Quality Of Instruments Research Articles

Can items derived from international literature be used in national quality of life instruments? A qualitative study conceptualising the EQ-HWB in China

IntroductionThe EQ Health and Wellbeing (EQ-HWB) is a new questionnaire for measuring quality of life (QoL) from a broad perspective. The items of the EQ-HWB were derived based on a ‘qualitative review’ of literature, which reported primarily on Western studies. It can be argued that the QoL is a cultural-related concept and therefore people from China have a different understanding of the QoL. This study aimed to explore whether Chinese citizens could understand the EQ-HWB’s candidate items and what they thought of those items. In doing so, we wanted to examine the face validity of the candidate items and explore if further cultural adaptation is necessary.MethodsThis research was part of the E-QALY project, in which 36 candidate items were selected for the EQ-HWB from a 97-item pool. In China, three interviewers investigated the face validity of these EQ-HWB candidate items in semi-structured qualitative face-to-face interviews. Respondents were invited to report ‘problems’ with regard to the interpretation of the items and these problems were grouped into themes. We explored to what extent those themes related to specific cultural aspects in China. We also classified the rates of reported problems for each item into three groups: 1) less than 20%, 2) from 20–50%, and 3) over 50%.ResultsFor 17 items the rate of reported problems was less than 20%, 15 items fell into the second group (with 20 − 50%) and for 4 items the rate of problems reported was more than 50%. The thematic analysis revealed eight themes: ambiguous problems in the interpretation of 16 items; difficult to understand (11); contained a complex negative expression (10); examples used seemed inappropriate (7); misleading connotation in Chinese (2); long and complex (2); complex response options (1); and use of non-colloquial language (1).DiscussionOur research shows that EQ-HWB candidate items require careful examination to make them more comprehensible. Most of the reported problem themes were generic problems related to the items, and only a few face validity issues appeared to relate to specific cultural aspects in China, even though most of the items were based on Western studies. Our findings are reassuring for the instrument’s international application, especially in China.

Leveraging evaluation of quality on medical education research with ChatGPT

What is the educational challenge? The Medical Education Research Study Quality Instrument (MERSQI) is widely used to evaluate the quality of quantitative research in medical education. It has strong evidence of validity and is endorsed by guidelines. However, the manual appraisal process is time-consuming and resource-intensive, highlighting the need for more efficient methods. What are the proposed solutions? We propose to use ChatGPT to evaluate the quality of medical education research with the MERSQI and compare its scoring with those of human evaluators. What are the potential benefits to a broader global audience? Using ChatGPT to evaluate medical education research with the MERSQI can decrease the resources required for quality appraisal. This allows faster summaries of evidence, reducing the workload of researchers, editors, and educators. Furthermore, ChatGPTs’ capability to extract supporting excerpts provides transparency and may have the potential for data extraction and training new medical education researchers. What are the next steps? We plan to continue evaluating medical education research with ChatGPT using the MERSQI and other instruments to determine its feasibility in this realm. Moreover, we plan to investigate which types of studies ChatGPT performs best in.

American Rhinologic Society Expert Practice Statement: Indications and Recommendations for Septoplasty in Children.

The goal of this American Rhinologic Society Expert Practice Statement (EPS) is to provide recommendations and guidance through evidence-based consensus statements regarding pediatric septoplasty. This EPS was developed following the previously published methodology and approval process. The topics of interest included appropriate indications, safety and efficacy, timing, relevant quality of life instruments, and surgical techniques. Following a modified Delphi approach, six statements were developed, five of which reached consensus and one that did not. These statements and accompanying evidence are summarized along with an assessment of future needs.

The Impact of Minimum Invasive Access Cavity Design on the Quality of Instrumentation of Root Canals of Maxillary Molars Using Cone-Beam Computed Tomography: An in Vitro Study.

Aim Minimally invasive dentistry has been facilitated by advances in instruments and restorative materials. This study aims to compare the change in the shaping ability of the RECIPROC blue rotary system in both traditional and conservative access cavities, using cone beam computed tomography (CBCT). Material and methods Sixty root canals of 20 artificial maxillary molars were assigned into two groups (n=30 root canals) according to the access cavity design used: Group I: traditional access cavity (TAC) and Group II: conservative access cavity (CAC). CBCT scans of samples were made before and after root canal preparation using the RECIPROC blue rotary system. The shaping parameters are evaluated in root canal transportation and the centering ability. Three CBCT sections per tooth were analyzed at 3, 6, and 9 mm from the apex to assess the canal transportation and centering ability at three levels, apical, middle, and coronal thirds. Data were analyzed using the GraphPad Prism (GraphPad Software, San Diego, CA). Results The results of this study showed a significant difference in transportation within the coronal and middle thirds. However, in apical thirds, there were no significant differences. Both groups observed a significant difference in the centering ability in the coronal third. Conclusion Within the limitations of this study, CAC can be recommended with caution as an alternative access to TAC.

