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. 2022 Apr;37(2):286-296.
doi: 10.1007/s00455-021-10277-5. Epub 2021 Mar 8.

Patient-Reported Dysphagia in Adults with Eosinophilic Esophagitis: Translation and Validation of the Swedish Eosinophilic Esophagitis Activity Index

Sofie Albinsson  1 , Lisa Tuomi  2   3 , Christine Wennerås  4   5 , Helen Larsson  2   6
Affiliations

Patient-Reported Dysphagia in Adults with Eosinophilic Esophagitis: Translation and Validation of the Swedish Eosinophilic Esophagitis Activity Index

Sofie Albinsson et al. Dysphagia. 2022 Apr.

Abstract

The lack of a Swedish patient-reported outcome instrument for eosinophilic esophagitis (EoE) has limited the assessment of the disease. The aims of the study were to translate and validate the Eosinophilic Esophagitis Activity Index (EEsAI) to Swedish and to assess the symptom severity of patients with EoE compared to a nondysphagia control group. The EEsAI was translated and adapted to a Swedish cultural context (S-EEsAI) based on international guidelines. The S-EEsAI was validated using adult Swedish patients with EoE (n = 97) and an age- and sex-matched nondysphagia control group (n = 97). All participants completed the S-EEsAI, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Oesophageal Module 18 (EORTC QLQ-OES18), and supplementary questions regarding feasibility and demographics. Reliability and validity of the S-EEsAI were evaluated by Cronbach's alpha and Spearman correlation coefficients between the domains of the S-EEsAI and the EORTC QLQ-OES18. A test-retest analysis of 29 patients was evaluated through intraclass correlation coefficients. The S-EEsAI had sufficient reliability with Cronbach's alpha values of 0.83 and 0.85 for the "visual dysphagia question" and the "avoidance, modification and slow eating score" domains, respectively. The test-retest reliability was sufficient, with good to excellent intraclass correlation coefficients (0.60-0.89). The S-EEsAI domains showed moderate correlation to 6/10 EORTC QLQ-OES18 domains, indicating adequate validity. The patient S-EEsAI results differed significantly from those of the nondysphagia controls (p < 0.001). The S-EEsAI appears to be a valid and reliable instrument for monitoring adult patients with EoE in Sweden.

Keywords: Deglutition; Deglutition disorders; EEsAI; Eosinophilic esophagitis; Patient-reported outcome measurement; Validation.

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Conflict of interest statement

The authors declare that they have no competing commercial or financial interests relevant to the contents of this article.

Figures

Fig. 1
Fig. 1
Flow chart of the study patient recruitment process. The chart demonstrates the step-by-step enrollment process whereby 97 out of 199 available adult patients with eosinophilic esophagitis participated in the validation study. The chart was created using Affinity Designer
See this image and copyright information in PMC

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