Revista da Associacao Medica Brasileira最新文献

{"title":"Foley catheter plus misoprostol versus misoprostol alone for labor induction.","authors":"Jhonathan Alcides Elpo,&nbsp;Bruna de Aguiar Araújo,&nbsp;Lia Karina Volpato","doi":"10.1590/1806-9282.20220897","DOIUrl":"https://doi.org/10.1590/1806-9282.20220897","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the effects of Foley catheter combined with misoprostol in the labor induction process.</p><p><strong>Methods: </strong>This is a nonblinded, block randomized, controlled trial that compared the association between transcervical Foley catheter/vaginal misoprostol 25 μg combination and vaginal misoprostol 25 μg alone in normal-risk and healthy pregnant women undergoing labor induction in the south of Brazil.</p><p><strong>Results: </strong>A total of 230 patients with indications for labor induction were evaluated and classified into the \"combined\" group (Foley catheter plus misoprostol), consisting of 107 patients, and the \"misoprostol\" group (misoprostol only), consisting of 123 patients. The \"combined\" group was observed to have a shorter labor induction time (p=0.008). In addition, there was a lower need for misoprostol use for overall cervical ripening (p<0.001) and a lower relative risk of needing a second, third, or fourth misoprostol tablet in the \"combined\" group (risk ratio [RR] 0.80, 95% confidence interval [CI] 0.71-0.91; RR 0.41; 95%CI 0.31-0.56; and RR 0.29, 95%CI 0.17-0.52, respectively) (p<0.001). No statistically significant difference was found in induction failure rate, cesarean section rate, or perinatal outcomes.</p><p><strong>Conclusion: </strong>A combination of methods leads to shorter labor induction, lower need for misoprostol doses, and lower risk of cesarean section, with no increase in the rate of perinatal complications. REBEC number is RBR-7xcjz3z.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 1","pages":"119-123"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/bc/1806-9282-ramb-69-01-0119.PMC9937608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10834923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and electrophysiological efficacy of extracorporeal shock-wave therapy in carpal tunnel syndrome: a placebo-controlled, double-blind clinical trial.","authors":"Ahmet Kivanc Menekseoglu,&nbsp;Merve Damla Korkmaz,&nbsp;Hatice Segmen","doi":"10.1590/1806-9282.20220943","DOIUrl":"https://doi.org/10.1590/1806-9282.20220943","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the efficacy of radial extracorporeal shock wave therapy on pain, functionality, and electrophysiological measurements in carpal tunnel syndrome.</p><p><strong>Methods: </strong>Between June 2021 and January 2022, a total of 66 wrists in 45 participants with mild-to-moderate carpal tunnel syndrome were included in this double-blind, prospective, randomized, placebo-controlled study. Patients were randomized into two groups, namely, the radial extracorporeal shock wave therapy (group 1, n=33) and the sham radial extracorporeal shock wave therapy (group 2, n=33). Night splints and tendon nerve gliding exercises were given to all participants. The participants were evaluated at baseline and the first month after treatment. Participants were evaluated using a visual analog scale, the Boston Carpal Tunnel Questionnaire, Leeds Neuropathic Symptom and Symptom Assessment, and electrophysiological examinations.</p><p><strong>Results: </strong>A total of 37 participants (a total of 55 wrists, radial extracorporeal shock wave therapy n=27, and sham radial extracorporeal shock wave therapy n=28) completed the study. After the intervention, there was a significant decrease in visual analog scale values (p<0.001) and a significant increase in Boston Carpal Tunnel Questionnaire scores (p<0.001) and Leeds Neuropathic Symptom and Symptom Assessment scores (p<0.001). In electrophysiological measurements, there was a significant decrease in median nerve sensory (p=0.002) and motor (p=0.003) distal latency, and a significant increase in median nerve sensory conduction velocity (p=0.026) was found in the radial extracorporeal shock wave therapy group.</p><p><strong>Conclusion: </strong>This study shows that radial extracorporeal shock wave therapy has positive effects on pain, functionality, and electrophysiological measurements for mild-to-moderate carpal tunnel syndrome 1 month after application.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 1","pages":"124-130"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/ba/1806-9282-ramb-69-01-0124.PMC9937620.