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

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

doi:10.1016/j.bjorl.2018.03.010

Cited by 10 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ETDQ-7 has been translated, validated and adapted to German, Turkish and Brazilian Portuguese, also with similar results to the original North-American version, and it is strongly suggested as an adjunct method for the diagnosis and management of patients with chronic ETD. [8][9][10] The current study aimed to translate, validate and culturally adapt the ETDQ-7 questionnaire into European Portuguese.…”

Section: Discussionmentioning

confidence: 99%

Translation and Validation of the “7-Item Eustachian Tube Dysfunction Questionnaire” to European Portuguese (PT)

Menezes¹,

Ribeiro²,

Guimarães³

et al. 2020

Acta Med Port

View full text Add to dashboard Cite

Introduction: Eustachian tube dysfunction is a common cause of morbidity in both adults and children, associated with nasal and otologic symptoms. Symptomatic evaluation is very important for the correct diagnosis and evaluation of the treatment efficacy of this entity. The “7-item Eustachian Tube Dysfunction Questionnaire” was described and validated by McCoul et al and proved to be a useful tool, easy to apply, with good validity in the evaluation of eustachian tube dysfunction symptoms. This study presents the validation process of the European Portuguese version of the “7-item Eustachian Tube Dysfunction Questionnaire”. The aim of this study was to translate and validate the European Portuguese version of “Eustachian Tube Dysfunction Questionnaire-7”.Material and Methods: The “7-item Eustachian Tube Dysfunction Questionnaire” was adapted and translated to European Portuguese using standard validation methodology. The European Portuguese version of “7-item Eustachian Tube Dysfunction Questionnaire” was completed by a group of 50 consecutive adult patients diagnosed with eustachian tube dysfunction and 25 healthy patients who served as a control group. All respondents in the Eustachian tube dysfunction group repeated the “7-item Eustachian Tube Dysfunction Questionnaire” in a two week-period. Statistical analysis was performed to determine its psychometric properties (reliability -internal consistency and test–retest reproducibility, and discriminant validity).Results: Face and content validity were confirmed, and reliability testing revealed similar internal consistency for the entire instrument as the original questionnaire, and strong correlation between individual items and total score. The questionnaire was easy and quick to administer. Test-retest reliability of the European Portuguese version was adequate, with excellent intraclass correlation coefficients and without significant differences between the total score from the first and second evaluations. Discriminative validity was confirmed by statistically significant differences between scores of the test and control groups.Discussion: This study presents the European Portuguese version of the “7-item Eustachian Tube Dysfunction Questionnaire” questionnaire, an adapted, validated and well-accepted instrument to evaluate the symptoms of eustachian tube dysfunction in the European Portuguese speaking population.Conclusion: The European Portuguese version of the “7-item Eustachian Tube Dysfunction Questionnaire” is recommended as a routine procedure in the assessment of patients with eustachian tube dysfunction in the European Portuguese speaking population and for the evaluation of treatment outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Translation and Validation of the “7-Item Eustachian Tube Dysfunction Questionnaire” to European Portuguese (PT)

Menezes¹,

Ribeiro²,

Guimarães³

et al. 2020

Acta Med Port

View full text Add to dashboard Cite

show abstract

“…Patel et al, studying this condition among children found more cases among boys as well [18]. Gallardo et al, on the other hand, noted a female predominance [3]. Akiyildiz et al stated no difference regarding age or gender [15].…”

Section: Demographicsmentioning

confidence: 98%

“…It is divided into the cartilaginous part (medial two thirds) and the osseous part (external one third) [2]. As for its functions, starting with pressure equalization and ventilation of the middle ear, this tube opens its ostium to balance the air in the nasopharynx and secondly permits middle ear mucosal gas exchange [3]. In addition, this organ executes a muscular peristaltic motion allowing clearance of a great part of the middle ear secretions enhancing the activity of the mucociliary escalator and thus protecting against any infectious or inflammatory process [1].…”

Section: Introductionmentioning

confidence: 99%

“…The patient reports usually some particular symptoms including aural fullness, "popping", "under water" sensation as if the ear is clogged, with occasionally tinnitus, imbalance, or even pain [1]. Although few epidemiologic studies have looked at the prevalence of ETD, this condition is believed to be nevertheless fairly common affecting at least 5% of the adult population [3,5]. When it becomes chronic (lasting more than 3 months), it can impair quality of life and become disabling.…”

