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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Periodicità: Bimestrale

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2014 Apr 12

Evaluation of self-administered versus interviewer-administered completion of Edinburgh claudication questionnaire

Bilgin B. BASGOZ 1, Ilker TASCI 2, Birol YILDIZ 3, Cengizhan ACIKEL 4, Hasan K. KABUL 5, Kenan SAGLAM 2

1 Department of Internal Medicine, Golcuk Military Hospital, Golcuk, Turkey; 2 Department of Internal Medicine, Gulhane School of Medicine, Ankara, Turkey; 3 Department of Medical Oncology, Gulhane School of Medicine, Ankara, Turkey; 4 Department of Biostatistics, Gulhane School of Medicine, Ankara, Turkey; 5 Department of Cardiology, Gulhane School of Medicine, Ankara, Turkey

BACKGROUND: To determine the impacts of different administration modes on sensitivity and specificity of Edinburg Claudication Questionnaire (ECQ) in estimation of Ankle Brachial Index (ABI) detected Lower Extremity Arterial Disease (LEAD).
METHODS: Eligible respondents aged 50 years or older underwent first a self-administered (SA-) ECQ, and then an interviewer-administered (IA-) ECQ. Interviewing included additional guidance on symptoms relevant to claudication. ABI was measured by hand-held Doppler.
RESULTS: A total of 177 respondents (age: 64.67±9.19, male/female: 80/97) were enrolled. Questions 1, 2, 3, and 5 (collectively defines claudication) were responded significantly different on SA-ECQ and IA-ECQ modes. Markings of pain on the figure of ECQ also changed significantly when the procedure was guided. Of the respondents, none on SA-ECQ and 13.6% on IA-ECQ with positive claudication had a low ABI. Subjects with higher formal education level did similar to the whole group in both modes. Sensitivity and specificity of IA-ECQ was calculated as 25% and 88.5%, respectively, for ABI detected LEAD.
CONCLUSIONS: Respondents’ perceptions on pain, discomfort, exertion or body regions described on ECQ may subject to errors without guidance. ECQ seems reliable in evaluating claudication when only specifically interviewed by an observer.

lingua: Inglese


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