Reliability of the DSS-Swe Questionnaire

BACKGROUND: Symptomatic postbariatric hypoglycemia (PBH) is a known complication that can occur a few years after Roux-en-Y gastric bypass (RYGB). There is currently no established rating scale for PBH-associated symptoms developed for use in Swedish populations. The aim of the study was to translate an already existing questionnaire into Swedish and to test its reliability. METHODS: The study included forward and backward translations of the original Dumping Severity Scale (DSS) questionnaire with 8 items regarding symptoms of early dumping and 6 items regarding hypoglycemia, with each item graded on a 4-point Likert scale. The reliability of the Swedish translated questionnaire (DSS-Swe) was estimated using internal consistency and test–retest methods. RESULTS: A total of 200 patients were included in the study. Good internal consistency was demonstrated regarding the items related to early dumping symptoms, with a Cronbach’s alpha coefficient of 0.82, and very good agreement in terms of test–retest reliability, with an overall intraclass correlation coefficient (ICC) of 0.91 (95% CI 0.88–0.93). The items related to hypoglycemia yielded a good Cronbach’s alpha coefficient of 0.76 and an ICC of 0.89 (95% CI 0.85–0.91). CONCLUSION: The DSS-Swe questionnaire shows good reliability regarding both internal consistency and test–retest performance for use in Swedish populations. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-023-06841-7.