Link between the King’s Health Questionnaire and the International Classification of Functioning, Disability and Health, for the evaluation of patients with urinary incontinence after gynecological oncology surgery
DOI:
https://doi.org/10.11606/issn.2317-0190.v17i1a103305Keywords:
Urinary Incontinence, Quality of Life, International Classification of Functioning, Disability and HealthAbstract
Uterine cervix tumors are the second most common type of tumor among women in the world. In Brazil, 18,680 new cases were estimated for 2008. The treatment of choice for this type of cancer involves surgery, chemotherapy, and radiotherapy that encourage healing but, on the down side, impairments develop such as urinary incontinence. This incontinence appears as an early and common complication of the surgical treatment and involves deterioration in the quality of life, generating levels of morbidity, affecting psychological, occupational, domestic, physical, and sexual areas. To asses the quality of life in patients with incontinence there are several questionnaires in the scientific literature. Among them, the King’s Health Questionnaire (KHQ) is the most widely used as a research tool. In addition to accessing quality of life, the World Health Organization is advocating the use of the International Classification of Functioning, Disability and Health (ICF) as a tool for statistics, research, clinical and social policies, to provide a common language for the conditions related to health. The objective of this study is to establish a correlation between the KHQ and the ICF. The KHQ was correlated by two separate professionals, and followed by a discussion and conclusion of the coded domains. Twelve categories were found for body functions (b), 22 for activities and participation (d), and 4 for environmental factors (e), however, 7 significant concepts of the questionnaire could not be linked to the ICF. The KHQ has focused predominantly on issues related to activity and participation. This is a pilot study that needs more evidence to conclude its findings.
Downloads
References
Instituto Nacional de Câncer. Estimativas 2008: incidência de câncer no Brasil. Rio de Janeiro: INCA: 2007.
Diokno AC, Estanol MV, Mallett V. Epidemiology of lower urinary tract dysfunction. Clin Obstet Gynecol. 2004;47(1):36-43.
Abrams P, Cardoso L, Fall M. The standardization of terminology of lower urinary tract function: Report from the standardization Sub-Committee of The International Continence Society. Urology. 2003;61(1):37-49.
Lopes MHBM, Higa R. Restrições causadas pela incontinência urinária à vida da mulher. Rev Esc Enferm USP. 2006;40(1):34-41.
Tamanini JTN, D´Ancona CAL, Botega NJ, Netto Jr NR. Validação do "King's Health Questionnaire" para o português em mulheres com incontinência urinária. Rev Saúde Pública 2003;37(2):203-11.
Mourão FA, Lopes LN, Vasconcellos NO, Almeida MB. Prevalência de queixas urinárias e o impacto destas na qualidade de vida em integrantes de grupos de atividade física. Acta Fisiatr. 2008;15(3):170-5.
CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. São Paulo: Edusp, 2003.
Di Nubila HBV, Buchalla CM. O papel das Classificações da OMS - CID e CIF nas definições de deficiência e incapacidade. Rev bras epidemiol. 2008;11(2):324-35.
Finger ME, Cieza A, Stoll J, Stucki G, Huber EO. Identification of intervention categories for physical therapy, based on the international classification of functioning, disability and health: a Delphi exercise. Phys Ther. 2006;86(9):1203-20.
Faria N, Buchalla CM. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde da Organização Mundial de Saúde: conceitos, usos e perspectivas. Rev Bras Epidemiol. 2005;8(2):187-93.
McIntyre A, Tempest S. Two steps forward, one step back? A commentary on the disease-specific core sets of the International Classification of Functioning, Disability and Health (ICF). Disabil Rehabil. 2007;29(18):1475-9.
Grill E, Stucki G, Scheuringer M, Melvin J. Validation of International Classification of Functioning, Disability, and Health (ICF) Core Sets for early postacute rehabilitation facilities: comparisons with three other functional measures. Am J Phys Med Rehabil. 2006;85(8):640-9.
Cieza A, Ewert T, Ustün TB, Chatterji S, Kostanjsek N, Stucki G. Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med. 2004;(44 Suppl):9-11.
Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustün B, Stucki G. ICF linking rules: an update based on lessons learned. J Rehabil Med. 2005;37(4):212-8.
Brach M, Cieza A, Stucki G, Füssl M, Cole A, Ellerin B, et al. ICF Core Sets for breast cancer. J Rehabil Med. 2004;(44 Suppl):121-7.
Tschiesner U, Cieza A, Rogers SN, Piccirillo J, Funk G, Stucki G, et al. Developing core sets for patients with head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF). Eur Arch Otorhinolaryngol. 2007;264(10):1215-22.
Figueiredo EM, Lara JO, Cruz MC, Quintão DMG, Monteiro MVC. Perfil sociodemográfico e clínico de usuárias de serviço de Fisioterapia Uroginecológica da rede pública. Rev Bras Fisioter. 2008;12(2):136-42.
Espuña Pons M, Puig Clota M. Coital urinary incontinence: impact on quality of life as measured by the King's Health Questionnaire. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(5):621-5.
Rett MT, Simões JA, Herrmann V, Gurgel MSC, Morais SS. Qualidade de vida em mulheres após tratamento da incontinência urinária de esforço com fisioterapia. Rev Bras Ginecol Obstet. 2007;29(3):134-40.
Fonseca ESM, Camargo ALM, Castro RA, Sartori MGF, Fonseca MCM, Lima GR. Validação do questionário de qualidade de vida (King's Health Questionnaire) em mulheres brasileiras com incontinência urinária. Rev Bras Ginecol Obstet. 2005;27(5):235-42.
Thonnard JL, Penta M. Functional assessment in physiotherapy. A literature review. Eura Medicophys. 2007;43(4):525-41.
Stucki g, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health: a unifying g model for the conceptual description of the rehabilitation strategy. J Rehabil Med. 2007;39:279-85.
Downloads
Published
Issue
Section
License
Copyright (c) 2010 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
