title: Validation of the Spanish Version of the Eating Assessment Tool-10 (EAT-10spa) in Colombia. A Blinded Prospective Cohort Study.
abstract: Dysphagia might affect 12 % of the general population, and its complications include pneumonia, malnutrition, social isolation, and death. No validated Spanish symptom survey exists to quantify dysphagia symptoms among Latin Americans. Therefore, we performed a prospective cohort study in a tertiary care university hospital to validate the Spanish version of the 10-Item Eating-Assessment-Tool (EAT-10spa) for use in Colombia. After an interdisciplinary committee of five bilingual specialists evaluated the EAT-10spa (translated and validated in Spain) and deemed it appropriate for the Colombian culture, its feasibility, reliability, validity, sensitivity to change, and diagnostic capacity were evaluated. As a reference standard, we used the flexible endoscopic evaluation of swallowing with sensory testing and a standardized clinical evaluation. All assessments were blinded. In total, 133 subjects were included (52 % women, mean age 55 years) and completed the EAT-10spa (median completion time: 2 min [IQR 1-3 min]), 39 % of whom had an elementary-level education. Cronbach's α coefficient: 0.91; test-retest intra-class correlation coefficient: 0.94. The Spearman's correlation coefficient of the EAT-10spa with the 8-point penetration-aspiration scale was 0.54 (P < 0.001). The area under the receiver-operating-characteristic-curve (AUC-ROC) for dysphagia and aspiration were 0.79 (P < 0.001) and 0.81 (P < 0.001), respectively. The best cut-off points for dysphagia and aspiration were EAT-10spa ≥2 (sensitivity 93.6 %, specificity 36.4 %) and EAT-10spa ≥4 (sensitivity 94.3 %, specificity 49.5 %), respectively. A reduction in the EAT-10 ≥3 was the best cut-off point for a clinically significant improvement (AUC-ROC 0.83; P < 0.0001). The EAT-10spa showed excellent psychometric properties and discriminatory capacity for use in Colombia.
authors.affiliation: DIMA, School of Medicine, University of Navarra, Irunlarrea 1, 31080, Pamplona, Navarra, Spain. lgiraldo@alumni.unav.es.|Pulmonary Medicine Service, Research Department, University of La Sabana, Chia, Cundinamarca, Colombia. lgiraldo@alumni.unav.es.
authors.forename: Luis Fernando
authors.identifier: 0000-0002-7574-7913
authors.initials: LF
authors.lastname: Giraldo-Cadavid
authors.affiliation: Rehabilitation Department, Clinica University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Alejandra María
authors.initials: AM
authors.lastname: Gutiérrez-Achury
authors.affiliation: Rehabilitation Department, Clinica University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Karem
authors.initials: K
authors.lastname: Ruales-Suárez
authors.affiliation: Rehabilitation Department, Clinica University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Maria Leonor
authors.initials: ML
authors.lastname: Rengifo-Varona
authors.affiliation: Department of Internal Medicine, University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Camilo
authors.initials: C
authors.lastname: Barros
authors.affiliation: Department of Internal Medicine, University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Andrés
authors.initials: A
authors.lastname: Posada
authors.affiliation: Department of Internal Medicine, University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Romero
authors.affiliation: Rehabilitation Department, Clinica University of La Sabana, Chia, Cundinamarca, Colombia.
authors.forename: Ana María
authors.initials: AM
authors.lastname: Galvis
mesh_terms: D000328:Adult; D000368:Aged; D019540:Area Under Curve; D003105:Colombia; D003679:Deglutition; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000523:psychology; D004435:Eating; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011594:Psychometrics; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D016037:Single-Blind Method; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires / Q000592:standards*; D063189:Symptom Assessment / Q000379:methods / Q000592:standards*; D014177:Translations
keywords: Accuracy; Deglutition; Deglutition disorders; Quality of life; Reliability; Sensitivity to change