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Development of an Arabic version of the Behçet’s Disease Current Activity Form (Ar-BDCAF): cross-cultural adaptation and validation initiative in Egypt

Background Behçet’s disease (BD), commonly seen in the Silk road countries, is a variable vessel vasculitis with no specific investigation that reflects disease activity. The Behçet’s Disease Current Activity Form (BDCAF) is the most famous and acceptable clinical activity score. Purpose To develop... Full description

Journal Title: Clinical rheumatology 2021-06-25, Vol.40 (11), p.4609-4618
Main Author: Gheita, Tamer A
Other Authors: Fathi, Hanan M , Eesa, Nahla N , El-Shebini, Emad , Tharwat, Samar , Hammam, Nevin , Fawzy, Rasha M , El-Shereef, Rawhya R , Abd El-Samea, Mona H , Abdel Noor, Rasha A , Salem, Mohamed N
Format: Electronic Article Electronic Article
Language: English
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Publisher: Cham: Springer International Publishing
ID: ISSN: 0770-3198
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title: Development of an Arabic version of the Behçet’s Disease Current Activity Form (Ar-BDCAF): cross-cultural adaptation and validation initiative in Egypt
format: Article
creator:
  • Gheita, Tamer A
  • Fathi, Hanan M
  • Eesa, Nahla N
  • El-Shebini, Emad
  • Tharwat, Samar
  • Hammam, Nevin
  • Fawzy, Rasha M
  • El-Shereef, Rawhya R
  • Abd El-Samea, Mona H
  • Abdel Noor, Rasha A
  • Salem, Mohamed N
subjects:
  • Adaptations
  • Arabic language
  • Behcet's syndrome
  • Language
  • Medicine
  • Medicine & Public Health
  • Original Article
  • Patients
  • Rheumatology
  • Vasculitis
ispartof: Clinical rheumatology, 2021-06-25, Vol.40 (11), p.4609-4618
description: Background Behçet’s disease (BD), commonly seen in the Silk road countries, is a variable vessel vasculitis with no specific investigation that reflects disease activity. The Behçet’s Disease Current Activity Form (BDCAF) is the most famous and acceptable clinical activity score. Purpose To develop a cross-cultural adaptation of the BDCAF to the Arabic language (Ar-BDCAF)—Egyptian dialect—across the country and to consider preliminary evaluation of its reliability in assessment of BD activity. Patients and methods The score was translated to Arabic language and revised by 3 rheumatology consultants. Reliability of Ar-BDCAF was tested among 88 BD patients from 9 Egyptian main city centers. Patients were questioned by two specialists at 30 min interval to evaluate inter-observer rating and twice by the same physician within 24 h to assess the intra-observer rating. Results Patients were 64 males and 24 females (2.7:1) with a mean age of 35 ± 10.3 years. The average time required by the consultant to fill in the form was 5.1 ± 2.2 min (1.5–15 min). The mean Ar-BDCAF scores were 9.81 ± 6.22 (0–25) and 9.53 ± 6.13 (0–28) with an intra-observer concordance ( p  = 0.28) and was 9.95 ± 6.47 (0–29) for the inter-observer rating ( p  = 0.89 and p  = 0.66, respectively). Conclusion The Ar-BDCAF is a measurable, easy to calculate, and reliable index for assessing disease activity in Egyptian BD. The Ar-BDCAF score can be used in daily clinical practice to assess BD activity and its use can be extended to other Arab countries for possible regional validation and adaptations. Key Points • The Arabic version of the BDCAF can be extended to other Arab countries for development of a Pan-Arab score. • This is the first study to provide a reliable and valid Arabic version of the BDCAF-Egyptian dialect for measuring current disease activity in BD patients.
language: eng
source:
identifier: ISSN: 0770-3198
fulltext: no_fulltext
issn:
  • 0770-3198
  • 1434-9949
url: Link


