Validation and Clinical Use of the CECA, a Disease-specific Quality of Life Questionnaire for Patients with Anogenital Condylomata Acuminata

Vilata, J.J.; Varela, J. A.; Olmos, L.; Colombo, José A; Llorens, M.A.; Terreros, Miguel Sainz de los; Badı́a, Xavier

doi:10.2340/00015555-0422

Cited by 16 publications

(33 citation statements)

References 11 publications

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“…The methodology we used to estimate the national incidence and prevalence of GW has been used in other countries, and several studies show that incidence and prevalence vary by region. 23,27,28 For example, an incidence rate of 8.7 per 1 000 personyears was found in the placebo arm of an HPV vaccine clinical trial in a population of [15][16][17][18][19][20][21][22][23][24][25][26] year olds in Latin America. 18 To have a reference of the number of new cases of GW in Mexico, we estimated the incidence rate to be 432 059 cases of GW among individuals 50 years of age or older, using reproductive health information from the Mexican Health and Nutrition Survey, 2012.…”

Section: Discussionmentioning

confidence: 99%

“…25 We also applied the CECA instrument (Spanish acronym for the Specific Questionnaire for Condylomata Acuminata), a valid and reliable self-administered questionnaire that measures health-related quality of life (HRQL) in patients with GW. 26 This instrument assesses emotional well-being and sexual activity, with higher scores corresponding to a better QoL.…”

Section: Burden Of Genital Warts In Mexicomentioning

confidence: 99%

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Incidence, psychosocial burden, and economic impact of genital warts in Mexico

et al. 2018

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Objective. To estimate the burden of genital warts (GW) in Mexico. Materials and methods. We estimated the annual incidence of GW based on data reported by specialist physicians. We also assessed GW treatment practices, the average cost of treatment, and the psychosocial burden of GW among patients. Results. The annual incidence of GW in Mexico was estimated to be 547 200 cases. Treatment procedures vary by specialist and patient gender. The estimated annual cost was $195 million USD. The psychosocial impact of GW was slightly greater in males than females. Conclusions. This is the first evaluation of the burden of GW in Mexico. Our data suggest that GW are common, with significant health-related costs and psychosocial impact.

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Section: Discussionmentioning

confidence: 99%

Section: Burden Of Genital Warts In Mexicomentioning

confidence: 99%

Incidence, psychosocial burden, and economic impact of genital warts in Mexico

et al. 2018

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“…The corresponding answers were entered in a database in an anonymized fashion and statistically evaluated [12,13].…”

Section: Methodsmentioning

confidence: 99%

HPV-associated anal lesions in HIV+ patients: long-term results regarding quality of life

Wesselmann

Schwarze‐Zander

Boesecke

et al. 2020

Int J Colorectal Dis

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Purpose HIV infection and concomitant HPV-associated anal lesions may significantly impact on patients' quality of life (QoL), as they are predicted to have negative effects on health, psyche, and sexuality. Material and methods Fifty-two HIV+ patients with HPV-associated anal lesions were enrolled in a survey approach after undergoing routine proctologic assessment and therapy for HPV-associated anal lesions if indicated over a time span of 11 years (11/2004-11/2015). Therapy consisted of surgical ablation and topic treatment. QoL was analyzed using the SF-36 and the CECA questionnaires. Results Fifty-two of 67 patients (77.6%) were successfully contacted and 29/52 provided full information. The mean age was 43.8 ± 12.8 years. The median follow-up from treatment to answering of the questionnaire was 34 months. Twenty-one percent (6/29) of the patients reported suffering from recurrence of condyloma acuminata, three patients from anal dysplasia (10.3%). In the SF-36, HIV+ patients did not rate their QoL as significantly different over all items after successful treatment of HPVassociated anal lesions. In the CECA questionnaire, patients with persisting HPV-associated anal lesions reported significantly higher emotional stress levels and disturbance of everyday life compared to patients who had successful treatment (71.9/100 ± 18.7 vs. 40.00/100 ± 27.4, p = 0.004). Importantly, the sexuality of patients with anal lesions was significantly impaired (59.8/ 100 ± 30.8 vs. 27.5/100 ± 12.2, p = 0.032). Conclusion HPV-associated anal lesions impact significantly negative on QoL in HIV+ patients. Successful treatment of HPVassociated anal lesions in HIV+ patients improved QoL. Specific questionnaires, such as CECA, seem to be more adequate than the SF-36 in this setting.

