Evaluating the reliability and construct validity of the Eckardt symptom score as a measure of achalasia severity.
Tiffany H TaftDustin A CarlsonJ TriggsJ CraftK StarkeyR YadlapatiD GregoryJ E PandolfinoPublished in: Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society (2018)
The ESS demonstrates fair reliability and validity, with a single factor structure mostly explained by dysphagia. Based on psychometric findings, weight loss and chest pain items may be decreasing ESS reliability and validity. Further assessment of the ESS under FDA guidelines is warranted.