Validação da escala curta do questionário de impacto da incontinência urinária (IIQ-7) e do inventário de angústia urogenital (UDI-6) em pacientes com esclerose múltipla

Cross-cultural adaptation and validation of the Impact Questionnaire of Urinary Incontinence(IIQ-7) and Urogenital Distress Inventory (UDI-6) - short scale - in the Brazilianpopulation with multiple sclerosis. The IIQ-7 and UDI-6 were translated intoPortuguese, called IIQ-7-BR and UDI-6-BR. The questionnaires were administered in 211individuals selected randomly. Of these, 140 had MS according to McDonald criteria and 71 wereincluded in the control group. In both questionnaires, the Cronbach’s alpha coefficientwas above 0.7. The IIQ-7-BR showed 94.31% concordance between the evaluated studies andUDI-6-BR, 93.33%. Thus, the instruments of this study were presented according to thestandards proposed by the Instrument Review Criteria, reliability, validity and sensitivity,maintaining the original scales characteristics.Adaptação transcultural e validação da escala curta do Questionáriode Impacto de Incontinência Urinária (IIQ-7) e do Inventário daAngústia Urogenital (UDI-6) na população brasileira com esclerosemúltipla (EM). O IIQ-7 e o UDI-6 foram traduzidos para a língua portuguesa,obtendo-se IIQ-7-BR e UDI-6-BR. Os questionários foram aplicados em 211indivíduos selecionados aleatoriamente. Destes, 140 apresentavam EM nos critérios deMcDonald, e 71 foram incluídos no grupo controle. Em ambos os questionários aplicadonos grupos, o coeficiente alpha de Cronbach apresentou-se acima de 0,7. O IIQ-7-BRapresentou 94,31% de concordância entre os estudos avaliados e o UDI-6-BR, 93,33%.Sendo assim, os instrumentos desse estudo apresentaram-se, segundo as normas propostas pelo Instrument Review Criteria, confiabilidade, validade e sensibilidade,mantendo as características das escalas originais.Santa Casa de São Paulo Faculdade de Ciências MédicasUniversidade Federal de São Paulo (UNIFESP)UNIFESPSciEL

Olfactory alterations in patients with multiple sclerosis

ABSTRACT This cross-sectional study involves 100 multiple sclerosis (MS) and 100 non-MS patients, under the age of 60 years old, with nasal obstruction, traumatic brain injury, previous rhinoplasty or neurosurgery, and so forth. Objective To assess olfactory function using the Connecticut test and verify correlations between olfactory alteration, disease duration and the Expanded Disability Status Scale (EDSS). Methods One hundred MS patients and 100 healthy control patients responded to a questionnaire. Those with olfactory alteration underwent a facial CT to exclude other causes. Results Thirty-two percent of patients showed alterations, compared with 3% in the healthy control group. Patients having EDSS above 4, showed a 5.2-times increased risk of dysfunction. Patients over 38 years of age have a 2.2-times increased risk over younger patients. Conclusions Because MS patients are likely to experience olfactory alterations, this study is a useful tool in follow-up care, although more studies are necessary to evaluate the correlations in MS evolution