English version of the self-administered Fabry Pain Questionnaire for adult patients.


Journal

Orphanet journal of rare diseases
ISSN: 1750-1172
Titre abrégé: Orphanet J Rare Dis
Pays: England
ID NLM: 101266602

Informations de publication

Date de publication:
20 10 2020
Historique:
received: 20 06 2020
accepted: 13 10 2020
entrez: 21 10 2020
pubmed: 22 10 2020
medline: 22 6 2021
Statut: epublish

Résumé

Pain is an early symptom of Fabry disease (FD) and is characterized by a unique phenotype with mainly episodic acral and triggerable burning pain. Recently, we designed and validated the first pain questionnaire for adult FD patients in an interview and a self-administered version in German: the Würzburg Fabry Pain Questionnaire (FPQ). We now report the validation of the English version of the self-administered FPQ (enFPQ). After two forward-backward translations of the FPQ by native German and native English speakers, the enFPQ was applied at The Mark Holland Metabolic Unit, Manchester, UK for validation. Consecutive patients with genetically ascertained FD and current or previous FD pain underwent a face-to-face interview using the enFPQ. Two weeks later, patients filled in the self-administered enFPQ at home. The agreement between entries collected by supervised administration and self-administration of the enFPQ was assessed via Gwet's AC1-statistics (AC1) for nominal-scaled scores and intraclass correlation coefficient (ICC) for interval-scaled elements. Eighty-three FD patients underwent the face-to-face interview and 54 patients sent back a completed self-administered version of the enFPQ 2 weeks later. We found high agreement with a mean AC1-statistics of 0.725 for 55 items, and very high agreement with a mean ICC of 0.811 for 9 items. We provide the validated English version of the FPQ for self-administration in adult FD patients. The enFPQ collects detailed information on the individual FD pain phenotype and thus builds a solid basis for better pain classification and treatment in patients with FD.

Sections du résumé

BACKGROUND
Pain is an early symptom of Fabry disease (FD) and is characterized by a unique phenotype with mainly episodic acral and triggerable burning pain. Recently, we designed and validated the first pain questionnaire for adult FD patients in an interview and a self-administered version in German: the Würzburg Fabry Pain Questionnaire (FPQ). We now report the validation of the English version of the self-administered FPQ (enFPQ).
METHODS
After two forward-backward translations of the FPQ by native German and native English speakers, the enFPQ was applied at The Mark Holland Metabolic Unit, Manchester, UK for validation. Consecutive patients with genetically ascertained FD and current or previous FD pain underwent a face-to-face interview using the enFPQ. Two weeks later, patients filled in the self-administered enFPQ at home. The agreement between entries collected by supervised administration and self-administration of the enFPQ was assessed via Gwet's AC1-statistics (AC1) for nominal-scaled scores and intraclass correlation coefficient (ICC) for interval-scaled elements.
RESULTS
Eighty-three FD patients underwent the face-to-face interview and 54 patients sent back a completed self-administered version of the enFPQ 2 weeks later. We found high agreement with a mean AC1-statistics of 0.725 for 55 items, and very high agreement with a mean ICC of 0.811 for 9 items.
CONCLUSIONS
We provide the validated English version of the FPQ for self-administration in adult FD patients. The enFPQ collects detailed information on the individual FD pain phenotype and thus builds a solid basis for better pain classification and treatment in patients with FD.

Identifiants

pubmed: 33081835
doi: 10.1186/s13023-020-01580-9
pii: 10.1186/s13023-020-01580-9
pmc: PMC7576746
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

296

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Auteurs

Ana Jovanovic (A)

The Mark Holland Metabolic Unit, Manchester, UK.

Philipp Klassen (P)

Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Comprehensive Heart Failure Center, University of Würzburg, Würzburg, Germany.
Clinical Trial Center Würzburg, University Hospital Würzburg, Würzburg, Germany.

Peter Heuschmann (P)

Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Comprehensive Heart Failure Center, University of Würzburg, Würzburg, Germany.
Clinical Trial Center Würzburg, University Hospital Würzburg, Würzburg, Germany.

Claudia Sommer (C)

Department of Neurology, University of Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.
Würzburg Fabry Center for Interdisciplinary Therapy (FAZIT), University of Würzburg, Würzburg, Germany.

Mark Roberts (M)

The Mark Holland Metabolic Unit, Manchester, UK.

Nurcan Üçeyler (N)

Department of Neurology, University of Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany. ueceyler_n@ukw.de.
Würzburg Fabry Center for Interdisciplinary Therapy (FAZIT), University of Würzburg, Würzburg, Germany. ueceyler_n@ukw.de.

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