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10836372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of closed and open kinetic chain exercises on pain, muscle strength, function, and quality of life in patients with knee osteoarthritis.","authors":"Anıl Özüdoğru,&nbsp;Nihal Gelecek","doi":"10.1590/1806-9282.20230164","DOIUrl":"https://doi.org/10.1590/1806-9282.20230164","url":null,"abstract":"<p><strong>Objective: </strong>Therapeutic exercises are well documented for the treatment of osteoarthritis; there is less evidence on what the effect of closed kinetic chain exercises is for knee osteoarthritis. The aim of this study was to investigate the effects of open kinetic chain exercises and closed kinetic chain exercises on pain, muscle strength, functional status, and quality of life in patients with knee osteoarthritis.</p><p><strong>Methods: </strong>The study included a total of 60 patients with primary unilateral knee osteoarthritis grade I and II. The patients were categorized into three groups as open kinetic chain exercises (n=20), closed kinetic chain exercises (n=20), and control group (n=20). The outcome measures, including pain, isokinetic muscle strength, functional status, and quality of life, were collected at baseline and at the end of 6 and 12 weeks.</p><p><strong>Results: </strong>Closed kinetic chain exercises and open kinetic chain exercises had significant improvement in pain, muscle strength, WOMAC, and SF-36 scores after the treatment and at their 6th and 12th week follow-ups compared to their baseline values and compared to the control group (p<0.05).</p><p><strong>Conclusion: </strong>The changes in all outcome measures were similar between closed kinetic chain exercises and open kinetic chain exercises (p>0.05). Closed kinetic chain exercises and open kinetic chain exercises were similar for knee osteoarthritis grade I and II. Closed kinetic chain exercises could be safely added to the exercise programs of patients with low-grade knee osteoarthritis.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 7","pages":"e20230164"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/d2/1806-9282-ramb-69-07-e20230164.PMC10352015.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the efficacy of systemic inflammatory indices in determining mortality in very low birth weight infants.","authors":"Ufuk Cakir,&nbsp;Cuneyt Tayman,&nbsp;Ali Ulas Tugcu","doi":"10.1590/1806-9282.20230150","DOIUrl":"https://doi.org/10.1590/1806-9282.20230150","url":null,"abstract":"<p><strong>Objective: </strong>In our study, we aimed to investigate whether systemic inflammatory indices could be an indicator of mortality in very low birth weight (<1,500 g) preterm infants.</p><p><strong>Methods: </strong>Very low birth weight preterm infants were included in our study, and patient data were recorded retrospectively. Neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, systemic immune-inflammation index, pan-immune-inflammation value, and systemic inflammation response index were calculated and recorded. The survivors and infants who died were compared for systemic inflammatory indices.</p><p><strong>Results: </strong>A total of 1,243 very low birth weight infants were included in the study. Of the patients, 1,034 survived and 209 died. Neutrophil-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio, pan-immune-inflammation value, systemic immune-inflammation index, and systemic inflammation response index were found to be statistically significantly lower in the mortality group than those in the survivor group (p=0.039, p=0.001, p<0.001, p<0.001, p<0.001, and p=0.002, respectively). According to the receiver operating curve analysis, systemic immune-inflammation index with the highest area under the curve (0.844) was found to be the most effective systemic inflammatory indices in predicting mortality with a cutoff level of ≤28.87 (p=0.0001). Multiple regression analysis showed that a lower level of systemic immune-inflammation index (≤28.87) was independently associated with mortality (OR: 1.677, 95%CI 1.061-2.685, p=0.001).</p><p><strong>Conclusion: </strong>We have shown that low systemic immune-inflammation index value in very low birth weight preterm infants may be a novel systemic inflammatory index that can be used to predict mortality.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 7","pages":"e20230150"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/58/1806-9282-ramb-69-07-e20230150.PMC10351994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of sexual function and depression in female patients with fibromyalgia.","authors":"İbrahim Halil Erdem,&nbsp;Fatma Ustabaşıoğlu","doi":"10.1590/1806-9282.20230180","DOIUrl":"https://doi.org/10.1590/1806-9282.20230180","url":null,"abstract":"<p><strong>Objective: </strong>Fibromyalgia is one of the most important problems, especially for women. Studies point to disorders in the sexual functions of fibromyalgia patients that reduce their quality of life. The aim of this study was to investigate sexual dysfunction and its relationship with disease severity and depression in women with fibromyalgia.