PMID- 22037524
OWN - NLM
STAT- MEDLINE
DCOM- 20120907
LR  - 20220331
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 37
IP  - 11
DP  - 2012 May 15
TI  - The Dysphagia Short Questionnaire: an instrument for evaluation of dysphagia: a 
      validation study with 12 months' follow-up after anterior cervical spine surgery.
PG  - 996-1002
LID - 10.1097/BRS.0b013e31823a7a5b [doi]
AB  - STUDY DESIGN: Prospective clinical validation study of questionnaire to assess 
      dysphagia. OBJECTIVE: To test validity and reliability of Dysphagia Short 
      Questionnaire (DSQ), and also to determine levels of dysphagia over time after 
      anterior cervical spine surgery (ACSS). SUMMARY OF BACKGROUND DATA: Dysphagia is 
      common after ACSS but reports on the incidence vary widely between 1% and 79%, 
      indicating an evaluation problem. Several tools for evaluation of dysphagia exist 
      but common features are that they are cumbersome to use and usually are designed 
      for patients with neurological or malignant diseases in the neck region. Others 
      are not validated, for example, the Bazaz score. There is, thus, a need for a 
      more adapted tool to evaluate dysphagia in patients undergoing ACSS. METHODS: The 
      DSQ was constructed in collaboration with a group of ear-nose-and-throat 
      specialists. In a first validation study, 45 patients with stationary dysphagia 
      for various reasons completed the DSQ twice 2 weeks apart, the M.D. Anderson 
      Dysphagia Inventory (MDADI), the Bazaz score, and a quality-of-life score, the 
      EQ-5D. To evaluate the utility of the DSQ, a second validation study was 
      performed, where 111 subjects undergoing ACSS for degenerative disk disease 
      completed the form preoperatively and at 4 weeks, 3 months, and 1 year after 
      surgery. RESULTS: In the first study, the DSQ correlated to MDADI (r = 0.59) and 
      showed good reproducibility. The Bazaz score did not correlate to the DSQ, the 
      MDADI, or the EQ-5 D. In the second study, dysphagia was present in a few 
      patients already preoperatively. At 4 weeks, 85% of the patients reported 
      dysphagia. The level had dropped significantly at 3 months and had returned to 
      baseline levels at 1 year. CONCLUSION: We consider the DSQ to be a validated tool 
      for the assessment of dysphagia in ACSS patients. Dysphagia after ACSS for 
      cervical spondylosis is common but the symptoms on a group level are not very 
      severe and are also temporary.
FAU - Skeppholm, Martin
AU  - Skeppholm M
AD  - Karolinska Institutet, Stockholm Spine Center, Lowenstromska Hospital, Upplands 
      Vasby, Stockholm, Sweden. Martin.Skeppholm@spinecenter.se
FAU - Ingebro, Catarina
AU  - Ingebro C
FAU - Engstrom, Therese
AU  - Engstrom T
FAU - Olerud, Claes
AU  - Olerud C
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Adult
MH  - Cervical Vertebrae/*surgery
MH  - Deglutition Disorders/*diagnosis/etiology/psychology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures/adverse effects/methods
MH  - Postoperative Complications/*diagnosis/etiology/psychology
MH  - Prospective Studies
MH  - Quality of Life
MH  - Reproducibility of Results
MH  - Spondylosis/surgery
MH  - Surveys and Questionnaires/*standards
EDAT- 2011/11/01 06:00
MHDA- 2012/09/08 06:00
CRDT- 2011/11/01 06:00
PHST- 2011/11/01 06:00 [entrez]
PHST- 2011/11/01 06:00 [pubmed]
PHST- 2012/09/08 06:00 [medline]
AID - 10.1097/BRS.0b013e31823a7a5b [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2012 May 15;37(11):996-1002. doi: 
      10.1097/BRS.0b013e31823a7a5b.