Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação
Ano de defesa: | 2018 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual da Paraíba
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia - PPGO
|
Departamento: |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.bc.uepb.edu.br/jspui/handle/tede/3147 |
Resumo: | This study aimed to determine the accuracy of a questionnaire on xerostomia as a tool for screening hyposalivation. Overall, 402 adult subjects answered a questionnaire with 08 questions about xerostomia and were submitted to stimulated sialometry, considering hyposalivation values ≤ 0.7 mL / min. Data on sociodemographic conditions and general health were collected. The reproducibility and internal consistency of this questionnaire were analyzed. The correlation between their score and the values of sialometry was verified, besides comparing the total score between the groups with and without hyposalivation. Bivariate and multivariate analyses were also performed using the Decision Tree. Hyposalivation was identified in 162 participants (40.3%). The responses to each question individually revealed variable reproducibility (Kappa = 0.450-0.785) and satisfactory internal consistency (Cronbach's alpha = 0.70). Subjects with higher number of positive responses had lower salivary flow values (Spearman's rho = -0.193, p <0.001) and when the questionnaire score was compared among groups, the hyposalivation group responded positively to a greater number of items. The instrument had sensitivity of 64.8% and area under the curve of 0.60 (95% CI = 0.547- 0.645, p <0.001). Associations with age group of 50-59 years (p = 0.011), female gender (p <0.001), menopause (p = 0.001), alcohol consumption (p = 0.033), systemic disease (p = 0.002) and use of medication (p <0.001) were found. In the multivariate analysis, in addition to gender (p <0.001) and hypertension (p = 0.005), there was an association between hyposalivation and diabetes (p = 0.014). It was found that diabetic and hypertensive women constitute a high-risk group for hyposalivation. The questionnaire may be useful in the epidemiological screening of possible cases of hyposalivation. |
id |
UEPB_7f646c4060b973d97f75df1bbe046674 |
---|---|
oai_identifier_str |
oai:tede.bc.uepb.edu.br:tede/3147 |
network_acronym_str |
UEPB |
network_name_str |
Biblioteca Digital de Teses e Dissertações da UEPB |
repository_id_str |
|
spelling |
Costa, Edja Maria Melo de Brito85014605400http://lattes.cnpq.br/0192415370217147Ferreira, Fernanda de Morais02892177685http://lattes.cnpq.br/4997526164459133Gordón-Núñez, Manuel Antonio97866326487http://lattes.cnpq.br/655361940929915200175191360http://lattes.cnpq.br/4042608630267387Carvalho, Handerson Nunes de2019-02-18T14:15:01Z2018-07-27CARVALHO, H. N. de. Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação. 2018. 126f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018.http://tede.bc.uepb.edu.br/jspui/handle/tede/3147This study aimed to determine the accuracy of a questionnaire on xerostomia as a tool for screening hyposalivation. Overall, 402 adult subjects answered a questionnaire with 08 questions about xerostomia and were submitted to stimulated sialometry, considering hyposalivation values ≤ 0.7 mL / min. Data on sociodemographic conditions and general health were collected. The reproducibility and internal consistency of this questionnaire were analyzed. The correlation between their score and the values of sialometry was verified, besides comparing the total score between the groups with and without hyposalivation. Bivariate and multivariate analyses were also performed using the Decision Tree. Hyposalivation was identified in 162 participants (40.3%). The responses to each question individually revealed variable reproducibility (Kappa = 0.450-0.785) and satisfactory internal consistency (Cronbach's alpha = 0.70). Subjects with higher number of positive responses had lower salivary flow values (Spearman's rho = -0.193, p <0.001) and when the questionnaire score was compared among groups, the hyposalivation group responded positively to a greater number of items. The instrument had sensitivity of 64.8% and area under the curve of 0.60 (95% CI = 0.547- 0.645, p <0.001). Associations with age group of 50-59 years (p = 0.011), female gender (p <0.001), menopause (p = 0.001), alcohol consumption (p = 0.033), systemic disease (p = 0.002) and use of medication (p <0.001) were found. In the multivariate analysis, in addition to gender (p <0.001) and hypertension (p = 0.005), there was an association between hyposalivation and diabetes (p = 0.014). It was found that diabetic and hypertensive women constitute a high-risk group for hyposalivation. The questionnaire may be useful in the epidemiological screening of possible cases of hyposalivation.Este estudo buscou determinar a acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação. 402 indivíduos adultos responderam ao questionário com 08 questões sobre xerostomia e foram submetidos