Relationship between Lifestyle with Quality of Life in Breast Cancer Patients

The high rate of increase in mortality due to breast cancer shows the need for lifestyle modifications to reduce the mortality rate due to breast cancer. an increase in pain which results in a decrease in quality of life so that it can reduce compliance with patient treatment which hurts prognosis and death due to cancer. So it is important to target quality of life in breast cancer patients. Something closely related to a better quality of life is lifestyle, lifestyle modifications need to be made to maintain the lives of breast cancer patients. This research uses quantitative methods using a correlational design with a cross-sectional approach to determine the relationship between lifestyle and quality of life in breast cancer patients. Researchers used the pearson correlation test if the data is normally distributed (>0.05) and use the spearman correlation test if the data is not normally distributed (<0.05), this test is used to see whether there is a relationship between lifestyle and the quality of life of breast cancer patients. The research was conducted at the RSUD Kota Bogor with the total 116 respondents by filling in the Lifestyle Questionnaire Related to Cancer and the EORTC QLQ-30 quality of life instrument for breast cancer patients and the results of the two were correlated with a p-value <0.001, r = 0.88. Analysis of the relationship carried out on 8 lifestyle factors with 3 quality of life scales, was found that 5 lifestyle factors were interconnected with the quality of life scale. Overall, quality of life influences the lifestyle of breast cancer patients in Bogor City Regional Hospital with a strong positive relationship. This research can help clinicians in the development and management of cancer to improve the quality of life of breast cancer patients.

Escape room design in training crew resource management in acute care: a scoping review

BackgroundEffective teamwork is crucial to providing safe and high-quality patient care, especially in acute care. Crew Resource Management (CRM) principles are often used for training teamwork in these situations, with escape rooms forming a promising new tool. However, little is known about escape room design characteristics and their effect on learning outcomes. We investigated the current status of design characteristics and their effect on learning outcomes for escape room-based CRM/teamwork training for acute care professionals. We also aimed to identify gaps in literature to guide further research.MethodsMultiple databases were searched for studies describing the design and effect of escape rooms aimed training CRM/teamwork in acute care professionals and in situations that share characteristics. A standardized process was used for screening and selection. An evidence table that included study characteristics, design characteristics and effect of the escape room on learning outcomes was used to extract data. Learning outcomes were graded according to IPE expanded typology of Kirkpatrick’s levels of learning outcome and Medical Education Research Study Quality Instrument (MERSQI) scores were calculated to assess methodology.ResultsFourteen studies were included. Common design characteristics were a team size of 4–6 participants, a 40-minute time limit, linear puzzle organization and use of briefing and structured debriefing. Information on alignment was only available in five studies and reporting on several other educational and escape room design characteristics was low. Twelve studies evaluated the effect of the escape room on teamwork: nine evaluated reaction (Kirkpatrick level 1; n = 9), two evaluated learning (Kirkpatrick level 2) and one evaluated both. Overall effect on teamwork was overtly positive, with little difference between studies. Together with a mean MERSQI score of 7.0, this precluded connecting specific design characteristics to the effect on learning outcomes.ConclusionsThere is insufficient evidence if and how design characteristics affect learning outcomes in escape rooms aimed at training CRM/teamwork in acute care professionals. Alignment of teamwork with learning goals is insufficiently reported. More complete reporting of escape rooms aimed at training CRM/teamwork in acute care professionals is needed, with a research focus on maximizing learning potential through design.

