Department of Otorhinolaryngology, Prof. Dr. Cemil Tascioglu City Hospital, Kaptanpaşa Mah. Darülaceze Cad. No:25, Sağlık Bilimleri Üniversitesi, Prof. Dr. Cemil Taşcıoğlu Şehir Hastanesi, KBB Kliniği Kat:6 Blok:5, Okmeydanı, Şişli, 34384, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Prof. Dr. Cemil Tascioglu City Hospital, Kaptanpaşa Mah. Darülaceze Cad. No:25, Sağlık Bilimleri Üniversitesi, Prof. Dr. Cemil Taşcıoğlu Şehir Hastanesi, FTR Kliniği Kat:6 Blok:1, Okmeydanı, Şişli, 34384, Istanbul, Turkey.
Dysphagia. 2022 Jun;37(3):655-663. doi: 10.1007/s00455-021-10316-1. Epub 2021 May 22.
This study aimed to assess the validity and reliability of the Turkish translation of the Yale pharyngeal residue severity rating scale. The scale measures the severity of residue in the vallecula and pyriform sinus. The original scale was translated into Turkish by two bilingual English-Turkish translators, and the Turkish version was translated back into English by two qualified professional translators to assess accuracy. The evaluators were divided into two groups (training and no-training) and two subgroups according to their experience. Intra-rater, inter-rater, and intra-class correlation coefficient measurements were analyzed by calculating agreement rates, kappa, and p values. In the analysis of the reliability, intra-class correlation coefficient values in the overall ratings for both the vallecula and the pyriform sinus were 0.9996 (95% CI 0.9992-0.9998) and 0.9997 (95% CI 0.9995-0.9999), respectively (p < 0.01). High agreement (> 95%) and perfect Fleiss kappa values were obtained for the vallecula and pyriform sinus ratings in the inter-rater initial assessments (κ = 0.959 and κ = 0.967, respectively). Perfect kappa values were found in the intra-rater results for both the vallecula and pyriform sinus (α = 0.9959 and κ = 0.9959, respectively). In the inter-rater secondary analysis, the vallecula and pyriform sinus kappa values were perfect (κ = 0.959 and κ = 0.967, respectively). In the intra-rater analysis, perfect kappa values were obtained for the vallecula and pyriform sinus in the no-training group and less-experience subgroup (κ = 0.9918 and κ = 1.0 for the vallecula, and κ = 1.0 and κ = 0.9902 for the pyriform sinus, respectively) In the inter-rater analysis, perfect kappa values were obtained for the vallecula and pyriform sinus in the no-training group and less-experience subgroup (κ = 0.9507 and κ = 0.9606 for the vallecula, and κ = 0.9836 and κ = 1.0 for the pyriform sinus, respectively). The Turkish translation of the Yale pharyngeal residue severity rating scale demonstrated high validity and reliability scores in determining pharyngeal residue location and value in the fiberoptic endoscopic evaluation of swallowing.
本研究旨在评估耶鲁咽后残留物严重程度评分量表的土耳其语翻译的有效性和可靠性。该量表用于评估会厌谷和梨状窝的残留物严重程度。该量表由两名双语英语-土耳其语翻译员翻译成土耳其语，然后由两名合格的专业翻译员将土耳其语版本翻译回英语，以评估准确性。评估员根据经验分为两组（培训组和非培训组）和两个亚组。通过计算一致性率、kappa 和 p 值，对组内、组间和组内相关性系数进行分析。在可靠性分析中，会厌谷和梨状窝的整体评分的组内相关系数值分别为 0.9996（95%CI 0.9992-0.9998）和 0.9997（95%CI 0.9995-0.9999）（p<0.01）。在初次组间评估中，会厌谷和梨状窝的评分得到了高一致性（>95%）和完美的 Fleiss kappa 值（κ=0.959 和 κ=0.967）。在会厌谷和梨状窝的组内结果中，kappa 值均为完美（α=0.9959 和 κ=0.9959）。在二次组间分析中，会厌谷和梨状窝的 kappa 值为完美（κ=0.959 和 κ=0.967）。在组内分析中，在无培训组和经验较少亚组中，会厌谷和梨状窝的 kappa 值均为完美（κ=0.9918 和 κ=1.0 用于会厌谷，κ=1.0 和 κ=0.9902 用于梨状窝）。在二次组间分析中，在无培训组和经验较少亚组中，会厌谷和梨状窝的 kappa 值均为完美（κ=0.9507 和 κ=0.9606 用于会厌谷，κ=0.9836 和 κ=1.0 用于梨状窝）。耶鲁咽后残留物严重程度评分量表的土耳其语翻译在确定纤维内镜吞咽评估中的咽后残留物位置和价值方面具有较高的有效性和可靠性评分。
