Portuguese-language version of the COPD Assessment Test: validation for use in Brazil.
OBJECTIVE
To validate a Portuguese-language version of the COPD assessment test (CAT) for use in Brazil and to assess the reproducibility of this version.


METHODS
This was multicenter study involving patients with stable COPD at two teaching hospitals in the city of Fortaleza, Brazil. Two independent observers (twice in one day) administered the Portuguese-language version of the CAT to 50 patients with COPD. One of those observers again administered the scale to the same patients one week later. At baseline, the patients were submitted to pulmonary function testing and the six-minute walk test (6MWT), as well as completing the previously validated Portuguese-language versions of the Saint George's Respiratory Questionnaire (SGRQ), modified Medical Research Council (MMRC) dyspnea scale, and hospital anxiety and depression scale (HADS).


RESULTS
Inter-rater and intra-rater reliability was excellent (intraclass correlation coefficient [ICC] = 0.96; 95% CI: 0.93-0.97; p < 0.001; and ICC = 0.98; 95% CI: 0.96-0.98; p < 0.001, respectively). Bland Altman plots showed good test-retest reliability. The CAT total score correlated significantly with spirometry results, 6MWT distance, SGRQ scores, MMRC dyspnea scale scores, and HADS-depression scores.


CONCLUSIONS
The Portuguese-language version of the CAT is a valid, reproducible, and reliable instrument for evaluating patients with COPD in Brazil.
Hospital Distrital Gonzaga Mota - José Walter, Fortaleza, Brazil.
Guilherme Pinheiro Ferreira da
GP
Silva
Maria Tereza Aguiar Pessoa
MT
Morano
Cyntia Maria Sampaio
CM
Viana
Clarissa Bentes de Araujo
CB
Magalhães
Eanes Delgado Barros
ED
Pereira
D001938:Brazil; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D004522:Educational Status; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D029424:Pulmonary Disease, Chronic Obstructive / Q000145:classification / Q000175:diagnosis*; D015203:Reproducibility of Results; D012129:Respiratory Function Tests; D011795:Surveys and Questionnaires; D014177:Translations