Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.180096
Jornal Vascular Brasileiro
Original Article

Limitação do VEINES QOL/SYM em discriminar a gravidade da insuficiência venosa crônica

Limitations of VEINES QOL/SYM for discriminating chronic venous insufficiency severity

Giane Amorim Ribeiro-Samora; Maria Luiza Vieira Carvalho; Regina Márcia Faria de Moura; Danielle A. Gomes Pereira

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Resumo

Resumo: Contexto: O questionário Venous Insufficiency Epidemiological and Economic Study – Quality of Life/Symptom (VEINES-QOL/Sym) foi desenvolvido para avaliar a qualidade de vida dos indivíduos com insuficiência venosa crônica (IVC), mas ele tem se mostrado pouco sensível em discriminar indivíduos com diferentes gravidades da doença.

Objetivos: a) Propor uma nova forma de cálculo do escore do VEINES-QOL/Sym e avaliar se esse novo escore é capaz de discriminar a gravidade da doença; b) Avaliar a associação entre o VEINES-QOL/Sym e a gravidade da doença.

Métodos: Noventa e oito participantes com IVC, de ambos os sexos, idade 60,73 ± 14,11 anos, responderam o questionário VEINES-QOL/Sym, versão português do Brasil. Para o cálculo do novo escore, foi realizada uma transformação dos escores originais para uma escala de 0 a 100. Para verificar a capacidade dos escores do VEINES-QOL/Sym, originais e modificados, em discriminar e classificar corretamente os grupos caracterizados pela classificação clínica, etiológica, anatômica e patofisiológica (CEAP), foi realizada a análise discriminante, sendo considerado significante um alfa de 5%.

Resultados: Não houve diferença significativa entre os grupos classificados pela CEAP quanto aos escores originais e modificados do VEINES-QOL/Sym. A análise discriminante também não foi capaz de classificar corretamente os grupos CEAP, tanto para os escores originais quanto para os escores modificados do VEINES-QOL/Sym. Além disso, não houve associação entre a classificação CEAP e os escores obtidos pelo questionário.

Conclusões: O VEINES-QOL/Sym mostrou-se limitado para avaliar qualidade de vida e sintomatologia dos indivíduos com diferentes estágios de IVC.

Palavras-chave

doença crônica, venoso, qualidade de vida

Abstract

Abstract: Background: The Venous Insufficiency Epidemiological and Economic Study - Quality of Life/Symptoms (VEINES-QOL / Sym) questionnaire was developed to evaluate the quality of life of individuals with chronic venous insufficiency (CVI), but it has shown limited sensitivity for discriminating between people with different of disease severity.

Objectives: a) to propose a new formula for calculating the VEINES-QOL/Sym score and to evaluate whether this new score is capable of discriminating disease severity; and b) to evaluate the association between VEINES-QOL/Sym scores and disease severity.

Methods: Ninety-eight participants with CVI of both sexes, aged 60.73 ± 14.11 years, answered the Portuguese Brazilian version of the VEINES-QOL/Sym questionnaire. The new score was calculated by transforming the original scores to a 0 to 100 scale. Discriminant analysis was used to test the capability of the original and modified VEINES-QOL/Sym scores to discriminate between and correctly classify groups characterized by the clinical, etiological, anatomical and pathophysiological classification (CEAP). Alpha of 5% was defined as the cutoff for significance.

Results: There were no significant differences between CEAP groups in terms of the original or modified VEINES-QOL/Sym scores. Discriminant analysis was also unable to correctly classify CEAP groups, using either original or modified scores. Furthermore, there were no associations between CEAP classifications and scores obtained using the questionnaire.

Conclusions: The VEINES-QOL/Sym proved to have limitations for assessment of the quality of life and symptomatology of people with CVI at different stages.
 

Keywords

chronic diseases, venous, quality of life

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