à sialometria estimulada, considerando-se como hipossalivação valores ≤ 0,7 ml/min. Foram colhidas informações sobre as condições sociodemográficas e saúde geral. Foram analisadas a reprodutibilidade e a consistência interna deste questionário. Verificou-se a correlação entre o seu escore e os valores da sialometria, além de comparar a pontuação total entre os grupos com e sem hipossalivação. Realizou-se também a análise bivariada e multivariada empregando-se Árvore de Decisão. A hipossalivação foi identificada em 162 participantes (40,3%). As respostas a cada questão individualmente revelaram reprodutibilidade variável (Kappa = 0,450-0,785) e consistência interna satisfatória (alpha de Cronbach = 0,70). Indivíduos com um maior número de respostas positivas apresentaram valores mais baixos de fluxo salivar (rho de Spearman = -0,193; p < 0,001) e quando se comparou a pontuação do questionário entre os grupos, o grupo com hipossalivação respondeu de forma positiva a um maior número de itens. O instrumento apresentou sensibilidade de 64,8% e a área sob a curva de 0,60 (IC 95% = 0,547-0,645; p < 0,001). Foram constatadas associações com faixa etária de 50 a 59 anos (p = 0,011), sexo feminino (p < 0,001), menopausa (p = 0,001), consumo de bebida (p = 0,033), doença sistêmica (p = 0,002) e uso de medicação (p < 0,001). Na análise multivariada, além de sexo (p < 0,001) e hipertensão (p = 0,005), houve associação entre hipossalivação e diabetes (p = 0,014). Constatou-se que mulheres diabéticas e hipertensas constituem um grupo de alto risco para hipossalivação. O questionário pode ser útil na triagem epidemiológica de possíveis casos de hipossalivação.Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2018-10-16T13:09:31Z No. of bitstreams: 1 PDF - Handerson Nunes de Carvalho.pdf: 38125593 bytes, checksum: 3ccb380f504edb39ae3f75e699a8fe75 (MD5)Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2019-02-18T14:15:01Z (GMT) No. of bitstreams: 1 PDF - Handerson Nunes de Carvalho.pdf: 38125593 bytes, checksum: 3ccb380f504edb39ae3f75e699a8fe75 (MD5)Made available in DSpace on 2019-02-18T14:15:01Z (GMT). No. of bitstreams: 1 PDF - Handerson Nunes de Carvalho.pdf: 38125593 bytes, checksum: 3ccb380f504edb39ae3f75e699a8fe75 (MD5) Previous issue date: 2018-07-27application/pdfhttp://tede.bc.uepb.edu.br/jspui/retrieve/7563/PDF%20-%20Handerson%20Nunes%20de%20Carvalho.pdf.jpgporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação em Odontologia - PPGOUEPBBrasilPró-Reitoria de Pós-Graduação e Pesquisa - PRPGPEstomatologiaSaúde bucalXerostomiaHipossalivaçãoXerostomiaEpidemiologyCIENCIAS DA SAUDE::ODONTOLOGIAAcurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivaçãoAccuracy of a questionnaire on xerostomia as a tool for screening hyposalivationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis188746850794111162600600600524871450381110278-2070498469879244349info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBTHUMBNAILPDF - Handerson Nunes de Carvalho.pdf.jpgPDF - Handerson Nunes de Carvalho.pdf.jpgimage/jpeg3596http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/4/PDF+-+Handerson+Nunes+de+Carvalho.pdf.jpgc8394d424e2f700e862e49fca81b0a32MD54TEXTPDF - Handerson Nunes de Carvalho.pdf.txtPDF - Handerson Nunes de Carvalho.pdf.txttext/plain128http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/3/PDF+-+Handerson+Nunes+de+Carvalho.pdf.txtb18b2bc3fb21b6d69c7be2431d93a7c6MD53ORIGINALPDF - Handerson Nunes de Carvalho.pdfPDF - Handerson Nunes de Carvalho.pdfapplication/pdf38125593http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/2/PDF+-+Handerson+Nunes+de+Carvalho.pdf3ccb380f504edb39ae3f75e699a8fe75MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81960http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/1/license.txt6052ae61e77222b2086e666b7ae213ceMD51tede/31472019-02-19 01:32:25.734oai:tede.bc.uepb.edu.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.bc.uepb.edu.br/jspui/PUBhttp://tede.bc.uepb.edu.br/oai/requestbc@uepb.edu.br||opendoar:2019-02-19T04:32:25Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB)false |
dc.title.por.fl_str_mv |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
dc.title.alternative.eng.fl_str_mv |
Accuracy of a questionnaire on xerostomia as a tool for screening hyposalivation |
title |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
spellingShingle |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação Carvalho, Handerson Nunes de Estomatologia Saúde bucal Xerostomia Hipossalivação Xerostomia Epidemiology CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
title_full |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
title_fullStr |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
title_full_unstemmed |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
title_sort |
Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação |
author |
Carvalho, Handerson Nunes de |
author_facet |
Carvalho, Handerson Nunes de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Costa, Edja Maria Melo de Brito |