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“…O Questionário Específico para Condiloma Acuminado (Cuestionário Específico en Condiloma Acuminado -CECA), desenvolvido pelos autores De Tiedra et al* (7) , é composto por dez questões facilmente aplicáveis pelo examinador, bem aceitas pelos pacientes e simples na contagem de sua graduação. Tratam-se de seis que avaliam o aspecto emocional e quatro que avaliam o sexual.…”

Section: Aplicação Do Questionário Específico Para Condiloma Acuminadounclassified

“…Os condilomas acuminados podem provocar danos psicológicos aos seus portadores que se sentem envergonhados, menos atraentes e consequentemente reduzindo sua qualidade de vida. Em estudo espanhol, cerca de dois terços dos pacientes referiram mudar a dinâmica sexual devido ao condiloma, sendo relatados altos níveis de ansiedade, raiva e depressão decorrente tanto da dermatose quanto do tratamento realizado para sua erradicação (7) . Por outro lado, Camargo et al publicaram em 2017 um estudo brasileiro que indicou um baixo impacto na qualidade de vida de pacientes adultos do sexo masculino com condilomas anogenitais (8) .…”

Section: Introduçãounclassified

Perfil epidemiológico e análise do impacto na qualidade de vida dos homens portadores de condilomas anogenitais / Epidemiologic profile and analysis of the impact on the quality of life of male patients with anogenital condylomas

Veasey

Campaner

2019

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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ResumoObjetivo: Avaliar o perfil epidemiológico e impacto na qualidade de vida dos pacientes portadores de verrugas anogenitais. Métodos: Trata-se de estudo transversal prospectivo realizado no Ambulatório de Infecções Sexualmente Transmissíveis do Hospital da Santa Casa de São Paulo no período de janeiro de 2015 a dezembro de 2017. Para avaliação do impacto na qualidade de vida foi aplicado um questionário específico para condiloma acuminado, que analisa o impacto na esfera emocional e sexual, e comparou-se seus resultados ao número e tempo de lesões apresentadas pelos pacientes do sexo masculino. Resultados: Foram avaliados o perfil epidemiológico de 48 pacientes, destes 23 pacientes responderam o questionário e demonstraram terem sido afetados na dimensão emocional e/ou sexual pelas suas lesões. Ao se correlacionar o número de lesões de condilomas aos resultados de impacto emocional, impacto sexual e impacto geral não se observou relação estatisticamente significante (p= 0,298, p=0,297 e p=0,230 respectivamente). Ao se correlacionar o tempo de lesão apresentada pelos pacientes ao impacto nas esferas emocional, sexual e geral houve uma relação inversa significativa com p<0,05, apresentando correlação moderada pelo método de análise de Pearson com p=0,039 na esfera emocional, p=0,009 na esfera sexual e p=0,010 na esfera global. Conclusões: A presença de condilomas anogenitais interfere na qualidade de vida de seus portadores, afetando tanto a esfera emocional quanto sexual. Notou-se também que pacientes com impacto na qualidade de vida pela presença de condilomas tendem a buscar auxílio médico mais rapidamente, enquanto pacientes com baixo impacto nas esferas sexual e emocional demoram mais tempo a procurar tratamento médico. AbstractObjective: To evaluate the epidemiological profile and impact on the quality of life of patients with anogenital warts. Methods: This is a prospective cross-sectional study conducted at the Ambulatory of Sexually Transmitted Infections at Santa Casa de São Paulo Hospital from January 2015 to December 2017. To evaluate the impact on quality of life, a specific questionnaire was used for condyloma acuminata, which analyzes the impact in the emotional and sexual sphere, and compared its results to the number and time of lesions presented by the patients. Results: The epidemiological profile of 48 patients was evaluated; 23 of these patients answered the questionnaire and were affected in the emotional and / or sexual dimension by their lesions. When correlating the number of condyloma lesions to the results of emotional impact, sexual impact and general impact, no statistically significant relationship was observed (p = 0.298, p = 0.297 and p = 0.230, respectively). When correlating the time of condyloma presented by the patients to the impact in the emotional, sexual and general spheres, there was a significant inverse relationship with p <0.05, presenting a moderate correlation with the Pearson analysis method with p = 0.039 in the emotional sphere, p = 0.009 in the sexual sphere an...

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Validation and Clinical Use of the CECA, a Disease-specific Quality of Life Questionnaire for Patients with Anogenital Condylomata Acuminata

Cited by 16 publications

References 11 publications

Incidence, psychosocial burden, and economic impact of genital warts in Mexico

Incidence, psychosocial burden, and economic impact of genital warts in Mexico

HPV-associated anal lesions in HIV+ patients: long-term results regarding quality of life

Perfil epidemiológico e análise do impacto na qualidade de vida dos homens portadores de condilomas anogenitais / Epidemiologic profile and analysis of the impact on the quality of life of male patients with anogenital condylomas

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