Pinho Adriano Bastos, Freitas Murilo Moraes de, Fontes Cor Jesus Fernandes
Hospital Universitário Júlio Müller da Universidade Federal de Mato Grosso, Cuiabá, MT, Brasil.
Rev Bras Ortop (Sao Paulo). 2022 Jun 27;58(1):101-107. doi: 10.1055/s-0042-1742342. eCollection 2023 Feb.
To evaluate a simple and fast diagnostic instrument to be used by any health professional to track the disability presented by leprosy patients. 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. 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%. 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.
评估一种简单快速的诊断工具，供任何卫生专业人员用于跟踪麻风病患者所呈现的残疾情况。 对156例麻风病患者样本进行诊断测试的验证研究，以通过简化的手臂、肩部和手部残疾问卷（QuickDASH）跟踪功能残疾情况 采用世界卫生组织提出的简化神经学评估作为参考。构建受试者工作特征（ROC）曲线以确定最能区分由麻风病导致功能残疾患者的QuickDASH临界值。 通过简化神经学评估，我们确定了86例（55.5%）有功能残疾的患者。QuickDASH工具的性能表明，在30分的临界值时，识别功能残疾的敏感性和特异性分别为72.1%和68.1%（准确率为70.3%），阳性预测值为73.8%。 QuickDASH工具在跟踪麻风病患者功能残疾方面显示出良好的准确性，并且可能在初级和普通门诊护理的临床实践中有用，目的是识别需要专门转诊以预防和治疗这种疾病的患者。