dc.contributor.advisor1ID.fl_str_mv |
85014605400 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0192415370217147 |
dc.contributor.referee1.fl_str_mv |
Ferreira, Fernanda de Morais |
dc.contributor.referee1ID.fl_str_mv |
02892177685 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4997526164459133 |
dc.contributor.referee2.fl_str_mv |
Gordón-Núñez, Manuel Antonio |
dc.contributor.referee2ID.fl_str_mv |
97866326487 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6553619409299152 |
dc.contributor.authorID.fl_str_mv |
00175191360 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4042608630267387 |
dc.contributor.author.fl_str_mv |
Carvalho, Handerson Nunes de |
contributor_str_mv |
Costa, Edja Maria Melo de Brito Ferreira, Fernanda de Morais Gordón-Núñez, Manuel Antonio |
dc.subject.por.fl_str_mv |
Estomatologia Saúde bucal Xerostomia Hipossalivação |
topic |
Estomatologia Saúde bucal Xerostomia Hipossalivação Xerostomia Epidemiology CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Xerostomia Epidemiology |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
This study aimed to determine the accuracy of a questionnaire on xerostomia as a tool for screening hyposalivation. Overall, 402 adult subjects answered a questionnaire with 08 questions about xerostomia and were submitted to stimulated sialometry, considering hyposalivation values ≤ 0.7 mL / min. Data on sociodemographic conditions and general health were collected. The reproducibility and internal consistency of this questionnaire were analyzed. The correlation between their score and the values of sialometry was verified, besides comparing the total score between the groups with and without hyposalivation. Bivariate and multivariate analyses were also performed using the Decision Tree. Hyposalivation was identified in 162 participants (40.3%). The responses to each question individually revealed variable reproducibility (Kappa = 0.450-0.785) and satisfactory internal consistency (Cronbach's alpha = 0.70). Subjects with higher number of positive responses had lower salivary flow values (Spearman's rho = -0.193, p <0.001) and when the questionnaire score was compared among groups, the hyposalivation group responded positively to a greater number of items. The instrument had sensitivity of 64.8% and area under the curve of 0.60 (95% CI = 0.547- 0.645, p <0.001). Associations with age group of 50-59 years (p = 0.011), female gender (p <0.001), menopause (p = 0.001), alcohol consumption (p = 0.033), systemic disease (p = 0.002) and use of medication (p <0.001) were found. In the multivariate analysis, in addition to gender (p <0.001) and hypertension (p = 0.005), there was an association between hyposalivation and diabetes (p = 0.014). It was found that diabetic and hypertensive women constitute a high-risk group for hyposalivation. The questionnaire may be useful in the epidemiological screening of possible cases of hyposalivation. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-07-27 |
dc.date.accessioned.fl_str_mv |
2019-02-18T14:15:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
CARVALHO, H. N. de. Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação. 2018. 126f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018. |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3147 |
identifier_str_mv |
CARVALHO, H. N. de. Acurácia de um questionário sobre xerostomia como instrumento de rastreio de hipossalivação. 2018. 126f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018. |
url |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3147 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
188746850794111162 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
524871450381110278 |
dc.relation.cnpq.fl_str_mv |
-2070498469879244349 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Odontologia - PPGO |
dc.publisher.initials.fl_str_mv |
UEPB |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP |
publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UEPB instname:Universidade Estadual da Paraíba (UEPB) instacron:UEPB |
instname_str |
Universidade Estadual da Paraíba (UEPB) |
instacron_str |
UEPB |
institution |
UEPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UEPB |
collection |
Biblioteca Digital de Teses e Dissertações da UEPB |
bitstream.url.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/4/PDF+-+Handerson+Nunes+de+Carvalho.pdf.jpg http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/3/PDF+-+Handerson+Nunes+de+Carvalho.pdf.txt http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/2/PDF+-+Handerson+Nunes+de+Carvalho.pdf http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3147/1/license.txt |
bitstream.checksum.fl_str_mv |
c8394d424e2f700e862e49fca81b0a32 b18b2bc3fb21b6d69c7be2431d93a7c6 3ccb380f504edb39ae3f75e699a8fe75 6052ae61e77222b2086e666b7ae213ce |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB) |
repository.mail.fl_str_mv |
bc@uepb.edu.br|| |
_version_ |
1797038554845544448 |