Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal

Introduction: The Modified British Medical Research Council Questionnaire is considered an adequate and simple measure of breathlessness in chronic obstructive pulmonary disease. It is widely used in clinical practice in Portugal, but it still lacks confirmatory evaluation for the Portuguese settin...

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Main Authors: Soraia Ribeiro, Carlos Seiça Cardoso, Margarida Valério, João Machado, José Costa, Cidália Rodrigues, Alexandre Rebelo-Marques
Format: Article
Language:English
Published: Ordem dos Médicos 2022-02-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15208
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author Soraia Ribeiro
Carlos Seiça Cardoso
Margarida Valério
João Machado
José Costa
Cidália Rodrigues
Alexandre Rebelo-Marques
author_facet Soraia Ribeiro
Carlos Seiça Cardoso
Margarida Valério
João Machado
José Costa
Cidália Rodrigues
Alexandre Rebelo-Marques
author_sort Soraia Ribeiro
collection DOAJ
description Introduction: The Modified British Medical Research Council Questionnaire is considered an adequate and simple measure of breathlessness in chronic obstructive pulmonary disease. It is widely used in clinical practice in Portugal, but it still lacks confirmatory evaluation for the Portuguese setting. The aim of this study was to perform a cultural adaptation and validation of the Modified British Medical Research Council Questionnaire so that its most suitable version can be made available to researchers and clinicians in Portugal. Material and Methods: We performed a cross-sectional descriptive study involving patients with chronic obstructive pulmonary disease aged 40 years or older. We applied the Modified British Medical Research Council Questionnaire and the previously validated Portuguese-language version of the clinical questionnaire for chronic obstructive pulmonary disease between January and June 2019. We determined the agreement between the two questionnaires with kappa agreement, with a 95% confidence interval, and we used Spearman correlation to find a correlation between two scores. Results: The study included 65 patients managed in a hospital pulmonology clinic (aged 68 ± 7 years; with predicted FEV1 of 49.86% ± 16.5%). The Modified British Medical Research Council scale correlated significantly with all the domains and the overall score of the clinical questionnaire for chronic obstructive pulmonary disease (0.46 < r < 0.68; p < 0.001). In bilingual patients, interclass correlation coefficient was 0.912 (p < 0.001). Conclusion: The Portuguese version of the Modified British Medical Research Council Questionnaire is a valid instrument for measurement of breathlessness in chronic obstructive pulmonary disease.
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spelling doaj.art-09ac3dd0006246f191b059b4f73167752022-12-22T04:07:41ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582022-02-0135210.20344/amp.152085412Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in PortugalSoraia Ribeiro0Carlos Seiça Cardoso1Margarida Valério2João Machado3José Costa4Cidália Rodrigues5Alexandre Rebelo-Marques6* Co-primeiro autor Unidade de Saúde Familiar Condeixa. Administração Regional de Saúde do Centro. Coimbra.* Co-primeiro autor Unidade de Saúde Familiar Condeixa. Administração Regional de Saúde do Centro. Coimbra.Pulmonology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra.Pulmonology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra.Pulmonology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra.Pulmonology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra.Pharmacology Department. Faculty of Medicine. University of Coimbra. Coimbra. Portugal. Institute for Clinical and Biomedical Research Coimbra. Faculty of Medicine. University of Coimbra. Coimbra. Clinical Academic Center of Coimbra. Coimbra. Dom Henrique Research Centre. Porto. Introduction: The Modified British Medical Research Council Questionnaire is considered an adequate and simple measure of breathlessness in chronic obstructive pulmonary disease. It is widely used in clinical practice in Portugal, but it still lacks confirmatory evaluation for the Portuguese setting. The aim of this study was to perform a cultural adaptation and validation of the Modified British Medical Research Council Questionnaire so that its most suitable version can be made available to researchers and clinicians in Portugal. Material and Methods: We performed a cross-sectional descriptive study involving patients with chronic obstructive pulmonary disease aged 40 years or older. We applied the Modified British Medical Research Council Questionnaire and the previously validated Portuguese-language version of the clinical questionnaire for chronic obstructive pulmonary disease between January and June 2019. We determined the agreement between the two questionnaires with kappa agreement, with a 95% confidence interval, and we used Spearman correlation to find a correlation between two scores. Results: The study included 65 patients managed in a hospital pulmonology clinic (aged 68 ± 7 years; with predicted FEV1 of 49.86% ± 16.5%). The Modified British Medical Research Council scale correlated significantly with all the domains and the overall score of the clinical questionnaire for chronic obstructive pulmonary disease (0.46 < r < 0.68; p < 0.001). In bilingual patients, interclass correlation coefficient was 0.912 (p < 0.001). Conclusion: The Portuguese version of the Modified British Medical Research Council Questionnaire is a valid instrument for measurement of breathlessness in chronic obstructive pulmonary disease. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15208PortugalPulmonary DiseaseChronic ObstructiveReproducibility of ResultsSurveys and Questionnaires
spellingShingle Soraia Ribeiro
Carlos Seiça Cardoso
Margarida Valério
João Machado
José Costa
Cidália Rodrigues
Alexandre Rebelo-Marques
Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
Acta Médica Portuguesa
Portugal
Pulmonary Disease
Chronic Obstructive
Reproducibility of Results
Surveys and Questionnaires
title Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
title_full Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
title_fullStr Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
title_full_unstemmed Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
title_short Confirmatory Evaluation of the Modified Medical Research Council Questionnaire for Assessment of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease in Portugal
title_sort confirmatory evaluation of the modified medical research council questionnaire for assessment of dyspnea in patients with chronic obstructive pulmonary disease in portugal
topic Portugal
Pulmonary Disease
Chronic Obstructive
Reproducibility of Results
Surveys and Questionnaires
url https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15208
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