Introdução: O câncer ginecológico abrange malignidades do colo de útero, ovários, endométrio, vagina e vulva, sendo considerado um problema de saúde pública. Objetivos: Analisar o perfil epidemiológico das mulheres com diagnóstico de câncer ginecológico. Métodos: Estudo de caráter epidemiológico, retrospectivo com delineamento transversal a partir de dados de prontuários eletrônicos de mulheres com câncer ginecológico atendidas pela equipe de fisioterapia do CEPON/SC, no período de janeiro de 2013 a dezembro de 2018. Foi realizada uma análise descritiva dos dados. Resultados: Foram incluídos 310 pacientes com média de idade de 52,13 anos (±13,2 anos). A maioria das mulheres eram caucasianas (90,4%), casadas ou em união estável (60%), de baixa renda (89,2%) e com até o ensino fundamental completo (59,8%). Grande parte das mulheres eram tabagistas ou ex-tabagistas (46,2%) e não realizavam atividade física (85,5%). Houve predominância de casos de câncer de colo de útero (78,7%) e a braquiterapia foi realizada em 100% das mulheres. Conclusão: As pacientes com câncer ginecológico são, em sua maioria, caucasianas, com parceiro, tabagistas ou ex-tabagistas, diagnosticadas em estádios avançados da doença, principalmente câncer de colo uterino, o que representou maior agressividade terapêutica.
Background There is an association of dysmenorrhea with human functioning and disability. However, no patient-reported outcome measure has been developed to assess this construct in women with dysmenorrhea. WHODAS 2.0 has been recognized as an important generic patient-reported outcome information of physical function and disability. Thus, the aim of this study was to assess the measurement properties of the WHODAS 2.0 in women with dysmenorrhea. Methods This is an online and cross-sectional study conducted with Brazilian women aged 14 to 42 years with self-report of dysmenorrhea in the last three months. According to COSMIN, structural validity was evaluated by exploratory and confirmatory factor analysis; internal consistency by Cronbach’s Alpha; measurement invariance by multigroup confirmatory factor analysis between geographic regions of Brazil; and construct validity by correlating WHODAS 2.0 to the Numerical Rating Scale for pain severity. Results One thousand three hundred and eighty-seven women (24.7 ± 6.5 years) with dysmenorrhea participated in the study. WHODAS 2.0 presented a single factor by exploratory factor analysis and adequate model by confirmatory factor analysis (CFI = 0.924, TLI = 0.900, RMSEA = 0.038), excellent internal consistence (α = 0.892) for all items and an invariancy across geographic regions (ΔCFI ≤ 0.01 and ΔRMSEA < 0.015). Correlation between WHODAS 2.0 and numerical rating scale was positive and moderate (r = 0.337). Conclusion WHODAS 2.0 has a valid structure to assess functioning and disability related to dysmenorrhea in women.
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