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TRANSCULTURAL ADAPTATION OF THE EULAR ACTIVITY INDEX FOR PRIMARY SJÖGREN’S SYNDROME IN ARGENTINE

ANASTASİA SECCO, LUCİLA MARİNO, NATALİA HERSCOVİCH, PEDRO AİCARDİ, LORENA TECHERA, LORENA TAKASHİMA, MARÍA LİDA SANTİAGO, FELİX ROMANİNİ, MARTA MAMANİ, ANTONİO C CATALÁN PELLET

European Journal of Rheumatology - 2020;7(1):16-20

Division of Rheumatology, Hospital Bernardino Rivadavia, CABA, Argentina

 

Objective: To adapt the EULAR Activity Index for primary Sjögren’s syndrome (ESSDAI) to the Argentine population. Methods: observational, cross- sectional study that included patients in a period of ten months. Three Argentine rheumatologists adapted and translated to Spanish the original version in English and the final version was translated back into English by a research associate whose mother language was English. In order to estimate the constructive validity of the index, the visual analogous scale (VAS) of disease activity was used by experts. A subgroup of patients attended a second visit in order to evaluate test–retest reliability. Results: 51 patients were included, 49 (96.1%) were female, the median age was 58 ((interquartile range (IQR): 49-69)). The median global VAS was 10 (IQR: 4-22.25) and the median total ESSDAI score was 5 (IQR: 3-9). The correlation between the global VAS and the total ESSDAI score of the scale was 0.79. The intraclass correlation coefficient was 0.67 (95% CI: 0.32- 0.92) for the total score and 0.98 (95% CI: 0.92- 0.995) for the global VAS. The results of the correlation coefficient between the VAS and the scale for each domain were: constitutional symptoms: 0.46; lymphadenopathy: 0.76; glandular: 0.78; joint: 0.61; skin: 1; respiratory: 0.83; renal: 1; muscular:- (no patient had myositis); peripheral nervous system: 0.72; central nervous system: 0.67; hematological: 0.96; biomarkers: 0.86. Conclusion: The results of this study showed that the ESSDAI is a reliable and valid index for this pSS argentinian population.