Validation in French of the Brief Esophageal Dysphagia Questionnaire in Patients Referred For Esophageal Manometry

Roman, Sabine; Guadagnoli, Livia; Hastier, Audrey; Becam, Estelle; Craven, Meredith; Pandolfino, John E.; Napoléon, Marie; Carlson, Dustin A.; Mion, François; Taft, Tiffany

doi:10.1007/s00455-021-10290-8

Cited by 2 publications

(6 citation statements)

References 13 publications

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Section: Discussionsupporting

confidence: 92%

“…However, due to a limited number of patients included in the study, the difference regarding BEDQ score among categories of motility disorders was not always statistically significant. This study is in line with the previous ones demonstrating the validity of BEDQ to depict significant esophageal motility disorders [11][12][13]. Overall only 2 patients out of 9 diagnosed with EGJ relaxation disorders (achalasia and EGJ outflow obstruction) with the CCv3.0 did not have an EGJ relaxation disorder with the CCv4.0.…”

supporting

confidence: 91%

“…The Eckardt score usually used for patients with achalasia was systematically administrated to all patients referred for esophageal HRM to assess dysphagia and related symptoms and consequences 9 . Brief esophageal dysphagia questionnaire (BEDQ) and esophageal hypervigilance and anxiety scale (EHAS) recently validated in French were given to assess dysphagia frequency and severity and anxiety related to esophageal conditions, respectively 10,11 …”

Section: Methodsmentioning

confidence: 99%

“… 9 Brief esophageal dysphagia questionnaire (BEDQ) and esophageal hypervigilance and anxiety scale (EHAS) recently validated in French were given to assess dysphagia frequency and severity and anxiety related to esophageal conditions, respectively. 10 , 11 …”

Section: Methodsmentioning

confidence: 99%

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From Chicago classification v3.0 to v4.0: Diagnostic changes and clinical implications

Sallette

Lenz

Mion

et al. 2022

Neurogastroenterology Motil

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Background:The Chicago Classification (CC) used to define esophageal motility disorders in high-resolution manometry (HRM) has evolved over time. Our aim was to compare the frequency of motility disorders diagnosed with the last two versions (CCv3.0 and CCv4.0) and to evaluate symptoms severity according to the diagnoses. Methods:From June to December 2020, patients who underwent esophageal HRM with swallows in supine and sitting positions were included. HRM studies were retrospectively analyzed using CCv3.0 and CCv4.0. Symptoms severity and quality of life were assessed with validated standardized questionnaires.Key Results: Among the 130 patients included (73 women, mean age 52 years), motility disorder diagnoses remained unchanged in 102 patients (78%) with both CC. The 3 patients with esophago-gastric junction outflow obstruction (EGJOO) with CCv3.0 were EGJOO, ineffective esophageal motility (IEM) and normal with CCv4.0. Twentyfour out of 63 IEM diagnosed with the CCv3.0 (38%) turned into normal motility with the CCv4.0. Whatever the CC used, brief esophageal dysphagia questionnaire score was significantly higher in patients with EGJ relaxation disorders compared to those with IEM (25 (0-34) vs 0 (0-19), p = 0.01). Gastro-Esophageal Reflux disease questionnaire (GERD-Q) score was higher in patients with IEM with both CC compared to those who turned to normal with CCv4.0. Conclusions and Inferences:While motility disorders diagnoses remained mainly unchanged with both CC, IEM was less frequent with CCv4.0 compared to CCv3.0. The higher GERD-Q score in IEM patients with CCv4.0 suggests that CCv4.0 might identify IEM more likely associated with GERD.

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Section: Discussionsupporting

confidence: 92%

supporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

From Chicago classification v3.0 to v4.0: Diagnostic changes and clinical implications

Sallette

Lenz

Mion

et al. 2022

Neurogastroenterology Motil

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“…Because of the low frequency of food impactions, items were pooled into a single "food impaction" yes or no item. The BEDQ is validated in English-, Spanish-, 19 and French- 20 speaking patients.…”

Section: Impactmentioning

confidence: 99%

Esophageal Hypervigilance and Symptom-Specific Anxiety in Patients with Eosinophilic Esophagitis

et al. 2021

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BACKGROUND & AIMS: Patient symptom reporting often does not correlate with the pathophysiological markers of esophageal disease, including eosinophilic esophagitis (EoE). Esophageal hypervigilance and symptom-specific anxiety are emerging as important considerations in understanding symptom reporting. As such, we aimed to conduct the first study of these constructs in EoE. METHODS: A retrospective review of an EoE patient registry was conducted and included eosinophils per high power field (from esophagogastroduodenoscopy biopsy: proximal, distal), endoscopic reference score, distal distensibility plateau (functional luminal imaging probe), Brief Esophageal Dysphagia Questionnaire, Visual Dysphagia Question of EoE Activity Index, Northwestern Esophageal Quality of Life scale, and the Esophageal Hypervigilance and Anxiety Scale. Correlational and regression analyses evaluated relationships of hypervigilance and anxiety with Brief Esophageal Dysphagia Questionnaire, Visual Dysphagia Question of EoE Activity Index, and Northwestern Esophageal Quality of Life scale when controlling for histology and endoscopic severity. RESULTS: One hundred and three patients had complete data, 69.9% were male, and the mean (SD) age was 40.66 (13.85) years. Forty-one percent had elevated dysphagia and 46% had elevated hypervigilance and anxiety. Esophageal symptom-specific anxiety emerged as the most important predictor of Brief Esophageal Dysphagia Questionnaire severity (44.8% of the variance), Visual Dysphagia Question of EoE Activity Index severity (26%), and poor health-related quality of life (HRQoL) (55.3%). Hypervigilance was also important, but to a lesser extent. Pathophysiological variables did not significantly predict symptoms or HRQoL. Recent food impaction can predict symptom-specific anxiety and proton pump inhibitor use can reduce hypervigilance. CONCLUSIONS: Hypervigilance and symptom-specific anxiety are important for our understanding of self-reported patient outcomes in EoE. These processes outweigh endoscopic and histologic markers of EoE disease activity across dysphagia, difficulty eating, and HRQoL. Clinicians should assess hypervigilance and anxiety, especially in patients with refractory symptoms and poor HRQoL.

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Validation in French of the Brief Esophageal Dysphagia Questionnaire in Patients Referred For Esophageal Manometry

Cited by 2 publications

References 13 publications

From Chicago classification v3.0 to v4.0: Diagnostic changes and clinical implications

From Chicago classification v3.0 to v4.0: Diagnostic changes and clinical implications

Esophageal Hypervigilance and Symptom-Specific Anxiety in Patients with Eosinophilic Esophagitis

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