiro MasudaDepartment of Orthopaedic Surgery, Tokyo Metropolitan Tama Medical Center, Fuchu, Tokyo, Japan.
Juichi TohnosuDepartment of Orthopaedic Surgery, Kanto Rosai Hospital, Kawasaki, Kanagawa, Japan.
Katsushi TakeshitaDepartment of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Atsuki KobayashiDepartment of Orthopaedic Surgery, Tokyo Metropolitan Bokutoh Hospital, Sumida-ku, Tokyo, Japan.
Motoaki MurakamiDepartment of Orthopaedic Surgery, Toranomon Hospital, Minato-ku, Tokyo, Japan.
Naohiro KawamuraDepartment of Spine and Orthopaedic Surgery, Japanese Red Cross Medical Center, Shibuya-ku, Tokyo, Japan.
Kiyohumi YamakawaDepartment of Orthopaedic Surgery, Tokyo Metropolitan Komagome Hospital, Bunkyo-ku, Tokyo, Japan.
Sei TerayamaDepartment of Orthopaedic Surgery, Sangubashi Spine Surgery Hospital, Shibuya-ku, Tokyo, Japan.
Satoshi OgiharaDepartment of Orthopaedic Surgery, Sagamihara National Hospital, Sagamihara, Kanagawa, Japan.
Hiroo ShionoDepartment of Orthopaedic Surgery, Toranomon Hospital, Minato-ku, Tokyo, Japan.
Jiro MoriiDepartment of Orthopaedic Surgery, Sanraku Hospital, Chiyoda-ku, Tokyo, Japan.
Keiji HayakawaDepartment of Orthopaedic Surgery, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
So KatoDepartment of Orthopaedic Surgery, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Kozo NakamuraNational Rehabilitation Center for Persons with Disabilities, Tokorozawa, Saitama, Japan.
Hiroyuki OkaDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Takayuki SawadaClinical Study Support, Inc., Nagoya, Aichi, Japan.
Kyoko InuzukaClinical Study Support, Inc., Nagoya, Aichi, Japan.
Norimasa KikuchiClinical Study Support, Inc., Nagoya, Aichi, Japan.
The University of Tokyo · JPToranomon Hospital · JPJapanese Red Cross Medical Center · JPJichi Medical University · JPMusashino Red Cross Hospital · JPNational Rehabilitation Center for Persons with Disabilities · JPNational Sagamihara Hospital · JPSanraku Hospital · JPTokyo Metropolitan Bokutoh Hospital · JPTokyo Metropolitan Komagome Hospital · JPTokyo Metropolitan Tama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Zurich Claudication Questionnaire (ZCQ) is a self-administered measure to evaluate symptom severity, physical function, and surgery satisfaction in lumbar spinal stenosis (LSS). The purpose of this study is to assess the psychometric properties of the Japanese ZCQ in LSS patients.

methodsLSS patients who are scheduled to undergo surgery were recruited from 12 facilities. Responses to several questionnaires, including the Japanese ZCQ; the visual analogue scale (VAS) to evaluate the degree of pain in the buttocks/legs, numbness in the buttocks/legs, and low back pain; the Oswestry Disability Index (ODI); and the SF-36v2, were collected before surgery and again 3 months after surgery (the post-surgery ZCQ was administered twice for test-retest reliability). For reliability, test-retest reliability was evaluated using the intra-class coefficient (ICC) and internal consistency was evaluated using Cronbach's alpha coefficient. Concurrent validity was assessed using Spearman's correlation coefficients between the Japanese ZCQ and other questionnaires. Effect size (ES) and standard response mean were calculated for responsiveness. All analyses were performed individually for the Japanese ZCQ symptom, function, and satisfaction domains.

resultsData from 180 LSS patients were used in this analysis. The ICCs were 0.81, 0.89, and 0.88 and Cronbach's alpha coefficients were 0.78, 0.84, and 0.92 for the Japanese ZCQ symptom, function, and satisfaction domains, respectively. Regarding the concurrent validity, strong correlations (±0.5) were demonstrated between the Japanese ZCQ domains and the VAS leg pain, ODI, and SF-36v2 physical functioning or bodily pain, whereas correlations were approximately 0.3 in scales measuring other symptoms that are less related to symptom, function, or satisfaction domains. ESs showed high values for the ZCQ symptom and function domains (-1.73 for both).

conclusionsThese psychometric assessments demonstrate that the Japanese ZCQ is a psychometrically reliable and valid measure in LSS. The Japanese ZCQ can evaluate both multi-dimensional aspects and the level of surgery satisfaction.

Indexed as

PsychometricsSurveys and QuestionnairesAgedFemaleHumansJapanLumbar VertebraeMaleMiddle AgedPatient SatisfactionSpinal Stenosis

Identifiers

PMID27467254
PMCPMC4965020
OpenAlexW2491269470

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.