Abstract
Purpose
The aim of this study was to validate the Chronic Liver Disease Questionnaire (CLDQ) for use in Brazilian population.
Method
A total of 200 patients with chronic liver disease and varying disease severity answered a socio-demographic questionnaire, t CLDQ, and the Medical Outcome Study Short Form 36 (SF-36). Patients returned in 1–15 days to answer CLDQ again. The Cronbach’s alpha of the total CLDQ score was 0.95 and fluctuated between 0.69 and 0.83 in its six domains.
Results
The intra-class correlation between total CLDQ scores in two evaluations was 0.97 and in all domains was >0.93. CLDQ was moderately correlated with the SF-36, 0.63 (total CLDQ vs. vitality, SF-36), 0.62 (CLDQ and mental health, SF-36), 0.62 (preoccupation, CLDQ, vs. General Health, SF-36), 0.59 (fatigue, CLDQ, vs. vitality, SF-36), 0.59 (activity, CLDQ, vs. vitality, SF-36), and 0.59 (fatigue, CLDQ, vs. mental health, SF-36). The highest scores were found in non-cirrhotic group. Child A patients had higher average scores than Child B and C groups in all domains, while patients with MELD <15 scored higher than patients with MELD ≥15.
Conclusion
CLDQ-BR was validated in Brazilian population and was appropriate for use in patients with liver disease of different etiologies and degrees of severity.
References
Younossi, Z. M. (1998). Epidemiology of alcoholic liver disease. Clinical Liver Disease, 2(4), 661–671.
[World Health Organization] Available from URL:http://www.who.int/mediacentre/factsheets/fs204/en/index.html accessed in [2003] (August, 2003).
Younossi, Z. M., Boparai, N., Kiwi, M., Price, L., & Guyatt, G. (2001). Health-related quality of life assessment in chronic liver disease: impact of type and severity of disease. American Journal of Gastroenterology, 96(7), 2199–2205.
Bonkovsky, H. L., & Wooley, R. (1999). Reduction of health-related quality of life in HCV and improvement with interferon therapy. Hepatology, 29, 264–270.
Sumskiene, J., Sumskas, L., Petrauskas, D., & Kupcinskas, L. (2006). Disease-specific health-related quality of life and its determinants in liver cirrhosis patients in Lithuania. World Journal of Gastroenterology, 12(48), 7792–7797.
Younossi, Z. M., McCormick, M., Boparai, N., Farquhar, L., Henderson, J. M., et al. (2000). The impact of liver transplantation on health-related quality of life. Liver Transplantation, 6, 779–783.
O′Carrol, R. E., Couston, M., Cossar, J., Masterton, G., & Hayes, P. C. (2003). Psychological outcome and quality of life following liver transplantation: a prospective, national, single-center study. Liver Transplantation, 9, 712–720.
Bravata, D. M., Olkin, I., Barnato, A. E., Keeffe, E. B., & Owens, D. K. (1999). Health-related quality of Life after liver transplantation: a meta-analysis. Liver Transplantation and Surgery, 5(4), 318–331.
Younossi, Z. M., Guyatt, G., Kiwi, M., Boparai, N., & King, D. (1999). Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut, 45, 295–300.
Häuser, W., Schnur, M., Steder-Neukamm, U., Muthny, F. A., & Grandt, D. (2004). Validation of the German version of the chronic liver disease questionnaire. European Journal of Gastroenterology and Hepatology, 16(6), 599–605.
Sobhonslidsuk, A., Silpakit, C., Kongsakon, R., SatitpornKul, P., & Sripetch, C. (2004). Chronic liver disease questionnaire: translation and validation in Thai. World Journal of Gastroenterology, 10(13), 1954–1957.
Ferrer, M., Córdoba, J., Garin, O., Olivé, G., Flávia, M., Vargas, V., et al. (2006). Validity of the Spanish version of the Chronic Liver Disease Questionnaire (CLDQ) as a standard outcome for quality of life assessment. Liver Transplantation, 12(1), 95–104.
Rucci, P., Taliani, G., Cirrincione, L., Alberti, A., Bartolozzi, D., Caporaso, N., et al. (2005). Validity and reliability of the Italian version of the Chronic Liver Disease Questionnaire (CLDQ-I) for the assessment of health related quality of life. Digestive and Liver Disease, 37(11), 850–860.
Kollia, Z., Patelarou, E., Vivilaki, V., Kollia, E., Kefou, F., Elefsiniotis, I., et al. (2010). Translation and validation of the Greek chronic liver disease questionnaire. World Journal of Gastroenterology, 16(46), 5838–5844.
Ray, I., Dutta, D., Basu, P., & De, B. K. (2010). Quality of life assessment of patients with chronic liver disease in eastern India using a Bengali translation chronic liver disease questionnaire. Indian Journal of Gastroenterology, 29(5), 187–195.
Lam, E. T., Lam, C. L., Lai, C. L., Yuen, M. F., & Fong, D. Y. (2009). Psychometrics of the chronic liver disease questionnaire for Southern Chinese patients with chronic hepatitis B virus infection. World Journal of Gastroenterology, 15(26), 3288–3297.
Mahmoudi, H., Jafari, P., Alizadeh-Naini, M., Gholami, S., Malek-Hosseini, S.A., Ghaffaripour, S. (2011) Validity and reliability of Persian version of chronic liver disease questionnaire (CLDQ). Quality of Life Research 20(1), 1–7.
Ciconelli, R. M., Ferraz, M. B., Santos, W., Meinão, I., & Quaresma, M. R. (1999). Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36. Revista Brasileira de Reumatologia, 39(3), 143–149.
Mucci, S., Citero, V. A., & Nogueira-Martins, L. A. (2005). Tradução e adaptação transcultural do instrumento de qualidade de vida específico para pacientes com hepatopatia crônica-Chronic Liver Disease Questionnaire (CLDQ). Revista Brasileira de Psiquiatria, 27, 60.
Child, C. G., & Turcotte, J. G. (1964). Surgery and portal hypertension: Major Problems. Clinical Surgery, 1, 1–85.
Wesner, R., Lake, J. R., Freeman, R. B., & Gish, R. G. (2006). Model for end-stage liver disease (MELD) exception guidelines. Liver Transplantation, 12(suppl 3), 85–87.
Reichenheim, M. E., & Moraes, C. L. (2007). Operationalizing the cross-cultural adaptation of epidemiological measurement instruments. Revista de Saúde Pública, 41(4), 665–673.
Freeman, R. B. (2005). MELD and the quality of life. Liver Transplantation, 11(2), 218–223.
Wilson, J., & Cleary, P. (1995). Linking clinical variables with health related quality of life. JAMA, 273, 59–65.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mucci, S., de Albuquerque Citero, V., Gonzalez, A.M. et al. Validation of the Brazilian version of Chronic Liver Disease Questionnaire. Qual Life Res 22, 167–172 (2013). https://doi.org/10.1007/s11136-012-0138-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11136-012-0138-2