Validation of the Saint George's Respiratory Questionnaire in Uganda

Brooks W. Morgan, Matthew R. Grigsby, Trishul Siddharthan, Robert Kalyesubula, Robert A Wise, John R. Hurst, Bruce Kirenga, William Checkley

Research output: Contribution to journalArticle

Abstract

Introduction Chronic obstructive pulmonary disease (COPD) will soon be the third leading global cause of death and is increasing rapidly in low/middle-income countries. There is a need for local validation of the Saint George's Respiratory Questionnaire (SGRQ), which can be used to identify those experiencing lifestyle impairment due to their breathing. Methods The SGRQ was professionally translated into Luganda and reviewed by our field staff and a local pulmonologist. Participants included a COPD-confirmed clinic sample and COPD-positive and negative members of the community who were enrolled in the Lung Function in Nakaseke and Kampala (LiNK) Study. SGRQs were assembled from all participants, while demographic and spirometry data were additionally collected from LiNK participants. Results In total, 103 questionnaires were included in analysis: 49 with COPD from clinic, 34 community COPD-negative and 20 community COPD-positive. SGRQ score varied by group: 53.5 for clinic, 34.4 for community COPD-positive and 4.1 for community COPD-negative (p<0.001). The cross-validated c statistic for SGRQ total score predicting COPD was 0.87 (95% CI 0.75 to 1.00). SGRQ total score was associated with COPD severity (forced expiratory volume in 1 s per cent of predicted), with an r coefficient of -0.60 (-0.75, -0.39). SGRQ score was associated with dyspnoea (OR 1.05/point; 1.01, 1.09) and cough (1.07; 1.03, 1.11). Conclusion Our Luganda language SGRQ accurately distinguishes between COPD-positive and negative community members in rural Uganda. Scores were correlated with COPD severity and were associated with odds of dyspnoea and cough. We find that it can be successfully used as a respiratory questionnaire for obstructed adults in Uganda.

Original languageEnglish (US)
Article numbere000276
JournalBMJ Open Respiratory Research
Volume5
Issue number1
DOIs
StatePublished - Jul 1 2018

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Uganda
Chronic Obstructive Pulmonary Disease
Cough
Dyspnea
Surveys and Questionnaires
Lung
Spirometry
Forced Expiratory Volume
Life Style
Cause of Death
Respiration
Language
Demography

Keywords

  • COPD epidemiology
  • respiratory measurement

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Validation of the Saint George's Respiratory Questionnaire in Uganda. / Morgan, Brooks W.; Grigsby, Matthew R.; Siddharthan, Trishul; Kalyesubula, Robert; Wise, Robert A; Hurst, John R.; Kirenga, Bruce; Checkley, William.

In: BMJ Open Respiratory Research, Vol. 5, No. 1, e000276, 01.07.2018.

Research output: Contribution to journalArticle

Morgan, BW, Grigsby, MR, Siddharthan, T, Kalyesubula, R, Wise, RA, Hurst, JR, Kirenga, B & Checkley, W 2018, 'Validation of the Saint George's Respiratory Questionnaire in Uganda', BMJ Open Respiratory Research, vol. 5, no. 1, e000276. https://doi.org/10.1136/bmjresp-2018-000276
Morgan, Brooks W. ; Grigsby, Matthew R. ; Siddharthan, Trishul ; Kalyesubula, Robert ; Wise, Robert A ; Hurst, John R. ; Kirenga, Bruce ; Checkley, William. / Validation of the Saint George's Respiratory Questionnaire in Uganda. In: BMJ Open Respiratory Research. 2018 ; Vol. 5, No. 1.
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AB - Introduction Chronic obstructive pulmonary disease (COPD) will soon be the third leading global cause of death and is increasing rapidly in low/middle-income countries. There is a need for local validation of the Saint George's Respiratory Questionnaire (SGRQ), which can be used to identify those experiencing lifestyle impairment due to their breathing. Methods The SGRQ was professionally translated into Luganda and reviewed by our field staff and a local pulmonologist. Participants included a COPD-confirmed clinic sample and COPD-positive and negative members of the community who were enrolled in the Lung Function in Nakaseke and Kampala (LiNK) Study. SGRQs were assembled from all participants, while demographic and spirometry data were additionally collected from LiNK participants. Results In total, 103 questionnaires were included in analysis: 49 with COPD from clinic, 34 community COPD-negative and 20 community COPD-positive. SGRQ score varied by group: 53.5 for clinic, 34.4 for community COPD-positive and 4.1 for community COPD-negative (p<0.001). The cross-validated c statistic for SGRQ total score predicting COPD was 0.87 (95% CI 0.75 to 1.00). SGRQ total score was associated with COPD severity (forced expiratory volume in 1 s per cent of predicted), with an r coefficient of -0.60 (-0.75, -0.39). SGRQ score was associated with dyspnoea (OR 1.05/point; 1.01, 1.09) and cough (1.07; 1.03, 1.11). Conclusion Our Luganda language SGRQ accurately distinguishes between COPD-positive and negative community members in rural Uganda. Scores were correlated with COPD severity and were associated with odds of dyspnoea and cough. We find that it can be successfully used as a respiratory questionnaire for obstructed adults in Uganda.

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