Development Strategy for Seaweed Agroindustry on Household Scale in Mataram City

The research objectives are (1) Analyzing alternative strategies for developing agro-industry made from seaweed in Mataram City; and (2) Analyzing the strategic options that are prioritized in the development of seaweed agro-industry in Mataram City. The research method uses descriptive methods. Determining the research location was carried out using the Purposive Sampling technique. The main respondents in the research were seaweed agro-industry entrepreneurs. To strengthen data related to product quality and price instruments, data was added by interviewing buyers/consumers as additional respondents, so the assessment was more objective. Producer respondents were determined using the census method, while consumer respondents were determined using the Accidental Sampling method. The results of the research show (1) Alternative development strategies using SWOT, obtained by micro-businesses in quadrant Ⅲ (WO Strategy) include utilizing coaching for access to capital, modern technology, good packaging, expanding the market through social media, increasing the number of human resources, and promotions to overcome less strategic location. For small businesses in quadrant Ⅰ (SO Strategy) by utilizing experience and business permits to create employment opportunities, process agricultural products, promote quality products without preservatives, and use guidance from related agencies, (2) QSPM matrix analysis produces priority strategies for Micro business is expanding the market and promoting through social media to meet high product demand, while for small business it is increasing the added value of products with available raw materials and utilizing guidance from related agencies.

Extended Reality-Based Head-Mounted Displays for Surgical Education: A Ten-Year Systematic Review.

Surgical education demands extensive knowledge and skill acquisition within limited time frames, often limited by reduced training opportunities and high-pressure environments. This review evaluates the effectiveness of extended reality-based head-mounted display (ExR-HMD) technology in surgical education, examining its impact on educational outcomes and exploring its strengths and limitations. Data from PubMed, Cochrane Library, Web of Science, ScienceDirect, Scopus, ACM Digital Library, IEEE Xplore, WorldCat, and Google Scholar (Year: 2014-2024) were synthesized. After screening, 32 studies comparing ExR-HMD and traditional surgical training methods for medical students or residents were identified. Quality and bias were assessed using the Medical Education Research Study Quality Instrument, Newcastle-Ottawa Scale-Education, and Cochrane Risk of Bias Tools. Results indicate that ExR-HMD offers benefits such as increased immersion, spatial awareness, and interaction and supports motor skill acquisition theory and constructivist educational theories. However, challenges such as system fidelity, operational inconvenience, and physical discomfort were noted. Nearly half the studies reported outcomes comparable or superior to traditional methods, emphasizing the importance of social interaction. Limitations include study heterogeneity and English-only publications. ExR-HMD shows promise but needs educational theory integration and social interaction. Future research should address technical and economic barriers to global accessibility.

Проверка измерительной инвариантности для тестов когнитивных и языковых способностей

<p style="text-align: justify;">This paper discusses the measurement invariance of assessment instruments. The purpose of measurement invariance testing is to assess the extent to which a measured construct has comparable meaning across different groups or measurement points, to ensure that comparisons of these groups or measures to each other are appropriate. The paper provides an overview of recent and classic papers discussing conceptual and methodological aspects of invariance testing. Specific focus is placed on the available data on invariance testing for the assessments of cognitive and language abilities, and on the significance of invariance for the accurate assessment of individual and between-group differences. Finally, current approaches to invariance testing within structural equation modelling and item response theory are discussed. This paper may serve as an introduction to the concept of measurement invariance. It will be useful to readers interested in improving the quality of measurement instruments and making more reliable inferences about psychological phenomena.</p>

Accuracy, thoroughness, and quality of outpatient primary care documentation in the U.S. Department of Veterans Affairs

BackgroundElectronic health records (EHRs) can accelerate documentation and may enhance details of notes, or complicate documentation and introduce errors. Comprehensive assessment of documentation quality requires comparing documentation to what transpires during the clinical encounter itself. We assessed outpatient primary care notes and corresponding recorded encounters to determine accuracy, thoroughness, and several additional key measures of documentation quality.MethodsPatients and primary care clinicians across five midwestern primary care clinics of the US Department of Veterans Affairs were recruited into a prospective observational study. Clinical encounters were video-recorded and transcribed verbatim. Using the Physician Documentation Quality Instrument (PDQI-9) added to other measures, reviewers scored quality of the documentation by comparing transcripts to corresponding encounter notes. PDQI-9 items were scored from 1 to 5, with higher scores indicating higher quality.ResultsEncounters (N = 49) among 11 clinicians were analyzed. Most issues that patients initiated in discussion were omitted from notes, and nearly half of notes referred to information or observations that could not be verified. Four notes lacked concluding assessments and plans; nine lacked information about when patients should return. Except for thoroughness, PDQI-9 items that were assessed achieved quality scores exceeding 4 of 5 points.ConclusionsAmong outpatient primary care electronic records examined, most issues that patients initiated in discussion were absent from notes, and nearly half of notes referred to information or observations absent from transcripts. EHRs may contribute to certain kinds of errors. Approaches to improving documentation should consider the roles of the EHR, patient, and clinician together.

