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Development of a questionnaire and screening model for lipedema
Alexandre Campos Moraes Amato1,2, Fernando Campos Moraes Amato2, Daniel Augusto Benitti3
1Universidade Santo Amaro - UNISA, São Paulo, SP, Brasil.
Background:
Lipedema is greatly underdiagnosed and there is a lack of low-cost tools to facilitate diagnostic. We created a lipedema screening questionnaire based on a questionnaire for assessing symptoms.
Objectives:
The study objectives were to identify relevant clinical questions, develop a screening questionnaire, and construct a model for predicting lipedema.
Method:
A simplified questionnaire was constructed and administered to a sample of patients with and without lipedema and then the probability of correct diagnosis was analyzed.
Results:
All 109 patients who answered the questionnaire were female and all of them understood the questions. A predictive model using individual question scores achieved an excellent probability of correct diagnosis, at 91.2%, and a predictive model based on total score also achieved a good probability of correct diagnosis, at 86.15%.
Conclusions:
The lipedema screening questionnaire is a practical instrument that is quick and easy to administer and can be used with our population for identification of possible lipedema patients, raising the level of suspicion when taking a patient's history and conducting a physical examination.
