Tradução, adaptação cultural e aplicação de um questionário de dor para pacientes com doença renal policística

• Autor(a) principal: Eloi, Samara Rodrigues Moreira [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Nishiura, José Luiz [UNIFESP], Heilberg, Ita Pfeferman [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/0013000014xtw
• DOI: 10.1590/S0101-28002010000400009
• Texto Completo: http://dx.doi.org/10.1590/S0101-28002010000400009; http://repositorio.unifesp.br/handle/11600/6039
• topic: polycystic kidney diseases; pain measurement; low back pain; doenças renais císticas; dor lombar; medição da dor

INTRODUCTION: Pain is a common symptom in patients with autosomal dominant polycystic kidney disease (ADPKD), affecting around 60% of cases. OBJECTIVE: Translate a pain questionnaire developed and validated for ADPKD in USA into Portuguese and to perform its cultural adaptation and apply it. METHOD: The cultural adaptation performed by a panel of experts resulted in small changes consisting of words substitution by synonyms or deletion of terms not commonly used in our culture in 12 out of the 46 questions posed, to solve patients difficulties in understanding the questionnaire. RESULTS: There has been equivalence between the adapted form of the instrument with the back-translation. The final form of the questionnaire applied in 97 patients with ADPKD (64F/33M, 35 ± 12 years) showed that 65 (67%) had isolated or associated pain in multiple locations , more often at lumbar region (77%), followed by abdominal (66%), headache (15%) and chest (4%). The questionnaire revealed that after family history, pain was the second factor contributing to the diagnosis of ADPKD in this population (55% and 22% of cases, respectively). DISCUSSION: Clinical and laboratory data from medical records showed that patients referring pain had renal volume and size of the largest cyst significantly higher than those without pain. CONCLUSION: We conclude that the use of a specific pain questionnaire for ADPKD population provided a better characterization of this symptom, as well as its relationship with the associated complications that commonly occur in this setting.