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The data's collection extended from the pre-operative to the post-operative phase, with a minimum follow-up of three months and a mean follow-up duration of six months. Employing classical test theory and item response theory, the procedures of item reduction, scale exploration, confirmatory analyses, and responsiveness were executed. A Cronbach's Alpha exceeding 0.8 verified the internal consistency of the scale, as observed in the Spanish and Estonian adaptations. In