Validation and Application of the M.D. Anderson Dysphagia Inventory in Patients Treated for Head and Neck Cancer in Brazil
- 998 Downloads
Analysis of quality of life (QOL) has revealed that preservation of swallowing, speech, and breathing functions has a direct impact on QOL and that these functions are important patient-reported outcomes. The purposes of this study were to adapt and culturally validate the M.D. Anderson Dysphagia Inventory (MDADI) to the Brazilian Portuguese language and to evaluate QOL related to dysphagia in patients treated for head and neck cancer. This was a cross-sectional study that included 72 adult patients with a mean age of 63 years who were treated for head and neck cancer. Construct validity and reliability analyses were performed through the comparison of the MDADI with three other health-related QOL questionnaires administered at the time of enrollment and MDADI application 2 weeks thereafter, respectively. Reliability was established by assuring both internal consistency (Cronbach’s α) and test–retest reliability (intraclass correlation coefficient, ICC). Test–retest reliability for the total score in the MDADI had an ICC greater than 0.795 (p < 0.001). The MDADI had significant statistical correlations with the other questionnaires. Patients treated for head and neck cancer had a mean total score of 83 on the MDADI, which is indicative of minimal limitation in overall QOL. In conclusion, the present study validates the adaptation of the MDADI to the Brazilian Portuguese language and provides another tool to evaluate the impact of dysphagia on the QOL of head and neck cancer patients.
KeywordsQuality of life Deglutition Deglutition disorders Head and neck neoplasms Questionnaires
R. L. V. Guedes thanks CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) for financial support.
Conflict of interest
The authors declare that they have no conflicts of interest or financial ties to disclose.
- 5.Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6.PubMedGoogle Scholar
- 7.Ministério da Saúde. Instituto Nacional de Câncer. Estimativa/2010 incidência de câncer no Brasil. Rio de Janeiro: INCA; 2010.Google Scholar
- 15.Portas JG. Validação para a língua portuguesa–brasileira dos questionários: qualidade de vida em disfagia (SWAL-QOL) e satisfação do paciente e qualidade do cuidado no tratamento da disfagia (SWALCARE). São Paulo: Dissertação de Mestrado-Fundação Antônio Prudente; 2009.Google Scholar
- 18.Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 2nd ed. Oxford: Oxford University Press; 1989.Google Scholar
- 25.Menezes PR, Nascimento AF. Validade e confiabilidade das escalas de avaliação em psiquiatria. In: Gorenstein C, Andrade LHSG, Zuardi AW (organizadores). Escalas de avaliação clínica em Psiquiatria e psicofarmacologia. São Paulo: Lemos Editorial; 2000. p. 23–8.Google Scholar
- 26.Schindler A, Borghi E, Tiddia C, Ginocchio D, Felisati G, Ottaviani F. Adaptation and validation of the Italian MD Anderson dysphagia inventory (MDADI). Rev Laryngol Otol Rhinol. 2008;129:97–100.Google Scholar
- 32.Carrara-de Angelis E, Mourão LF, Furia CLB. Avaliação e tratamento das disfagias após o tratamento do câncer de cabeça e pescoço. In: Carrara-de Angelis E, Furia CLB, Mourão LF, Kowalski LP, editors. A atuação da fonoaudiologia no câncer de cabeça e pescoço. São Paulo: Editora Lovise, 2000; p. 155–62.Google Scholar
- 33.Logemann JA, Rademaker AW, Pauloski BR, Lazarus CL, Mittal BB, Brockstein B, MacCracken E, Haraf DJ, Vokes EE, Newman LA, Liu D. Site of disease and treatment protocol as correlates of swallowing function in patients with head and neck cancer treated with chemoradiation. Head Neck. 2006;28:64–73.PubMedCrossRefGoogle Scholar
- 34.Teguh DN, Levendang PC, Noever I, van Rooij P, Voet P, van der Est H, Sipkema D, Sewnaik A, de Jong RJB, de la Bije D, Schmitz PI. Treatment techniques and site considerations regarding dysphagia-related quality of life in cancer of the oropharynx and nasopharynx. Int J Radiat Oncol Biol Phys. 2008;72:1119–27.PubMedCrossRefGoogle Scholar