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June 25, 2019
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Adaptation and validation of the Spanish version of the Nasal Obstruction Symptom Evaluation (NOSE) Scale

Publicated to:Rhinology. 53 (2): 176-80 - 2015-06-01 53(2), DOI: 10.4193/Rhin14.137

Authors: Larrosa, Francisco; Roura, Josep; Dura, Maria J; Guirao, Miguel; Alberti, Anna; Alobid, Isam

Affiliations

Hosp Alt Penedes, Dept Otorhinolaryngol Head & Neck Surg, Barcelona, Spain - Author
Hosp Quiron Teknon, Dept Otorhinolaryngol Head & Neck Surg, Barcelona, Spain - Author
Hosp Quiron, Dept Otorhinolaryngol Head & Neck Surg, Barcelona, Spain - Author
Hosp Univ Germans Trias Pujol, Dept Phys Med & Rehabil, Badalona, Spain - Author
NULL;NULL;NULL;NULL;NULL;NULL - Author
Univ Barcelona, Hosp Clin, Dept Otorhinolaryngol Head & Neck Surg, Rhinol Unit, E-08036 Barcelona, Spain - Author
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Abstract

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.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.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.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.

Keywords

Cross-cultural adaptationManagementNasal obstructionOutcomesQuality of lifeQuality-of-lifeQuestionnaireQuestionnairesSeptoplastyValidationValidity

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Rhinology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Otorhinolaryngology.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.9. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 5.61 (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-02, the following number of citations:

  • WoS: 33
  • Scopus: 16
  • Europe PMC: 12

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-02:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 86 (PlumX).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Alobid, Isam).