</p><p><strong>Methods: </strong>This study included 98 female patients diagnosed with fibromyalgia and 54 healthy women. The Female Sexual Function Index was used to assess sexual dysfunction. Fibromyalgia disease severity was measured with the Fibromyalgia Impact Questionnaire. Hamilton Depression Scale was filled in to evaluate the depression status of the patients.</p><p><strong>Results: </strong>According to the female sexual function index data, female sexual dysfunction was found in 78 (79.6%) patients with fibromyalgia and only in 12 (22.2%) controls. When the female sexual function index scores of fibromyalgia patients with and without depression were compared, patients with additional depression had lower female sexual function index scores, and this difference was statistically significant (p=0.002). In the correlation analysis, the female sexual function index score showed a significant negative correlation with the hamilton depression scale (rho=-0.235, p=0.020) and fibromyalgia impact questionnaire (rho=-0.215, p=0.033) scores.</p><p><strong>Conclusion: </strong>This study highlights the high prevalence of sexual dysfunction in female fibromyalgia patients and the significant correlation between sexual dysfunction and both disease severity and depression.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 7","pages":"e20230180"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/ea/1806-9282-ramb-69-07-e20230180.PMC10352019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9841890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial\".","authors":"André Pontes-Silva,&nbsp;Karolayne Dos Santos Lima,&nbsp;Cassius Iury Anselmo-E-Silva,&nbsp;André Luiz Lopes,&nbsp;Aldair Darlan Santos-de-Araújo","doi":"10.1590/1806-9282.20230091","DOIUrl":"https://doi.org/10.1590/1806-9282.20230091","url":null,"abstract":"This paper 1 aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma via a prospective randomized controlled study (coolant spray group, n=51; placebo spray group, n=50). The authors concluded that coolant spray therapy can be used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients; however, some points of this research do not support this conclusion. First of all, the authors did not describe the study hypothesis (this weakens the results). Second, they did not present the minimal clinically important change of the VAS on the patients’ pain level (making it impossible to analyze clinical relevance). Comparisons of outcomes in clinical trials should consider the minimal clinically important change of the mean differences because the p-value only shows statistical significance, which interpretation translates just a hypothesis test governed by a probability of previously defined error ( α ) 2,3 . Third, they did not present the assess the effect size (e.g., Cohen’s d=[M1–M2]/S pooled ) 4,5 of the comparisons between the times and groups (making it impossible [again] to analyze clinical relevance). Fourth, they should have assessed the patients’ disability for pre-and post-intervention comparisons. As such, the new conclusion is as follows: although this study has shown significant differences between coolant spray therapy and placebo (used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients), its clinical relevance is yet unknown.","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 5","pages":"e20230091"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/19/1806-9282-ramb-69-05-e20230091.PMC10204835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial.","authors":"İlker Akbaş,&nbsp;Sinem Dogruyol,&nbsp;Abdullah Osman Kocak,&nbsp;Talha Dogruyol,&nbsp;Meryem Betos Koçak,&nbsp;Sultan Tuna Akgol Gur,&nbsp;Zeynep Cakir","doi":"10.1590/1806-9282.20220048","DOIUrl":"https://doi.org/10.1590/1806-9282.20220048","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma.</p><p><strong>Methods: </strong>In this prospective randomized controlled study, geriatric patients were assigned to groups to receive either coolant spray (n=51) or placebo spray (n=50). The visual analog scale scores of all patients were recorded before starting spray application (V0), as well as at 10th (V1), 20th (V2), 30th (V3), 60th (V4), 120th (V5), and 360th (V6) minute. The mean decreases in the visual analog scale scores were calculated.