Adaptation and validation of the Spanish version of the Nasal Obstruction Symptom Evaluation (NOSE) Scale
Open accessAbstract
Background: The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific, self-completed questionnaire for assessing quality of life related to nasal obstruction or its treatment in patients with septal deviation. The aim of this study was to validate the Spanish adaptation of the NOSE, thus allowing comparison across studies and international multicenter projects. Methodology: Multicenter prospective instrument validation study. Guidelines for the cross-cultural adaptation process from the original English language scale into a Spanish language version were followed. The psychometric properties (reproducibility, reliability, validity, responsiveness) of the Spanish version ("NOSE-e" for "NOSE-espanol") were assessed in 58 consecutive patients undergoing septoplasty (both before and 3 months after surgery) and 58 matched asymptomatic controls. Results: Test-retest reliability and internal consistency reliability were adequate. The NOSE-e demonstrated satisfactory construct validity. Positive correlations between the NOSE-e scores and the score of a visual analog scale measuring the subjective sensation of nasal obstruction were found. The instrument showed excellent between-groups discrimination and high response sensitivity to change. Conclusions: The Spanish version of the NOSE (NOSE-e) is a valid tool for measuring the subjective severity of nasal obstruction, and its use is recommended.
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NOSE and CQ7 also address quality-of-life-related issues.
“Other questionnaires not specifically designed to assess obstruction, such as NOSE [35] and CQ7 [36], also address QOL-related issues.”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [35]
The NOSE-e questionnaire reproduced in “Sensitivity to change” asks patients about the impact of nasal obstruction on their quality of life, supporting the QOL-related part of the claim. But the Introduction calls NOSE a symptom-specific instrument for assessing nasal obstruction, contrary to the sentence’s description of it as not specifically designed to assess obstruction. This citation is attached to NOSE, not CQ7. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe NOSE questionnaire has been translated into Spanish and validated, its psychometric properties are sufficient, and it is closely correlated with the visual analog scale.
“The questionnaire has been translated into Spanish and validated, its psychometric properties are sufficient, and it is closely correlated with the V AS [35].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [35]
The quality-of-life questionnaires most used in allergic rhinitis are the RQLQ and the ESPRINT.
“The QOL questionnaires most used in AR (Table 4 [35,36,86,104-112]) are the RQLQ (validated in Spanish [109]) and the ESPRINT (Spanish QOL questionnaire for rhinitis)”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [35]
The Introduction and Abstract (page not provided) discuss the Spanish NOSE scale for nasal obstruction in patients with septal deviation. Searches for RQLQ, ESPRINT, and allergic-rhinitis quality-of-life questionnaires found no passage addressing which questionnaires are most used in allergic rhinitis. (LLM, conf=0.76)
Experimental — accuracy not yet measured
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Cites
Guidelines for the process of cross-cultural adaptation of self-report measures
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000) · Spine · doi:10.1097/00007632-200012150-00014 · Cited by 14,542 · see citing works
Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., & The Nose Study Investigators (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2003.12.004 · Cited by 514 · cited 2× · see citing works
“It has been used in prospective trials to evaluate outcomes in septoplasty (3-5), other interventions, such as functional rhinoplasty (6,7), and radiofrequency turbinate reduction (8).”
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Research works printed but not linked: 19
- Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004; 130: 157-163.
- Stewart MG, Smith TL. Objective versus sub- jective outcomes assessment in rhinology. Am J Rhinol. 2005; 19: 529-535.
- Mondina M, Marro M, Maurice S, Stoll D, de Gabory L. Assessment of nasal septoplasty using NOSE and RhinoQoL questionnaires. Eur Arch Otorhinolaryngol. 2012; 269: 2189- 2195.
- Akduman D, Yanilmaz M, Haksever M, Doner F, Sayar Z. Patients' evaluation for the sur- gical management of nasal obstruction. Rhinology. 2013; 51: 361-367.
- Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal valve surgery improves disease-specific quality of life. Laryngoscope. 2005; 115: 437-440.
