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. 2019 Jul-Aug;85(4):456-464.
doi: 10.1016/j.bjorl.2018.03.010. Epub 2018 Apr 19.

Translation, validation and cultural adaptation of "The Eustachian Tube Dysfunction Questionnaire-7" (ETDQ-7) to Brazilian Portuguese (BR)

Fernanda Pires Gallardo  1 , Ektor Tsuneo Onishi  2 , Francisco Iure Lira  1 , Flávia Barros Suzuki  1 , José Ricardo Gurgel Testa  1
Affiliations

Translation, validation and cultural adaptation of "The Eustachian Tube Dysfunction Questionnaire-7" (ETDQ-7) to Brazilian Portuguese (BR)

Fernanda Pires Gallardo et al. Braz J Otorhinolaryngol. 2019 Jul-Aug.

Abstract
in English, Portuguese

Introduction: Chronic Eustachian tube dysfunction can cause several symptoms and middle ear conditions that can impact patient quality of life. It is estimated to be relatively frequent, affecting approximately 5% of adults. The diagnostic tools for this condition are still inadequate. In 2012, McCoul et al. published a questionnaire for the evaluation of Eustachian tube dysfunction named ETDQ-7. They established its replicability and validity. The cutoff point for the diagnosis of chronic Eustachian tube dysfunction was equal to or greater than 14.5, with 100% sensitivity and 100% specificity.

Objective: To translate, adapt and validate the ETDQ-7 questionnaire to Brazilian Portuguese.

Methods: We translated the questionnaire into Brazilian Portuguese and applied it to 50 patients, 20 of whom had chronic Eustachian tube dysfunction, and 30 controls.

Results: The results obtained with the North-American questionnaire were confirmed in its Brazilian version. The cut-off point for the diagnosis of chronic Eustachian tube dysfunction was ≥14, also exhibiting high sensitivity and specificity, very similar to that of ETDQ-7.

Conclusion: It is recommended that ETDQ-7 be used to complement the clinical history of patients with chronic Eustachian tube dysfunction; it can also be used as an important tool for diagnosis, patient follow-up and treatment management.

Introdução: A disfunção crônica da tuba auditiva pode causar diversos sintomas e doenças de orelha média e impactar a qualidade de vida dos pacientes. Estima-se que é uma morbidade relativamente frequente, acomete cerca de 5% dos adultos. Os instrumentos diagnósticos para essa afecção ainda são insuficientes. Em 2012 McCoul et al. publicaram um questionário para a avaliação da disfunção da tuba auditiva denominado ETDQ-7. Eles demonstraram sua reprodutibilidade e validade. O ponto de corte para o diagnóstico de disfunção de crônica da tuba auditiva foi de maior ou igual a 14,5 com 100% de sensibilidade e 100% de especificidade.

Objetivo: Traduzir, adaptar e validar o questionário ETDQ-7 para o português brasileiro.

Método: Traduzimos o questionário para o português do Brasil e o aplicamos em 50 pacientes, 20 com disfunção crônica da tuba auditiva e 30 controles.

Resultados: Os resultados obtidos no questionário americano foram confirmados na versão brasileira. O ponto de corte para o diagnóstico de disfunção crônica da tuba auditiva foi maior ou igual a 14, também com alta sensibilidade e especificidade, muito semelhante ao ETDQ-7.

Conclusão: Recomenda-se que o ETDQ-7 seja usado como um complemento na história clínica do paciente com disfunção crônica da tuba auditiva e pode ser usado também como uma importante ferramenta para fins de diagnóstico, seguimento de pacientes e manejos no tratamento.

Keywords: Eustachian tube/pathophysiology; Eustachian tube/therapy; Inquéritos e questionários; Otite média/diagnóstico; Otitis media/diagnosis; Surveys and questionnaires; Tradução; Translation; Tuba auditiva/fisiopatologia; Tuba auditiva/terapia.

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Figures

Figure 1
Figure 1
Two-dimensional dispersion diagram of the overall score before and after, according to the group.
Figure 2
Figure 2
ROC curve considering the overall score at the first moment and group (patient, control).
See this image and copyright information in PMC

References

    1. Poe D., Hanna B.M. In: UpToDate. Post T.W., editor. UpToDate; Waltham, MA: 2017. Eustachian tube dysfunction. Available from: https://www.uptodate.com/contents/eustachian-tube-dysfunction [cited 31.07.17]
    1. Bluestone C.D. Studies in otitis media: Children's Hospital of Pittsburgh-University of Pittsburgh progress report – 2004. Laryngoscope. 2004;114(Pt 3 Suppl 105):1–26. - PubMed
    1. Healy G.B., Rosbe K.W. In: Ballenger's otorhinolaryngology head and neck surgery. 16th ed. Snow J.B. Jr., Ballenger J.J., editors. BC Decker Inc.; Hamilton, CA: 2003. Otitis media and middle ear effusions; pp. 249–260.
    1. Bluestone C.D. BC Decker Inc.; Hamilton, CA: 2005. Eustachian tube: structure, function role in otitis media.
    1. Bluestone C.D., Klein J.O. In: 4th ed. Bluestone C.D., Stool S.E., Alper C.M., Arjmand E.M., Casselbrant M.L., Dohar J.E., editors. vol. 1. W.B. Saunders; Philadelphia: 2003. Otitis media and Eustachian tube dysfunction; pp. 474–686. (Pediatric otolaryngology).