Fair reliability of eckardt scores in achalasia and non-achalasia patients: Psychometric properties of the eckardt spanish version in a multicentric study

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dc.contributor.authorCisternas, Daniel
dc.contributor.authorMonrroy, Hugo
dc.contributor.authorRiquelme, Arnoldo
dc.contributor.authorPadilla, Oslando
dc.contributor.authorFuentes-López, Eduardo
dc.contributor.authorValle, Arturo
dc.contributor.authorMejia, Ricardo
dc.contributor.authorHani, Albis
dc.contributor.authorArdila-Hani, Andres F
dc.contributor.authorLeguizamo, Ana Maria
dc.contributor.authorBilder, Claudio
dc.contributor.authorDitaranto, Andres
dc.contributor.authorRemes-Troche, Jose Maria
dc.contributor.authorRuiz de León, Antonio
dc.contributor.authorPérez de la Serna, Julio
dc.contributor.authorMarin, Ingrid
dc.contributor.authorSerra, Jordi
dc.date.accessioned2021-10-27T15:17:58Z
dc.date.available2021-10-27T15:17:58Z
dc.date.issued2020
dc.description.abstractBackground: Eckardt symptom score (ESS) is the most used tool for the evaluation of esophageal symptoms. Recent data suggest that it might have suboptimal reliability and validity. The aims of this study were as follows: (a) Develop and validate an international Spanish ESS version. (b) Perform psychometric ESS evaluation in patients with achalasia and non-achalasia patients. Methods: Eckardt symptom score translation was performed by Delphi process. ESS psychometric evaluation was done in two different samples of patients referred for manometry. First sample: 430 dysphagia non-achalasia patients. Second sample: 161 achalasia patients. Internal consistency was evaluated using Cronbach's α and Guttman coefficient (<0.5 = unacceptable. 0.5-0.7 = fair. >0.7 = acceptable). Key results: Our data show that in patients without and with achalasia, ESS behaves similarly. Both show a fair reliability with Cronbach's α of 0.57 and 0.65, respectively. Based on our results, we recommend interpretation of the Spanish ESS be done with caution. The psychometric quality of the ESS could not be improved by removal of any items based on the single-factor structure of the scale and no items meeting criteria for elimination. Conclusions and inferences: Eckardt symptom score Spanish translation was developed. ESS showed a fair reliability for the evaluation of patients with any causes of dysphagia. Our results highlight the need for development and psychometric validation of new dysphagia scoring tools.es
dc.identifier.citationNeurogastroenterology and motility 2020 Jun;32(6):e13827es
dc.identifier.urihttps://doi.org/10.1111/nmo.13827es
dc.identifier.urihttp://hdl.handle.net/11447/4955
dc.language.isoen_USes
dc.subjectEckardt symptom scorees
dc.subjectdysphagiaes
dc.subjectpsychometric evaluationes
dc.subjectreliabilityes
dc.subjectvalidityes
dc.titleFair reliability of eckardt scores in achalasia and non-achalasia patients: Psychometric properties of the eckardt spanish version in a multicentric studyes
dc.typeArticlees

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