Computer-Based Test (CBT) Assisted Assessment with Rasch Model to Improve Vocational High School Teachers' Skills

The aim of the community service program conducted is to enhance the skills of teachers and students at Bina Kusuma Private Vocational High School in Nanga Pinoh by using computer-based tests and improving teachers' skills in analysing the quality of assessment instruments using the Rasch model theory with the assistance of WinStep. The proposed solution to address these challenges involves conducting workshops and assisting in preparing test instruments. This includes guidance on using computer-based tests for both teachers and students, as well as workshops and assistance in applying the Rasch model to determine the validity of instruments. This community service used Participatory Action Research (PAR) method to find problems experienced by partners. The partners' issues consist of instruments from authentic assessments used at Bina Kusuma Private Vocational High School in Nanga Pinoh, which were made independently by the respective subject teachers and were directly used as benchmarks for student achievement, and the assessment instruments still did not utilise the available resources (computers and smartphones). Efforts made to address the partners' issues included developing authentic assessment instruments that were appropriate and valid. Based on the evaluation results of the activity implementation using the Kick Patrick Level 1 method, the average evaluation score for the presenters was 82.125, and the average evaluation score for the method, relevance and usefulness, facilities, and consumption was 88.75. The constraints encountered in this activity were that the community service program implementers needed to consider timing and conduct more in-depth evaluations. Recommendations for implementing community service program activities included developing a more structured community service program and integrating it with routine school activities.

Leadership development programmes in healthcare research: a systematic review, meta-analysis and meta-aggregation

BackgroundAcademic institutions benefit from researchers adopting leadership positions and, subsequently, leadership development programmes are of increasing importance. Despite this, no evaluation of the evidence basis for leadership development programmes for...

Learning Outcomes and Educational Effectiveness of Social Media as a Continuing Professional Development Intervention for Practicing Surgeons: A Systematic Review and Narrative Synthesis.

The objective of this systematic review was to assess the learning outcomes and educational effectiveness of social media as a continuing professional development intervention for surgeons in practice. Social media has the potential to improve global access to educational resources and collaborative networking. However, the learning outcomes and educational effectiveness of social media as a continuing professional development (CPD) intervention are yet to be summarized. We searched MEDLINE and Embase databases from 1946 to 2022. We included studies that assessed the learning outcomes and educational effectiveness of social media as a CPD intervention for practicing surgeons. We excluded studies that were not original research, involved only trainees, did not evaluate educational effectiveness, or involved an in-person component. The 18-point Medical Education Research Study Quality Instrument (MERSQI) was used for quality appraisal. Learning outcomes were categorized according to Moore's Expanded Outcomes Framework (MEOF). A total of 830 unique studies revealed 14 studies for inclusion. The mean MERSQI score of the included studies was 9.0 ± 0.8. In total, 3227 surgeons from 105 countries and various surgical specialties were included. Twelve studies (86%) evaluated surgeons' satisfaction (MEOF level 2), 3 studies (21%) evaluated changes in self-reported declarative or procedural knowledge (MEOF levels 3A and 3B), 1 study (7%) evaluated changes in self-reported competence (MEOF level 4), and 5 studies (36%) evaluated changes in self-reported performance in practice (MEOF level 5). No studies evaluated changes in patient or community health (MEOF levels 6 and 7). The use of social media as a CPD intervention among practicing surgeons is associated with improved self-reported declarative and procedural knowledge, self-reported competence, and self-reported performance in practice. Further research is required to assess whether social media use for CPD in surgeons is associated with improvements in higher level and objectively measured learning outcomes.

Mapping the Lequesne Functional Index Into the EQ-5D-5L Utility Index in Patients With Knee Osteoarthritis

ObjectiveThis study aimed to map the Lequesne index onto the EuroQol 5 Dimension (EQ-5D-5L) utility index for patients with knee osteoarthritis. MethodsBaseline data from a previous randomized controlled trial were used; 461 patients were involved in the mapping development, and 230 in the validation phase. Various modeling techniques, including generalized linear models, tobit, and beta regression, were used. Factors such as age, sex, and body mass index were considered as covariates. Model selection was based on criteria such as Akaike and Bayesian information criteria, adjusted R2, mean absolute error, and root mean squared error. Validation involved assessing the preselected models using mean absolute error, root mean squared error, and intraclass correlation coefficient. This study follows the Mapping Onto Preference-Based Measures Reporting Standards statement. ResultsFive models were developed, with 2 incorporating age, sex, with or without body mass index along with the Lequesne index showing the best fit across regressions. Validation results were similar for the 3 regressions, with beta regression models exhibiting wider ranges closer to the validation data set. Intraclass correlation coefficient values were better for beta regression models. Both models tended to overpredict for lower EQ-5D-5L values and underpredict for better health status. ConclusionThese mapping functions, the first of their kind, effectively translate the Lequesne index to EQ-5D-5L values in patients with knee osteoarthritis. They demonstrate satisfactory fit and precision, providing valuable tools for clinicians and researchers, particularly in situations where generic preference-based health-related quality of life instruments are inaccessible for utility derivation in cost-effectiveness studies.

