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Resultados de la aplicación del King’s Health Questionnaire" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "684" "paginaFinal" => "691" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "M. Espuña Pons" "autores" => array:1 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Espuña Pons" "email" => array:1 [ 0 => "12922mep@comb.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Institut Clínic de Ginecología, Obstetricia i Neonatología. Hospital Clínic. Universidad de Barcelona.</span>" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dra. M. Espuña Pons ICGON. Hospital Clínic Villarroel 170 - 08036 Barcelona" ] ] ] 1 => array:2 [ "autoresLista" => "M. Puig Clota" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Puig Clota" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lower urinary tract symptoms in women and impact on quiality of life. results of the application of the king’s health questionnaire" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-02-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87961" "palabras" => array:4 [ 0 => "Síntomas urinarios" 1 => "Vejiga Hiperactiva" 2 => "Calidad de Vida" 3 => "Mujer" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87962" "palabras" => array:4 [ 0 => "Urinary symptoms" 1 => "Overactive Bladder" 2 => "Quality of Life" 3 => "Female" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La auto-evaluación de la calidad de vida (CV) de las mujeres con síntomas urinarios puede ayudar a decidir la estrategia de tratamiento más adecuada en cada caso.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio epidemiológico, observacional, transversal y multicéntrico de 674 mujeres que acudieron a una consulta de ginecología con síntomas sugestivos de Vejiga Hiperactiva, con o sin incontinencia urinaria(IU). Todas ellas cumplimentaron por escrito el King’s Health Questionnaire(KHQ). Además se recogieron datos sociodemográficos y un registro de los síntomas urinarios de la dimensión de síntomas del KHQ y el grado de afectación que producían.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los síntomas más frecuentes fueron “aumento de frecuencia miccional” (612 mujeres-90,8%), seguido de “urgencia” (562-83,4%), “nocturia” (543-80,6%) e “IU de Esfuerzo” (535-79,4%). Los síntomas “frecuencia”, “nocturia”, “urgencia” e “IU por urgencia” fueron más frecuentes en las mujeres de 65 o más años y el de “IU de esfuerzo” en las menores de esa edad (79,8% vs 77,9%). 210 mujeres no cumplimentaron todas las dimensiones del KHQ, siendo las menos contestadas: “Limitaciones Físicas”(35,7%), “Relaciones Personales”(29,5%), “Limitaciones Sociales”(29%) e “Impacto de la IU”(28,6%). La puntuación total del KHQ fue 38,3 (DE=19,2). Las mayores puntuaciones (peor CV) corresponden a “Impacto de la IU”, “Afectación por Problemas Urinarios”, “Limitaciones Físicas” y “Limitaciones en las Actividades Cotidianas”. Las variables asociadas a la puntuación global del KHQ fueron (regresión lineal múltiple): edad, IMC, IU por urgencia, IU en el acto sexual, infecciones frecuentes en vías urinarias y otros problemas urinarios.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La afectación de la CV en las mujeres con síntomas urinarios es importante. Los síntomas que más contribuyen a la afectación de la CV son la “IU en el acto sexual”, la “IU de urgencia” y las “infecciones frecuentes en vías urinarias”.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The self-assessment of quality of life (QoL) of women with urinary symptoms may help in selecting the best treatment in each case.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Epidemiologic, observational, cross-sectional and multicentric study of 674 women who underwent to a gynecology unit with symptoms suggesting Overactive Bladder, with or without urinary incontinence(UI). All women fill out the King’s Health Questionnaire. Sociodemographic data and a complete register of urinary symptoms and the degree of afectation which caused, were also collected.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most frequent symptoms were “frequency” (612 women-90.8%), followed by “urgency” (562-83.4%), “nocturia” (543-80.6%) and “stres UI” (535-79.4%). Symptoms of “frecuency”, “nocturia”, “urgency” and “urgency UI” were more frequent in women aged 65 or under 65 years and that of “stress UI”, in women over 65 years (79.8% vs 77.9%). 210 women did not fill out all the KHQ dimensions, mainly “Personal Limitations”, “Personal Relationship”, “Social limitations” and “Incontinence Impact”. Global KHQ score was38.3 (SD=19.2). Higher scores (worse QoL) corresponded to “Incontinence Impact”, “Severity Measures”, “Personal Limitations” and “Role Limitations”. Variables associated to global KHQ score were (multiple linear regression): age, BMI, urgency UI, UI in sexual intercourse, frequent urinary infections.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">QoL impact in women with urinary symptoms is important. The symptoms with higher association with QoL are: UI in sexual intercourse, urgency UI and frequent urinary infections.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Donovan" 1 => "R. 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Síntomas del tracto urinario inferior en la mujer y afectación de la calidad de vida. Resultados de la aplicación del King’s Health Questionnaire
Lower urinary tract symptoms in women and impact on quiality of life. results of the application of the king’s health questionnaire