A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/3869 |
Resumo: | Universidade Federal do Estado do Rio de Janeiro. Hospital Universitário Gaffrée e Guinle. Rio de Janeiro, RJ, Brasil. |
id |
CRUZ_b246449b1dfaf49e6293831d3b9f353b |
---|---|
oai_identifier_str |
oai:www.arca.fiocruz.br:icict/3869 |
network_acronym_str |
CRUZ |
network_name_str |
Repositório Institucional da FIOCRUZ (ARCA) |
repository_id_str |
2135 |
spelling |
Signorini, Dario José Hart PontesOliveira Netto, Ana Maria Schmidt deMonteiro, Michelle Carreira MirandaGabbay, SergioAndrade, Marion de Fátima Castro deBastos, Francisco Inácio Pinkusfeld MonteiroCodeço, Cláudia Torres2012-05-02T02:53:30Z2012-05-02T02:53:30Z2011SIGNORINI, Dario José Hart Pontes et al. A Comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy. Journal of the International Association of Physicians in AIDS Care, Chicago, v. 10, n. 6, p. 351-356, Nov./Dec. 2011.1545-1097https://www.arca.fiocruz.br/handle/icict/386910.1177/1545109711399660engSAGE PublicationsA comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal do Estado do Rio de Janeiro. Hospital Universitário Gaffrée e Guinle. Rio de Janeiro, RJ, Brasil.Instituto Brasileiro de Ultra-Sonografia. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro. Hospital Universitário Gaffrée e Guinle. Rio de Janeiro, RJ, Brasil.Instituto Brasileiro de Ultra-Sonografia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Departamento de Informações em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.The study evaluated the use of sonographic measurements as an alternative to assessments based on clinical or other imaging techniques for the diagnosis of body-fat abnormalities. The study enrolled 179 HIV-infected patients, 81 (45.3%) of them diagnosed as lipodystrophy (LD)-positive based on a clinical standard questionnaire. Association between clinical LD and sonographic measurements of face, right upper limb, subcutaneous abdomen, and visceral compartments was evaluated by multiple logistic regression. The predicted probability of the logistic model was 0.64, corresponding to a maximum sensitivity of 69.1% (58%-79%), a specificity of 94.9% (88%-98%), and to positive and negative predictive values of 92% (82%-97%) and 79% (70%-86%), respectively. Kappa measure of concordance was 65% (54%-77%). Low sensitivity poses a problem for the use of sonography to detect LD in the clinical routine as a single exam, speaking in favor of the combined use of clinical and sonographic measurements over time.HIV-associated lipodystrophy syndromeAnti-HIV agentsROC curveUltrasonographyLogistic modelsSensitivity and specificitySíndrome de Lipodistrofia Associada ao HIV/diagnósticoFármacos Anti-HIVCurva ROCQuestionárioModelos LogísticosSensibilidade e Especificidadeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALComparison_sonographic_assessments_clinical_HIV.pdfComparison_sonographic_assessments_clinical_HIV.pdfapplication/pdf358917https://www.arca.fiocruz.br/bitstream/icict/3869/1/Comparison_sonographic_assessments_clinical_HIV.pdf0ff94343e7d6a24c1366e3e96f1b4c08MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81648https://www.arca.fiocruz.br/bitstream/icict/3869/2/license.txte095249ac7cacefbfe39684dfe45e706MD52TEXTComparison_sonographic_assessments_clinical_HIV.pdf.txtComparison_sonographic_assessments_clinical_HIV.pdf.txtExtracted texttext/plain31186https://www.arca.fiocruz.br/bitstream/icict/3869/5/Comparison_sonographic_assessments_clinical_HIV.pdf.txt05c1a0f7827c29e0f95aea0b157800fdMD55THUMBNAILComparison_sonographic_assessments_clinical_HIV.pdf.jpgComparison_sonographic_assessments_clinical_HIV.pdf.jpgGenerated Thumbnailimage/jpeg2087https://www.arca.fiocruz.br/bitstream/icict/3869/4/Comparison_sonographic_assessments_clinical_HIV.pdf.jpgdb1144d7dc1a4dd18f2aeab6489ab92fMD54icict/38692023-08-01 16:55:00.386oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-01T19:55Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
title |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
