The Brief Esophageal Dysphagia Questionnaire shows better discriminative capacity for clinical and manometric findings than the Eckardt score: Results from a multicenter study

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dc.contributor.authorCisternas, Daniel
dc.contributor.authorTaft, Tiffany
dc.contributor.authorCarlson, Dustin A.
dc.contributor.authorGlasinovic, Esteban
dc.contributor.authorMonrroy, Hugo
dc.contributor.authorRey, Paula
dc.contributor.authorHani, Albis
dc.contributor.authorArdila-Hani, Andrés
dc.contributor.authorLeguizamo, Ana Maria
dc.contributor.authorBilder, Claudio
dc.contributor.authorDitaranto, Andres
dc.contributor.authorVarela, Amanda
dc.contributor.authorAgotegaray, Joaquin
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.accessioned2022-05-06T20:24:08Z
dc.date.available2022-05-06T20:24:08Z
dc.date.issued2021
dc.description.abstractIntroduction: Grading dysphagia is crucial for clinical management of patients. The Eckardt score (ES) is the most commonly used for this purpose. We aimed to compare the ES with the recently developed Brief Esophageal Dysphagia Questionnaire (BEDQ) in terms of their correlation and discriminative capacity for clinical and manometric findings and evaluate the effect of gastroesophageal reflux symptoms on both. Methods: Symptomatic patients referred for high-resolution manometry (HRM) were prospectively recruited from seven centers in Spain and Latin America. Clinical data and several scores (ES, BEDQ, GERDQ) were collected and contrasted to HRM findings. Standard statistical analysis was performed. Key results: 426 patients were recruited, 31.2% and 41.5% being referred exclusively for dysphagia and GERD symptoms, respectively. Both BEDQ and ES were independently associated with achalasia. Only BEDQ was independently associated with being referred for dysphagia and with relevant HRM findings. ROC curve analysis for achalasia diagnosis showed AUC of 0.809 for BEDQ and 0.765 for ES, with the main difference being higher BEDQ sensitivity (80.0% vs 70.8% for ES). GERDQ independently predicted ES but not BEDQ. In the absence of dysphagia (BEDQ = 0), GERD symptoms significantly determine ES. Conclusions and inferences: Our study suggests both the BEDQ and ES can complementarily describe symptomatic burden in achalasia. BEDQ has several advantages over the ES in the dysphagia evaluation, basically due to its higher sensitivity for manometric diagnosis and independence of GERD symptoms. ES should be used as an achalasia-specific metric, while BEDQ is a better symptom-generic evaluating tool.es
dc.description.versionVersión Publicadaes
dc.identifier.citationCisternas 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 León AR, de la Serna JP, Marin I, Serra J. The Brief Esophageal Dysphagia Questionnaire shows better discriminative capacity for clinical and manometric findings than the Eckardt score: Results from a multicenter study. Neurogastroenterol Motil. 2022 Apr;34(4):e14228. doi: 10.1111/nmo.14228. Epub 2021 Aug 2. PMID: 34342075. Copyes
dc.identifier.urihttps://doi.org/10.1111/nmo.14228es
dc.identifier.urihttp://hdl.handle.net/11447/6065
dc.language.isoenes
dc.subjectBrief Esophageal Dysphagia Questionnairees
dc.subjectEckardt scorees
dc.subjectAchalasiaes
dc.subjectDysphagia evaluationes
dc.titleThe Brief Esophageal Dysphagia Questionnaire shows better discriminative capacity for clinical and manometric findings than the Eckardt score: Results from a multicenter studyes
dc.typeArticlees
dcterms.sourceNeurogastroenterology & Motilityes

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