Resumen
Contexto: dada la importancia de incorporar la calidad de vida durante la atención de los pacientes con enfermedad renal crónica (ERC), es necesario disponer de versiones traducidas y adaptadas transculturalmente de diferentes instrumentos diseñados para la medición de este constructo.
Objetivo: traducir y adaptar transculturalmente al español hablado en Colombia el instrumento Kidney Disease Questionnaire (KDQ), para medir la calidad de vida en pacientes con ERC en insuficiencia renal.
Metodología: el proceso se llevó a cabo siguiendo la metodología propuesta por la EORTC, que incluye traducciones directas, traducciones inversas y una prueba piloto llevada a cabo en un grupo de pacientes con diagnóstico de ERC en diálisis, atendidos en unidades renales de Baxter Renal Care Services®, en Bogotá, Colombia.
Resultados: en el proceso se identificaron (I) casos que requirieron de consenso para seleccionar la traducción que mejor conservaba el significado y la equivalencia semántica del instrumento, (II) diferencias en la sintaxis o uso de paráfrasis, (III) se consideró pertinente realizar algunos cambios mínimos en el uso o la disposición de preposiciones o artículos, con el fin de que los ítems y las opciones de respuesta se leyeran de una manera más natural. Los cambios más notorios fueron en los ítems 18, 19 y 21, en los que para una mejor compresión de la pregunta, se identificó la necesidad de agregar determinadas expresiones o palabras.
Conclusiones: se tiene disponible la versión traducida al español y adaptada culturalmente a la población colombiana del KDQ. El siguiente paso a fin de utilizar el instrumento en el país, es disponer de evidencia sobre sus propiedades clinimétricas.
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