Evidence map›Paper›PMID 41804412›Full record

ArticleCureus2026

Translation and Cultural Adaptation of the PedsQL Neurofibromatosis Module, Version 3.0, Into Brazilian Portuguese.

Marília Oliveira Machado, Fernanda T de Lima, Amanda S do Nascimento, Nasjla S Saba, Andrea M Capellano, Eliana Monteiro Caran

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marília Oliveira MachadoPediatric Oncology, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.
Fernanda T de LimaGenetics, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.
Amanda S do NascimentoPediatric Oncology, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.
Nasjla S SabaPediatric Oncology, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.
Andrea M CapellanoPediatric Oncology, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.
Eliana Monteiro CaranPediatric Oncology, GRAACC, Universidade Federal de São Paulo (UNIFESP), São Paulo, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurofibromatosis type 1 (NF1) is a prevalent genetic disorder for which no pharmacological treatment is currently available. It affects approximately 1 in 3,000 live births, with an estimated 80,000 individuals living with the condition in Brazil. Benign tumors, such as plexiform neurofibromas, can substantially impair both physical function and appearance. Additionally, patients can present behavioral and cognitive challenges, including language impairments, learning disabilities, hyperactivity, autism spectrum symptoms, and depression. The quality of life of affected individuals is largely influenced by clinical, psychological, and social factors. Quality-of-life assessment cannot rely solely on clinical observation; it requires direct input from patients and their families. Validated instruments, such as the PedsQL NF1 Module, are essential to objectively capture these perspectives.

objectiveTo translate and culturally adapt the

methodsThe study followed four phases: (1) translation into Portuguese; (2) back-translation into English; (3) expert review by physicians and nurses from multiple regions of Brazil; and (4) pilot testing with NF1 patients. Expert evaluation included the Content Validity Index (CVI) and Kappa coefficient to assess agreement and reliability.

resultsThe PedsQL NF1 Module was successfully translated and culturally adapted for Brazilian patients aged 5-25 years. The results showed satisfactory CVI (0.75) and Kappa (0.6) values. Minor adjustments were made to the caregiver version to improve comprehension, e.g., replacing

conclusionsThe translation, cultural adaptation, and pre-testing of the PedsQL NF1 Module were successfully completed. The instrument demonstrated acceptable content validity and inter-rater agreement, supporting its applicability for Brazilian patients and caregivers.

Indexed as

child and adolescentneurofibromatosis type 1peds qlquality of life (qol)young adults

Identifiers

PMID41804412
PMCPMC12967580

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.