Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients
Abstract Objective To evaluate a simple and fast diagnostic instrument to be used by any health professional to track the disability presented by leprosy patients. Method Validation study of a diagnostic test performed in a sample of 156 leprosy patients to track functional disability through the...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2023-05-01
|
| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100101&tlng=pt |
| _version_ | 1797329597542432768 |
|---|---|
| author | Adriano Bastos Pinho Murilo Moraes de Freitas Cor Jesus Fernandes Fontes |
| author_facet | Adriano Bastos Pinho Murilo Moraes de Freitas Cor Jesus Fernandes Fontes |
| author_sort | Adriano Bastos Pinho |
| collection | DOAJ |
| description | Abstract Objective To evaluate a simple and fast diagnostic instrument to be used by any health professional to track the disability presented by leprosy patients. Method Validation study of a diagnostic test performed in a sample of 156 leprosy patients to track functional disability through the shortened disabilities of arm, shoulder, and hand (QuickDASH) questionnaire. The simplified neurological assessment proposed by the World Health Organization was used as a reference. A receiver operating characteristic (ROC) curve was constructed to determine the cutoff point of QuickDASH that best discriminated patients with functional disability caused by leprosy. Results We identified 86 (55.5%) patients with functional disability by simplified neurological evaluation. The performance of the QuickDASH instrument showed that, at a cut-off point of 30 points, the sensitivity and specificity were 72.1% and 68.1% (accuracy of 70.3%), respectively, to identify functional disability, with a positive predictive value of 73.8%. Conclusion The QuickDASH instrument showed good accuracy to track functional disability in leprosy patients, and it may be useful in clinical practice of primary and general outpatient care, with the goal of identifying patients who need specialized reference for the prevention and treatment of this condition. |
| first_indexed | 2024-03-08T07:07:48Z |
| format | Article |
| id | doaj.art-7f5a1844f23b43cfa939c29778395721 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:07:48Z |
| publishDate | 2023-05-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-7f5a1844f23b43cfa939c297783957212024-02-03T04:13:23ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-05-0158110110710.1055/s-0042-1742342Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy PatientsAdriano Bastos Pinhohttps://orcid.org/0000-0002-6501-9445Murilo Moraes de Freitashttps://orcid.org/0000-0002-7619-6121Cor Jesus Fernandes Fonteshttps://orcid.org/0000-0003-2756-0588Abstract Objective To evaluate a simple and fast diagnostic instrument to be used by any health professional to track the disability presented by leprosy patients. Method Validation study of a diagnostic test performed in a sample of 156 leprosy patients to track functional disability through the shortened disabilities of arm, shoulder, and hand (QuickDASH) questionnaire. The simplified neurological assessment proposed by the World Health Organization was used as a reference. A receiver operating characteristic (ROC) curve was constructed to determine the cutoff point of QuickDASH that best discriminated patients with functional disability caused by leprosy. Results We identified 86 (55.5%) patients with functional disability by simplified neurological evaluation. The performance of the QuickDASH instrument showed that, at a cut-off point of 30 points, the sensitivity and specificity were 72.1% and 68.1% (accuracy of 70.3%), respectively, to identify functional disability, with a positive predictive value of 73.8%. Conclusion The QuickDASH instrument showed good accuracy to track functional disability in leprosy patients, and it may be useful in clinical practice of primary and general outpatient care, with the goal of identifying patients who need specialized reference for the prevention and treatment of this condition.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100101&tlng=ptleprosybiomedical technologydisability evaluation |
| spellingShingle | Adriano Bastos Pinho Murilo Moraes de Freitas Cor Jesus Fernandes Fontes Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients Revista Brasileira de Ortopedia leprosy biomedical technology disability evaluation |
| title | Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients |
| title_full | Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients |
| title_fullStr | Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients |
| title_full_unstemmed | Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients |
| title_short | Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients |
| title_sort | validation of a simple instrument of fast application to track disability in leprosy patients |
| topic | leprosy biomedical technology disability evaluation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100101&tlng=pt |
| work_keys_str_mv | AT adrianobastospinho validationofasimpleinstrumentoffastapplicationtotrackdisabilityinleprosypatients AT murilomoraesdefreitas validationofasimpleinstrumentoffastapplicationtotrackdisabilityinleprosypatients AT corjesusfernandesfontes validationofasimpleinstrumentoffastapplicationtotrackdisabilityinleprosypatients |