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. 2026 Oct 8;33(6):1406–1418. doi: 10.1007/s12282-026-01919-3

Table 2.

Internal consistency of four breast lymphoedema questionnaires

Breast questionnaire questions McDonald’s Omega (ω) (95%CI) Pooled imputed ω
(range)
⍺ of total scale
⍺ if item removed
Median (IQR) [range]
BLYSS (n = 158) 0.91 (0.87–0.93)

0.90

(0.89–0.90)

0.91
 Q1 Swelling 0.89 0.89 1 (0–1) [0–4]
 Q2 Pain 0.89 0.89 1 (0–1) [0–4]
 Q3 Heaviness 0.89 0.89 0 (0–1) [0–3]
 Q4 Unpleasant sensation 0.89 0.89 1 (0–1) [0–3]
 Q5 Hardness 0.91 0.91 1 (0–1) [0–4]
 Q6 Discomfort wearing a bra 0.89 0.89 0.5 (0–1) [0–4]
 Q7 Indentations from the bra 0.89 0.89 0 (0–1) [0–4]
EORTC-BR23 Breast symptoms subscale (n = 163) 0.73 (0.65–0.80)

0.73

(0.72–0.74)

0.72
 Q50 Pain 0.67 0.59 2 (1–2) [1–4]
 Q51 Swelling 0.70 0.67 1 (1–2) [1–4]
 Q52 Oversensitive 0.64 0.61 2 (1–2) [1–4]
 Q53 Skin problems 0.73 0.73 1 (1–2) [1–4]
LSIDS-T Intensity Soft tissue subscale (n = 161) 0.84 (0.77–0.89)

0.85

(0.84–0.86)

0.85
 Q1 Heaviness 0. 0.80 0 (0–1) [ 0–5]
 Q2 Tightness 0. 0.81 0 (0–2) [0–5]
 Q3 Pain 0. 0.82 0 (0–2) [0–5]
 Q4 Achiness 0. 0.83 0 (0–1) [0–4]
 Q5 Swelling 0. 0.83 1 (0–1) [0–4]
 Q6 Hardness 0. 0.84 0 (0–2) [0–5]
BOB (n = 164) 0.91 (0.88–0.93) No missing 0.83
 Q1 Frequency of breast bother 0.90 0.77 3 (1–4) [0–4]
 Q2 Average breast bother in past week 0.88 0.79 1 (1–2) [0–3]
 Q3 Worst breast bother in past week 0.87 0.78 1 (0–2) [0–4]
 Q4 Breast bother VAS 0.88 0.87 2.6 (0.5-5) [0–10]

ω: McDonald’s Omega ⍺: Cronbach’s alpha (internal consistency), IQR: interquartile range, VAS: visual analogue scale, BLYSS: Breast Lymphoedema Symptoms Severity, EORTC-BR23: European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life Questionnaire - Breast and Arm symptom sub-scales, LSIDS-T: Lymphedema Symptom Intensity and Distress -Trunk - Soft tissue subscale, BOB: Breast Oedema Bother scale