Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.200114
Jornal Vascular Brasileiro
Original Article

Criação de questionário e modelo de rastreamento de lipedema

Development of a questionnaire and screening model for lipedema

Alexandre Campos Moraes Amato; Fernando Campos Moraes Amato; Daniel Augusto Benitti; Lorena Guimarães Lima Amato

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Resumo

Resumo: Contexto: O lipedema é muito subdiagnosticado e faltam ferramentas auxiliares diagnósticas de baixo custo. Baseado em um questionário de avaliação sintomática, criamos e validamos um questionário de rastreamento do lipedema.

Objetivos: Os objetivos do trabalho foram a identificação de perguntas clínicas relevantes, a elaboração de questionário de rastreamento e a criação de modelo de predição do lipedema.

Métodos: Um questionário simplificado foi criado e aplicado em um grupo de pacientes com e sem lipedema, sendo avaliada a probabilidade de acerto no diagnóstico.

Resultados: Os 109 pacientes que responderam ao questionário eram do sexo feminino e as questões foram compreendidas. O modelo preditivo com perguntas individuais mostrou excelente probabilidade de acerto, de 91,2%, e o modelo preditivo com somatória de pontos também teve boa probabilidade de acerto, de 86,15%.

Conclusões: O questionário de rastreamento do lipedema é um instrumento prático, de fácil e rápida aplicação, que pode ser utilizado em nossa população para a identificação de possíveis pacientes com lipedema, aumentando o nível de suspeição no momento da anamnese e exame físico.

Palavras-chave

questionários, lipedema, obesidade, linfedema

Abstract

Background: Lipedema is greatly underdiagnosed and there is a lack of low-cost tools to facilitate diagnostic. We created a lipedema screening questionnaire based on a questionnaire for assessing symptoms. Objectives: The study objectives were to identify relevant clinical questions, develop a screening questionnaire, and construct a model for predicting lipedema. Method: A simplified questionnaire was constructed and administered to a sample of patients with and without lipedema and then the probability of correct diagnosis was analyzed. Results: All 109 patients who answered the questionnaire were female and all of them understood the questions. A predictive model using individual question scores achieved an excellent probability of correct diagnosis, at 91.2%, and a predictive model based on total score also achieved a good probability of correct diagnosis, at 86.15%. Conclusions: The lipedema screening questionnaire is a practical instrument that is quick and easy to administer and can be used with our population for identification of possible lipedema patients, raising the level of suspicion when taking a patient’s history and conducting a physical examination.

Keywords

questionnaires; lipedema; obesity; lymphedema

References

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Submitted date:
06/27/2020

Accepted date:
08/06/2020

5fcf79c30e88259f584ac228 jvb Articles

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