spellingShingle |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy Signorini, Dario José Hart Pontes HIV-associated lipodystrophy syndrome Anti-HIV agents ROC curve Ultrasonography Logistic models Sensitivity and specificity Síndrome de Lipodistrofia Associada ao HIV/diagnóstico Fármacos Anti-HIV Curva ROC Questionário Modelos Logísticos Sensibilidade e Especificidade |
title_short |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
title_full |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
title_fullStr |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
title_full_unstemmed |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
title_sort |
A comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy |
author |
Signorini, Dario José Hart Pontes |
author_facet |
Signorini, Dario José Hart Pontes Oliveira Netto, Ana Maria Schmidt de Monteiro, Michelle Carreira Miranda Gabbay, Sergio Andrade, Marion de Fátima Castro de Bastos, Francisco Inácio Pinkusfeld Monteiro Codeço, Cláudia Torres |
author_role |
author |
author2 |
Oliveira Netto, Ana Maria Schmidt de Monteiro, Michelle Carreira Miranda Gabbay, Sergio Andrade, Marion de Fátima Castro de Bastos, Francisco Inácio Pinkusfeld Monteiro Codeço, Cláudia Torres |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Signorini, Dario José Hart Pontes Oliveira Netto, Ana Maria Schmidt de Monteiro, Michelle Carreira Miranda Gabbay, Sergio Andrade, Marion de Fátima Castro de Bastos, Francisco Inácio Pinkusfeld Monteiro Codeço, Cláudia Torres |
dc.subject.en.pt_BR.fl_str_mv |
HIV-associated lipodystrophy syndrome Anti-HIV agents ROC curve Ultrasonography Logistic models Sensitivity and specificity |
topic |
HIV-associated lipodystrophy syndrome Anti-HIV agents ROC curve Ultrasonography Logistic models Sensitivity and specificity Síndrome de Lipodistrofia Associada ao HIV/diagnóstico Fármacos Anti-HIV Curva ROC Questionário Modelos Logísticos Sensibilidade e Especificidade |
dc.subject.decs.pt_BR.fl_str_mv |
Síndrome de Lipodistrofia Associada ao HIV/diagnóstico Fármacos Anti-HIV Curva ROC Questionário Modelos Logísticos Sensibilidade e Especificidade |
description |
Universidade Federal do Estado do Rio de Janeiro. Hospital Universitário Gaffrée e Guinle. Rio de Janeiro, RJ, Brasil. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011 |
dc.date.accessioned.fl_str_mv |
2012-05-02T02:53:30Z |
dc.date.available.fl_str_mv |
2012-05-02T02:53:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SIGNORINI, Dario José Hart Pontes et al. A Comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy. Journal of the International Association of Physicians in AIDS Care, Chicago, v. 10, n. 6, p. 351-356, Nov./Dec. 2011. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/3869 |
dc.identifier.issn.none.fl_str_mv |
1545-1097 |
dc.identifier.doi.none.fl_str_mv |
10.1177/1545109711399660 |
identifier_str_mv |
SIGNORINI, Dario José Hart Pontes et al. A Comparison of sonographic assessments and clinical questionnaire in the diagnosis of HIV-associated lipodystrophy. Journal of the International Association of Physicians in AIDS Care, Chicago, v. 10, n. 6, p. 351-356, Nov./Dec. 2011. 1545-1097 10.1177/1545109711399660 |
url |
https://www.arca.fiocruz.br/handle/icict/3869 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
SAGE Publications |
publisher.none.fl_str_mv |
SAGE Publications |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Repositório Institucional da FIOCRUZ (ARCA) |
collection |
Repositório Institucional da FIOCRUZ (ARCA) |
bitstream.url.fl_str_mv |
https://www.arca.fiocruz.br/bitstream/icict/3869/1/Comparison_sonographic_assessments_clinical_HIV.pdf https://www.arca.fiocruz.br/bitstream/icict/3869/2/license.txt https://www.arca.fiocruz.br/bitstream/icict/3869/5/Comparison_sonographic_assessments_clinical_HIV.pdf.txt https://www.arca.fiocruz.br/bitstream/icict/3869/4/Comparison_sonographic_assessments_clinical_HIV.pdf.jpg |
bitstream.checksum.fl_str_mv |
0ff94343e7d6a24c1366e3e96f1b4c08 e095249ac7cacefbfe39684dfe45e706 05c1a0f7827c29e0f95aea0b157800fd db1144d7dc1a4dd18f2aeab6489ab92f |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
repositorio.arca@fiocruz.br |
_version_ |
1813008845726810112 |