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Cronbach\u2019s alpha, inter-scale correlations and confirmatory factor analysis (CFA) were used to validate the translation. Mixed linear regression models were used to identify factors influencing CARE results, and a multivariable logistic regression analysis was done to determine the predictive value of CARE results on quality of life (QoL).<\/jats:p>\n <\/jats:sec>\n Results<\/jats:title>\n A total of 283 patients undergoing prostatectomy (n<\/jats:italic>\u2009=\u2009146, 51%), partial\/radical nephrectomy (n<\/jats:italic>\u2009=\u200970, 25%) or cystectomy (n<\/jats:italic>\u2009=\u200967, 24%) responded to the survey. Internal consistency was high (\u03b1<\/jats:italic>\u2009=\u20090.649\u20130.920) and the CFA showed a factor loading\u2009>\u20090.5 in 17\/27 items. Significant main effects were found for the time of survey and type of surgery, while a time by type interaction was only found for the gastrointestinal subscale ($$\\chi_{(4)}^{2}$$<\/jats:tex-math>\n \n \u03c7<\/mml:mi>\n \n (<\/mml:mo>\n 4<\/mml:mn>\n )<\/mml:mo>\n <\/mml:mrow>\n 2<\/mml:mn>\n <\/mml:msubsup>\n <\/mml:math><\/jats:alternatives><\/jats:inline-formula>\u2009=\u200930.37, p<\/jats:italic>\u2009<\u20090.0001<\/jats:italic>) and the total CARE score (TCS) ($$\\chi_{(4)}^{2}$$<\/jats:tex-math>\n \n \u03c7<\/mml:mi>\n \n (<\/mml:mo>\n 4<\/mml:mn>\n )<\/mml:mo>\n <\/mml:mrow>\n 2<\/mml:mn>\n <\/mml:msubsup>\n <\/mml:math><\/jats:alternatives><\/jats:inline-formula>\u2009=\u200913.47, p<\/jats:italic>\u2009=\u20090.009<\/jats:italic>) for cystectomy patients, meaning a greater score decrease at discharge and lower level of recovery at follow-up. Complications demonstrated a significant negative effect on the TCS ($$\\chi_{(2)}^{2}$$<\/jats:tex-math>\n \n \u03c7<\/mml:mi>\n \n (<\/mml:mo>\n 2<\/mml:mn>\n )<\/mml:mo>\n <\/mml:mrow>\n 2<\/mml:mn>\n <\/mml:msubsup>\n <\/mml:math><\/jats:alternatives><\/jats:inline-formula>\u2009=\u20098.61, p<\/jats:italic>\u2009=\u20090.014<\/jats:italic>). A high TCS at discharge was an independent predictor of a high QLQ-C30 QoL score at follow-up (OR\u2009=\u20095.26, 95%-CI 1.42\u201319.37, p<\/jats:italic>\u2009=\u20090.013<\/jats:italic>).<\/jats:p>\n <\/jats:sec>\n Conclusion<\/jats:title>\n This German translation of the CARE can serve as a valid ePROM to measure recovery and predict QoL after major urological surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00345-021-03713-6","type":"journal-article","created":{"date-parts":[[2021,5,8]],"date-time":"2021-05-08T04:03:54Z","timestamp":1620446634000},"page":"3979-3991","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validation of a German translation of the CARE questionnaire and its implementation as electronic PROM to assess patient-reported postoperative convalescence and recovery after major urological surgery"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4213-8692","authenticated-orcid":false,"given":"Frederik","family":"Wessels","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Lenhart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Neuberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"M\u00fchlbauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Breyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Nuhn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurice S.","family":"Michel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Koenig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian C.","family":"Kriegmair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,8]]},"reference":[{"issue":"6","key":"3713_CR1","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1016\/j.jamcollsurg.2007.03.024","volume":"204","author":"KS Rowell","year":"2007","unstructured":"Rowell KS, Turrentine FE, Hutter MM, Khuri SF, Henderson WG (2007) Use of national surgical quality improvement program data as a catalyst for quality improvement. 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