- Most SP. Analysis of outcomes after func- tional rhinoplasty using a disease-specific quality-of-life instrument. Arch Facial Plast Surg. 2006; 8: 306-309.
- Harrill WC, Pillsbury HC 3rd, McGuirt WF, Stewart MG. Radiofrequency tur- binate reduction: a NOSE evaluation. Laryngoscope. 2007; 117: 1912-1919.
- Poirrier AL, Ahluwalia S, Kwame I, Chau H, Bentley M, Andrews P. External nasal valve collapse: validation of novel outcome measurement tool. Rhinology. 2014; 52: 127-132.
- Bezerra TF, Padua FG, Pilan RR, Stewart MG, Voegels RL.Cross-cultural adaptation and validation of a quality of life questionnaire: the Nasal Obstruction Symptom Evaluation questionnaire. Rhinology. 2011 ; 49: 227- 231.
- Marro M, Mondina M, Stoll D, de Gabory L.French validation of the NOSE and RhinoQOL questionnaires in the manage- ment of nasal obstruction. Otolaryngol Head Neck Surg. 2011; 144: 988-993.
- Mozzanica F, Urbani E, Atac M et al.Reliability and validity of the Italian nose obstruction symptom evaluation (I-NOSE) scale. Eur Arch Otorhinolaryngol. 2013; 270: 3087-3094.
- Dong D, Zhao Y, Stewart MG, et al. Development of the Chinese nasal obstruc- tion symptom evaluation (NOSE) question- naire. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014; 49: 20-26.
- Catalan P, Martinez A, Herrejon A et al. Internal consistency and validity of the Spanish version of the quality of life ques- tionnaire specific for obstructive sleep apnea: sleep apnea quality of life index. Arch Bronconeumol. 2012; 48: 431-442.
- Salihoglu M, Cekin E, Altundag A, Cesmeci E. Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation. Rhinology. 2014; 52: 122- 126.
- Fokkens WJ, Lund VJ, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 2012; 23: 1-298.
- Wild D, Grove A, Martin M, et al. Principles of good practice for the translation and cultur- al adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005; 8: 94-104.
- Gerich J. Visual analogue scales for mode- independent measurement in self-admin- istered questionnaires. Behav Res Methods. 2007; 39: 985-992.
- Naito K, Komori M, Mishima Y, et al. An inter- national comparison of characteristics of the sensation of nasal obstruction between Canadian and Japanese patients. Rhinology. 1996; 34: 97-100.
- Puhan MA, Bryant D, Guyatt GH, Heels- Ansdell D, Schünemann. Internal consisten- cy reliability is a poor predictor of respon- siveness. Health Qual Life Outcomes. 2005; 3: 33.
Cited by
Sorted by citations
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
Self-citationvan Zijl, F. V. W. J., Timman, R., & Datema, F. R. (2017) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-017-4486-y · Cited by 40 · see citing works
- Authors
- Larrosa, F., Roura, J., Dura, M. J., Guirao, M., Alberti, A., & Alobid, I.
- Affiliations
- Hospital Quirón Teknon (ES)
- Hospital Universitari Germans Trias i Pujol (ES)
- Hospital Clínic de Barcelona (ES)
- Venue
- Rhinology journal
- Publisher
- Stichting Nase
- Published
- 2015-06-01
- Volume
- 53
- Issue
- 2
- Pages
- 176-180
- ISSN
- 0300-0729 (ISSN-L)
- OpenAlex
- W4255199012
- Cited by
- 50
- References
- 2
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 7 · 2018: 5 · 2017: 5 · 2016: 2
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Rhinology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Social Sciences › Education › Health Education and Validation
- Keywords
- Nasal Obstruction Symptom Evaluation, nasal obstruction, septal deviation, septoplasty, quality of life, cross-cultural adaptation, Spanish translation, psychometric validation, test-retest reliability, construct validity, responsiveness
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Spain, Reproducibility of Results, Nasal Obstruction, Symptom Assessment
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