The Peripheral Artery Questionnaire Validation Of The Portuguese Version.

João Rocha-Neves, André Ferreira, António Pereira-Neves, João Ferreira-Castro, Juliana Macedo, Ana Pinto, Joel Sousa, Marina Dias-Neto, José Teixeira
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Abstract

Peripheral Arterial Disease (PAD) is a prevalent condition that predisposes the patients to major cardiovascular events. The majority of patients are asymptomatic, however PAD has a great impact in the patients' lifestyle due to its chronic nature. The Peripheral Arterial Questionnaire (PAQ) is a validated tool to quantify the patients' subjective experience of the disease. The aim of this work is to validate the Portuguese version of PAQ. A retrospective study of 59 patients with aortoiliac disease Trans-Atlantic Inter Society Consensus (TASC) type D from two centers in Portugal was conducted. Only 36 patients were able to answer the PAQ and two Portuguese validated questionnaires - a disease-specific (Walk Impairment Questionnaire - WIQ) and a generic one (EuroQol 5 dimensions - 5 level EQ5D-5L). Con- vergent validity of the PAQ was evaluated by correlating the extracted PAQ subscales and Summary score with the WIQ subscales and summary score, as with EQ5D-5L Summary score and EQ5D-5L index by calculating the covariance. The Portuguese version of the peripheral artery questionnaire presented a Cronbach's α for the Summary scale of 0.913. Mean inter-item correlation for the Physical Function domain was 0.471, 0.551 for the Perceived Disability, and 0.464 for Treat- ment Satisfaction. In summary, the Portuguese version of PAQ demonstrated a good level of discrimination between patients with or without symptomatic PAD and its severity and was sensitive to the presence of risk-factors relevant for PAD.

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葡萄牙语版外周动脉问卷验证。
外周动脉疾病(PAD)是一种常见的疾病,使患者易发生重大心血管事件。大多数患者无症状,但由于其慢性性质,对患者的生活方式有很大影响。外周动脉问卷(PAQ)是一种有效的工具,可以量化患者对疾病的主观体验。这项工作的目的是验证PAQ的葡萄牙语版本。回顾性研究来自葡萄牙两个中心的59例主动脉髂疾病跨大西洋社会共识(TASC) D型患者。只有36名患者能够回答PAQ和两份葡萄牙验证问卷-一份疾病特异性(步行障碍问卷- WIQ)和一份通用问卷(EuroQol 5维度-5级EQ5D-5L)。通过将提取的PAQ子量表和总结得分与WIQ子量表和总结得分相关联,通过计算协方差将提取的PAQ子量表和总结得分与EQ5D-5L总结得分和EQ5D-5L指标相关联,评估PAQ的收敛效度。葡萄牙语版外周动脉问卷的Cronbach's α综合评分为0.913。生理功能领域的平均项目间相关系数为0.471,感知残疾为0.551,治疗满意度为0.464。总之,葡萄牙语版PAQ对有或无症状性PAD及其严重程度的患者有很好的区分,对PAD相关危险因素的存在很敏感。
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