A screening tool for knee pain (KNEST) in primary care: translation, cultural adaptation and results of the application among Brazilian elderly people living in the community

• Autor(a) principal: Medeiros,Marta Maria das Chagas
• Data de Publicação: 2008
• Outros Autores: Sousa,Daniela Cabral, Paiva,José Gerardo Araujo, Figueiredo,Lanese Medeiros, Freitas,Thiago Holanda, Soares,Danielle C. O., Côrtes,Cesar Marques Porto, Filho,João Macêdo Coelho
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Geriatrics, Gerontology and Aging (Online)
• Texto Completo: https://ggaging.com/details/321
• topic: Knee pain, screening tool, aged, public health.

<p><b>OBJECTIVES:</b> To translate into Brazilian Portuguese and adapt culturally a knee pain screening tool (KNEST) designed for primary care of senior citizens and test it on a sample of elderly patients in Fortaleza, Brazil.<br> <b>METHODS:</b> The translation and cultural adaptation followed the method proposed by Guillemin and coworkers. Elderly subjects enrolled in a health program for senior citizens linked to the UFC medical school and Walter Cant&iacute;dio University Hospital (HUWC) were contacted by phone. Subjects reporting knee pain within the preceding year were offered a rheumatological evaluation at HUWC. During the evaluation were collected clinical and sociodemographic data, questionnaire on arthrosis (WOMAC, Lequesne) and analogic visual scale.<br> <b>RESULTS:</b> The translated and adapted version of the KNEST was administered to 241 elderly subjects. Most were female (72.2%) and the mean age was 72.3 ± 8.0 years. Knee pain was reported by 48.9% (n = 118), of which 56% was bilateral, 45% was chronic and 48.5% had been previously examined by a physician. Pain killers had been employed by 63% of the subjects. The mean age of patients attending the evaluation was 70.3 years. Of these, 91% presented chronic pain and 50.7% bilateral pain. Clinical diagnosis of osteoarthrosis was established in 97% of cases.<br> <b>CONCLUSIONS:</b> The translated and adapted version of the KNEST was shown to be easy to use and understand and quick to administer (~ 5 minutes). It adequately evaluated knee pain prevalence, severity, chronicity and impact on available health resources. Knee pain primarily caused by osteoarthrosis was a frequent condition among the elderly in this study.</p>