Smart data analysis V2: A user-friendly software for non-statisticians.

Data analysis can be accurate and reliable only if the underlying assumptions of the used statistical method are validated. Any violations of these assumptions can change the outcomes and conclusions of the analysis. In this study, we developed Smart Data Analysis V2 (SDA-V2), an interactive and user-friendly web application, to assist users with limited statistical knowledge in data analysis, and it can be freely accessed at https://jularatchumnaul.shinyapps.io/SDA-V2/. SDA-V2 automatically explores and visualizes data, examines the underlying assumptions associated with the parametric test, and selects an appropriate statistical method for the given data. Furthermore, SDA-V2 can assess the quality of research instruments and determine the minimum sample size required for a meaningful study. However, while SDA-V2 is a valuable tool for simplifying statistical analysis, it does not replace the need for a fundamental understanding of statistical principles. Researchers are encouraged to combine their expertise with the software's capabilities to achieve the most accurate and credible results.

City-Scale Air Quality Network of Low-Cost Sensors

In this paper, we present a city-scale (possibly global) air pollution network made of low-cost sensors for particulate matter concentration in the air. The components of the presented system are based on our research and experience from previous studies focused on air quality instruments and sensors for addressing urban air pollution. Sensor nodes are produced locally and distributed over Sarajevo, Bosnia and Herzegovina. The system collects, calibrates, and displays particulate matter concentrations in real-time. In comparison to the available measurements from governmental institutions, our system demonstrated good agreement of measured parameters, with several advantages including, higher resolution in space and time, lower costs, both horizontal and vertical measurements. One of the capabilities of the system is the real-time air pollution city map with animations. By installing multiple sensor nodes over a slope, we receive vertical measurements of temperature, humidity, and particulate matter concentration in real time, which gives a valuable insight into the dynamics of temperature inversion episodes and air pollution below the inversion layer.

809 A Systematic Review of Quality Assurance Processes in Simulated Surgical Training Programmes

Abstract Aim To provide a comprehensive overview of quality assurance processes implemented within published simulated surgical training programmes, identifying areas of deficit. Method A systematic review was conducted according to PRISMA guidelines. Databases were searched from 1947 until April 2023 to identify studies reporting structured simulation programmes undertaking qualitative assessment of laparoscopic technical skills. The assessment had to be procedural (e.g., appendicectomy) versus tasks (e.g., bean drop). Simulation had to be physical modalities (synthetic/cadaveric). Virtual and augmented reality modalities were excluded. Data was extracted against an existing quality assurance standards framework for simulation-based education, developed by the Association for Simulated Practice in Healthcare (ASPiH) in partnership with Health Education England. Study quality was appraised using the Medical Education Research Study Quality Instrument (MERSQI). Results 39 studies were included, with 17 from USA and 3 from UK simulation programmes. Range of participants was 6-256, with 7 studies reporting >50 participants. Faculty: 40% (n=15) of studies reported no description of faculty expertise or selection. 60% (n=24) of studies implemented no assessor training. 90% (n=35) described no faculty evaluation or feedback. Activity: Variability was seen in assessment methods including number of stations, assessors, and assessment tools. 60% (n=24) of studies sought no feedback on their programme. 90% (n=35) of the programmes were not aligned to curricula or learning needs analyses. Conclusions This review highlights deficits in the implementation of quality assurance processes including faculty selection, training, and programme feedback. It also highlights the variability of assessment methods, reiterating the need for individualised robust validation processes.