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titleDevelopment of an Arabic version of the Behçet’s Disease Current Activity Form (Ar-BDCAF): cross-cultural adaptation and validation initiative in Egypt
creatorGheita, Tamer A ; Fathi, Hanan M ; Eesa, Nahla N ; El-Shebini, Emad ; Tharwat, Samar ; Hammam, Nevin ; Fawzy, Rasha M ; El-Shereef, Rawhya R ; Abd El-Samea, Mona H ; Abdel Noor, Rasha A ; Salem, Mohamed N
creatorcontribGheita, Tamer A ; Fathi, Hanan M ; Eesa, Nahla N ; El-Shebini, Emad ; Tharwat, Samar ; Hammam, Nevin ; Fawzy, Rasha M ; El-Shereef, Rawhya R ; Abd El-Samea, Mona H ; Abdel Noor, Rasha A ; Salem, Mohamed N ; on behalf of the Egyptian College of Rheumatology Study Group
descriptionBackground Behçet’s disease (BD), commonly seen in the Silk road countries, is a variable vessel vasculitis with no specific investigation that reflects disease activity. The Behçet’s Disease Current Activity Form (BDCAF) is the most famous and acceptable clinical activity score. Purpose To develop a cross-cultural adaptation of the BDCAF to the Arabic language (Ar-BDCAF)—Egyptian dialect—across the country and to consider preliminary evaluation of its reliability in assessment of BD activity. Patients and methods The score was translated to Arabic language and revised by 3 rheumatology consultants. Reliability of Ar-BDCAF was tested among 88 BD patients from 9 Egyptian main city centers. Patients were questioned by two specialists at 30 min interval to evaluate inter-observer rating and twice by the same physician within 24 h to assess the intra-observer rating. Results Patients were 64 males and 24 females (2.7:1) with a mean age of 35 ± 10.3 years. The average time required by the consultant to fill in the form was 5.1 ± 2.2 min (1.5–15 min). The mean Ar-BDCAF scores were 9.81 ± 6.22 (0–25) and 9.53 ± 6.13 (0–28) with an intra-observer concordance ( p  = 0.28) and was 9.95 ± 6.47 (0–29) for the inter-observer rating ( p  = 0.89 and p  = 0.66, respectively). Conclusion The Ar-BDCAF is a measurable, easy to calculate, and reliable index for assessing disease activity in Egyptian BD. The Ar-BDCAF score can be used in daily clinical practice to assess BD activity and its use can be extended to other Arab countries for possible regional validation and adaptations. Key Points • The Arabic version of the BDCAF can be extended to other Arab countries for development of a Pan-Arab score. • This is the first study to provide a reliable and valid Arabic version of the BDCAF-Egyptian dialect for measuring current disease activity in BD patients.
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subjectAdaptations ; Arabic language ; Behcet's syndrome ; Language ; Medicine ; Medicine & Public Health ; Original Article ; Patients ; Rheumatology ; Vasculitis
ispartofClinical rheumatology, 2021-06-25, Vol.40 (11), p.4609-4618
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0International League of Associations for Rheumatology (ILAR) 2021
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7El-Shereef, Rawhya R
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descriptionBackground Behçet’s disease (BD), commonly seen in the Silk road countries, is a variable vessel vasculitis with no specific investigation that reflects disease activity. The Behçet’s Disease Current Activity Form (BDCAF) is the most famous and acceptable clinical activity score. Purpose To develop a cross-cultural adaptation of the BDCAF to the Arabic language (Ar-BDCAF)—Egyptian dialect—across the country and to consider preliminary evaluation of its reliability in assessment of BD activity. Patients and methods The score was translated to Arabic language and revised by 3 rheumatology consultants. Reliability of Ar-BDCAF was tested among 88 BD patients from 9 Egyptian main city centers. Patients were questioned by two specialists at 30 min interval to evaluate inter-observer rating and twice by the same physician within 24 h to assess the intra-observer rating. Results Patients were 64 males and 24 females (2.7:1) with a mean age of 35 ± 10.3 years. The average time required by the consultant to fill in the form was 5.1 ± 2.2 min (1.5–15 min). The mean Ar-BDCAF scores were 9.81 ± 6.22 (0–25) and 9.53 ± 6.13 (0–28) with an intra-observer concordance ( p  = 0.28) and was 9.95 ± 6.47 (0–29) for the inter-observer rating ( p  = 0.89 and p  = 0.66, respectively). Conclusion The Ar-BDCAF is a measurable, easy to calculate, and reliable index for assessing disease activity in Egyptian BD. The Ar-BDCAF score can be used in daily clinical practice to assess BD activity and its use can be extended to other Arab countries for possible regional validation and adaptations. Key Points • The Arabic version of the BDCAF can be extended to other Arab countries for development of a Pan-Arab score. • This is the first study to provide a reliable and valid Arabic version of the BDCAF-Egyptian dialect for measuring current disease activity in BD patients.
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titleDevelopment of an Arabic version of the Behçet’s Disease Current Activity Form (Ar-BDCAF): cross-cultural adaptation and validation initiative in Egypt
authorGheita, Tamer A ; Fathi, Hanan M ; Eesa, Nahla N ; El-Shebini, Emad ; Tharwat, Samar ; Hammam, Nevin ; Fawzy, Rasha M ; El-Shereef, Rawhya R ; Abd El-Samea, Mona H ; Abdel Noor, Rasha A ; Salem, Mohamed N
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abstractBackground Behçet’s disease (BD), commonly seen in the Silk road countries, is a variable vessel vasculitis with no specific investigation that reflects disease activity. The Behçet’s Disease Current Activity Form (BDCAF) is the most famous and acceptable clinical activity score. Purpose To develop a cross-cultural adaptation of the BDCAF to the Arabic language (Ar-BDCAF)—Egyptian dialect—across the country and to consider preliminary evaluation of its reliability in assessment of BD activity. Patients and methods The score was translated to Arabic language and revised by 3 rheumatology consultants. Reliability of Ar-BDCAF was tested among 88 BD patients from 9 Egyptian main city centers. Patients were questioned by two specialists at 30 min interval to evaluate inter-observer rating and twice by the same physician within 24 h to assess the intra-observer rating. Results Patients were 64 males and 24 females (2.7:1) with a mean age of 35 ± 10.3 years. The average time required by the consultant to fill in the form was 5.1 ± 2.2 min (1.5–15 min). The mean Ar-BDCAF scores were 9.81 ± 6.22 (0–25) and 9.53 ± 6.13 (0–28) with an intra-observer concordance ( p  = 0.28) and was 9.95 ± 6.47 (0–29) for the inter-observer rating ( p  = 0.89 and p  = 0.66, respectively). Conclusion The Ar-BDCAF is a measurable, easy to calculate, and reliable index for assessing disease activity in Egyptian BD. The Ar-BDCAF score can be used in daily clinical practice to assess BD activity and its use can be extended to other Arab countries for possible regional validation and adaptations. Key Points • The Arabic version of the BDCAF can be extended to other Arab countries for development of a Pan-Arab score. • This is the first study to provide a reliable and valid Arabic version of the BDCAF-Egyptian dialect for measuring current disease activity in BD patients.
copCham
pubSpringer International Publishing
doi10.1007/s10067-021-05817-1
orcididhttps://orcid.org/0000-0002-1155-9729