Validation and psychometric evaluation of the Spanish version of Brief Esophageal Dysphagia Questionnaire (BEDQ): Results of a multicentric study
Por:
Cisternas, D, Taft, T, Carlson, DA, Glasinovic, E, Monrroy, H, Rey, P, Hani, A, Ardila-Hani, A, Leguizamo, AM, Bilder, C, Ditaranto, A, Varela, A, Agotegaray, J, Remes-Troche, JM, de Leon, AR, de la Serna, JP, Marin, I and Serra, J
Publicada:
1 abr 2021
Ahead of Print:
1 nov 2020
Resumen:
Background The recently developed Brief Esophageal Dysphagia Questionnaire (BEDQ) evaluates esophageal obstructive symptoms. Its initial evaluation showed strong psychometric properties. The aims of this study were to (a) translate and validate an international Spanish version of BEDQ and (b) evaluate its psychometric properties in a large Hispano-American sample of symptomatic individuals.
Methods A Spanish BEDQ version was performed by Hispano-American experts using a Delphi process and reverse translation. Patients were prospectively recruited from seven centers in Spain and Latin America among individuals referred for high-resolution manometry (HRM). Patients completed several scores: Hospital Anxiety & Depression Scale (HADS), Eckardt score (ES), Gastroesophageal Reflux Questionnaire (GERDQ), and the BEDQ. Standardized psychometric analyses were performed.
Key Results A total of 426 patients were recruited. Spanish BEDQ showed excellent reliability (Cronbach's alpha = 0.91). Factor analysis confirmed its unidimensional character. Moderate significant correlations between BEDQ and other symptomatic scores were found, suggesting sufficient convergent validity. Patients with abnormal or obstructive HRM findings scored significantly higher when compared to normal or non-obstructive findings, respectively. Using a cutoff of 10, BEDQ showed a sensitivity of 65.38% and a specificity of 66.21% and an area under the curve of 0.71 for obstructive or major manometric diagnosis.
Conclusions and Inferences A widely usable Spanish BEDQ version has been validated. We confirm its excellent psychometric properties in our patients, confirming the appropriateness of its use in different populations.
Filiaciones:
Cisternas, D:
Univ Desarrollo, Clin Alemana Santiago, Fac Med Clin Alemana, Santiago, Chile
Taft, T:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Carlson, DA:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Glasinovic, E:
Univ Desarrollo, Clin Alemana Santiago, Fac Med Clin Alemana, Santiago, Chile
Monrroy, H:
Pontificia Univ Catolica Chile, Santiago, Chile
Rey, P:
Pontificia Univ Catolica Chile, Santiago, Chile
Hani, A:
Pontificia Univ Javeriana, San Ignacio Hosp, Bogota, Colombia
Ardila-Hani, A:
Pontificia Univ Javeriana, San Ignacio Hosp, Bogota, Colombia
Leguizamo, AM:
Pontificia Univ Javeriana, San Ignacio Hosp, Bogota, Colombia
Bilder, C:
Hosp Univ, Fdn Favaloro, Escuela Med, Buenos Aires, DF, Argentina
Ditaranto, A:
Hosp Univ, Fdn Favaloro, Escuela Med, Buenos Aires, DF, Argentina
Varela, A:
Hosp Univ, Fdn Favaloro, Escuela Med, Buenos Aires, DF, Argentina
Agotegaray, J:
Hosp Univ, Fdn Favaloro, Escuela Med, Buenos Aires, DF, Argentina
Remes-Troche, JM:
Univ Veracruzana, Veracruz, Mexico
de Leon, AR:
Univ Complutense, Hosp Clin San Carlos, Madrid, Spain
de la Serna, JP:
Univ Complutense, Hosp Clin San Carlos, Madrid, Spain
:
Univ Hosp Germans Trias & Pujol, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Motil & Funct Gut Disorders Unit, Badalona, Spain
Univ Autonoma Barcelona, Badalona, Spain
:
Univ Hosp Germans Trias & Pujol, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Motil & Funct Gut Disorders Unit, Badalona, Spain
Univ Autonoma Barcelona, Badalona, Spain
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