Development and validation of a US quality of life instrument for hereditary angioedema due to C1 inhibitor deficiency

BackgroundHereditary angioedema (HAE) attacks are unpredictable, cause a substantial and enduring burden of illness, and are potentially fatal. Because of issues unique to the US health care system, there is a need for a US-validated, HAE-specific quality of life (QoL) instrument. ObjectiveTo develop and validate a US HAE-specific QoL instrument according to US Food and Drug Administration guidelines and established methodologies. MethodsWe generated 41 QoL-related items likely relevant to US patients with HAE due to C1 inhibitor (C1INH) deficiency (HAE-C1INH) and performed a 10-patient pilot study to refine the question wording. A total of 415 US patients with HAE-C1INH completed the initial 41-item instrument online, thereby providing data for item reduction, factor analysis, and the assessment of validity and reliability. We used a multiple linear regression to identify the drivers of the total and domain scores. Convergent validity analysis was used to assess the extent to which the HAE-C1INH QoL instrument (HAE-C1INH-QoL) is theoretically related to the angioedema-QoL instrument (AE-QoL). ResultsItem reduction and factor analysis yielded a final instrument of 31 items across 5 domains, and the assessment analysis showed that the HAE-C1INH-QoL is valid and reliable. Attack frequency and severity were statistically significant factors that influenced the total and domain scores. Correlation analysis of the 2 instruments indicated that 8 items of the HAE-C1INH-QoL were not included or well-described in the AE-QoL. ConclusionThe HAE-C1INH-QoL is the first HAE-specific QoL tool validated in the United States. When compared with the AE-QoL, the items in our instrument are more relevant to US patients with HAE.

Psychometric properties of the Short-Form Five Facets of Mindfulness Questionnaire among nursing students in China: A confirmatory factor analysis.

To analyse the factorial structure and psychometric properties of the Chinese Short-Form Five Facets of Mindfulness Questionnaire (FFMQ-SF) among nursing students in the Chinese mainland. A cross-sectional study. A total of 240 undergraduate nursing students were recruited from a school of nursing in Beijing, China from 25 to 30 April 2021. FFMQ-SF and Depression-Anxiety-Stress Scale were used to collect information on the mindfulness level and mental health status of the study participants. Descriptive analyses were performed to examine the demographic characteristics. Confirmatory factor analyses (CFAs) were used to test the structural, convergent and discriminant validity of the scale model. Pearson correlation analysis was used to test the correlation between the variables and the criterion validity. The overall fit of the scale model is good (Bollen-Stine χ2 = 177.206, df = 142, GFI = 0.923, AGFI = 0.883, TLI = 0.980, CFI = 0.983, RMSEA = 0.032, SRMR = 0.090). One-factor models using CFA demonstrated the overall best fit for four out of five subscales of the FFMQ-SF. In the five-factor CFA of the FFMQ-SF, the composite reliability values of the five factors were from 0.685 to 0.870 and the values of average variance extracted were from 0.426 to 0.627. The students who participated in this study contributed to the advancement of knowledge on mindfulness and mental health among nursing students in China. They voluntarily completed the online questionnaires and provided their honest and valid responses. Their data was used to evaluate the psychometric properties of the FFMQ-SF and to examine the relationship between mindfulness and psychological problems. Their feedback also helped to improve the quality and applicability of the FFMQ-SF instrument for future research and practice.

Dynamics of Long-Term Quality of Life After Treatment for Esophageal Cancer: A Community-Based Patient Study.

To characterize the pattern of post-treatment quality of life (QoL) for esophageal cancer (EC) survivors and construct models predicting their long-term QoL. On the basis of a randomized trial in an EC high-risk region in China, we interviewed 363 EC survivors and 25,245 permanent residents matched with the survivors on age, sex, and township as the baseline. QoL was measured using three-level version of European Quality of Life 5-Dimensions instrument. We constructed piecewise mixed models estimating the QoL of EC survivors that varied by age, sex, patient type, hospital level, and therapy to ascertain QoL determinants. The post-treatment QoL of EC survivors dropped by 15.7% within the first year and recovered by 9.3% between 1 and 9 years compared with the baseline. Therapy was found to be a determinant of QoL, and a series of therapy-specific models were fitted accordingly, which all showed the pattern of decreasing rapidly and recovering gradually. Endoscopic treatment had the least impact on post-treatment QoL (7.5% drop within 5 years) compared with esophagectomy (12.2% drop within 1 year) and chemoradiotherapy (37.8% drop within 2 years). The usual activities dimension showed the greatest impairment among those patients (34.4% drop within 1 year). This community-based study described the long-term QoL trajectory for EC survivors after different therapeutic modalities and constructed models to predict therapy-specific QoL at different time points after treatment. It provided new insights into decision making in treatment for EC from the perspective of QoL protection, offering a convenient tool for estimating quality-adjusted life-years.