Section: Introductionmentioning

confidence: 99%

“…Although a negative middle ear tube pressure on tympanometry can indicate an ET dysfunction, the diagnosis remains a clinical one in the vast majority of cases. Based on this, McCoul et al suggested in 2012 the Eustachian Tube Dysfunction Questionnaire (ETDQ) -7, which was consequently validated to include patient reported symptoms and to assess them objectively [3,9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

et al. 2020

View full text Add to dashboard Cite

Background The Eustachian tube (ET) is considered an organ by itself due to its specific functions. An ET Dysfunction (ETD) is discussed when this tube is unable to ventilate the middle ear properly. Clinically, the patient reports usually some aural fullness, “popping”, “under water” sensation as if the ear is clogged. This condition is common affecting at least 5% of the adult population. It can impair quality of life and become disabling. On the other side, the prevalence of nasal septal deviation (NSD) is believed to be around 22.83% in the adult population. Nasal septal deviation is thought to cause a decline in the middle ear ventilation according to certain authors. The primary outcome is to define the predictive value of the side of Eustachian Tube Dysfunction (ETD) symptoms vis-à-vis the side of nasal septal deviation (NSD) in patients having the two conditions concomitantly. Methods A cross-sectional study was conducted between July 2018 and September 2019. Overall, 60 consecutive subjects (total of 120 ears), randomly seen at the Otorhinolaryngology Outpatient Clinics at the Eye and Ear International Hospital, Lebanon, all year-round were enrolled and tested without any geographic preferences. The Eustachian Tube Dysfunction Questionnaire (ETDQ) -7 questionnaire was used to evaluate ETD. Results A significantly higher ETD score was found in males compared to females, in those with left septal deviation compared to right and in those who have symptoms on the left compared to right side. Frequent exposure to higher changes in altitude (commute from home to workplace) was also significantly associated with higher ETD scores (r = 0.265), whereas higher Left Tympanometric peak pressure (TPP in daPa) on tympanometry was significantly associated with lower ETD score (r = − 0.467). Furthermore, 25 patients who had symptoms on the left side had also a septal deviation to the left side (86.2%), whereas 29 (93.5%) patients who had the symptoms on the right side had septal deviation to the right side (p < 0.001). Conclusion Our data highlighted the importance of altitude and geographic distribution of patients especially in a population exposed to barotrauma on a daily basis like the Lebanese population. Tympanometry, on the other hand, failed to correlate with patient reported symptoms and thus needs further evaluation. The reported ETD symptoms of the patient correlates to the side of NSD.

show abstract

Predictive value of the Eustachian Tube Dysfunction Questionnaire‐7 for identifying obstructive Eustachian tube dysfunction: A systematic review

Andresen

Sharon

Nieman

et al. 2021

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Objective To perform a systematic review to determine if a total score of ≥14.5 (mean score ≥ 2.1) on the ETDQ‐7 accurately identifies patients with obstructive Eustachian tube dysfunction (OETD) on impedance tympanometry (peak compliance <0.2 mL or middle ear pressure of −100 daPa) or other objective measures of OETD. Methods A systematic review without a meta‐analysis was performed of studies in four electronic databases (Pubmed, Embase, Web of Science, and Scopus) that used the ETDQ‐7 and at least one objective measure of OETD. Results Six‐hundred and fifty‐two studies were identified in the initial literature search. Abstracts from 337 studies were screened, followed by full‐text review of 61 studies, and qualitative synthesis of 12 studies. Tympanometry was used as an objective measure in ten studies. Eight of the 12 included studies had patient cohort selection bias. Eight studies administered the ETDQ‐7 in cohorts of patients with or without OETD, already confirmed on tympanometry, and found a sensitivity of 91%‐100% and specificity of 67%‐100%. Four studies administered the ETDQ‐7 to patients who had not previously undergone objective testing and found a sensitivity of 49%‐80% and specificity of 24%‐78%. Conclusions The ETDQ‐7 is an important patient‐reported outcome measure. However, based upon existing literature, the ETDQ‐7 appears limited as a diagnostic tool for OETD or as an objective measure of Eustachian tube function.

show abstract

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

Abstract: 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.

Cited by 10 publications

References 9 publications

Translation and Validation of the “7-Item Eustachian Tube Dysfunction Questionnaire” to European Portuguese (PT)

Translation and Validation of the “7-Item Eustachian Tube Dysfunction Questionnaire” to European Portuguese (PT)

Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

Predictive value of the Eustachian Tube Dysfunction Questionnaire‐7 for identifying obstructive Eustachian tube dysfunction: A systematic review

Contact Info

Product

Resources

About