</p><p><strong>Results: </strong>The differences between V0 and V1, V0 and V2, V0 and V3, and V0 and V4 mean visual analog scale scores measured in the coolant spray group were found to be significantly higher (p<0.001). In V1, V2, V3, and V4 measurements, the incidence of \"clinical effectiveness\" in the coolant spray group was significantly higher than in the placebo group (p=0.001).</p><p><strong>Conclusions: </strong>Coolant spray therapy can be used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 1","pages":"30-36"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/38/1806-9282-ramb-69-01-0030.PMC9937612.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is there an association between endometriosis and thyroid autoimmunity?","authors":"Hilal Şerifoğlu,&nbsp;Sevcan Arzu Arinkan,&nbsp;Ozge Pasin,&nbsp;Fisun Vural","doi":"10.1590/1806-9282.20221679","DOIUrl":"https://doi.org/10.1590/1806-9282.20221679","url":null,"abstract":"<p><strong>Objective: </strong>It has been suggested that non-uterine endometrial implants can express thyroid-stimulating hormone receptors, thus inducing the formation of thyroid-stimulating immunoglobulin. We aimed to compare the autoantibody positivity in patients with and without endometriosis and to determine whether there is a difference in the incidence of thyroid diseases.</p><p><strong>Methods: </strong>This prospective observational study was conducted on 102 women who had been operated on for benign gynecological diseases. Cases enrolling in the study were divided into two groups: the study group with endometriosis (n=51) and the control group without endometriosis (n=51). The blood tests for thyroid-stimulating hormone, free thyroxine (fT4), thyroid-stimulating immunoglobulin, and anti-thyroid peroxidase antibody levels were checked.</p><p><strong>Results: </strong>The mean thyroid-stimulating immunoglobulin level was found to be higher in the endometriosis group than in the control group. However, this difference was not statistically significant. No significant difference was detected between endometriosis and control groups in terms of anti-thyroid peroxidase antibody and thyroid-stimulating hormone levels. The mean fT4 value (0.97±0.13 ng/dL) of the endometriosis patients was found to be significantly lower than the control group (1.08±0.21 ng/dL) (p=0.002; p<0.05). The mean anti-thyroid peroxidase antibody value of cases with bilateral endometrioma (82.21±252.29 IU/mL) was significantly higher than cases with unilateral endometrioma (15.81±83.13 IU/mL) (p=0.028; p<0.05). There is a positive and significant relationship between the size of endometriosis and anti-thyroid peroxidase antibody values (p=0.011; p<0.05).</p><p><strong>Conclusion: </strong>This study points to an association between endometrioma diameter and anti-thyroid peroxidase antibody values which can be a stepping stone for new studies evaluating this hypothesis further.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 6","pages":"e20221679"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/8b/1806-9282-ramb-69-06-e20221679.PMC10234359.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9936683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Assessment of pain and quality of life in patients undergoing cardiac surgery: a cohort study\".","authors":"André Pontes-Silva,&nbsp;André Luiz Lopes,&nbsp;Erika da Silva Maciel,&nbsp;Fernando Rodrigues Peixoto Quaresma,&nbsp;Aldair Darlan Santos-de-Araújo","doi":"10.1590/1806-9282.20230304","DOIUrl":"https://doi.org/10.1590/1806-9282.20230304","url":null,"abstract":"First, Viana et al. 1 evaluated postoperative pain and quality of life in patients undergoing median sternotomy (via comparisons in a cohort study). However, while comparing outcomes, it is important to present the clinical relevance of the differences found because the p-value shows only a statistical observation related to an alpha error probability 2,3 . Classical statistical significance is still the predominant way to analyze cohort studies, but clinical significance analysis has been slowly incorporated into the analysis of health-related studies. Statistical significance does not assure that the results are clinically relevant. The dichotomy that emerged from hypothesis testing 4 , namely, the decision to accept or reject the null hypothesis based on the predetermined levels of probability 5 does not provide any insights into whether the results of the study are important for patients, clinicians, or decision-makers, limiting the value of the tests in the world of evidence-based practice 4,6,7 . It can be solved by adding the effect size to the significant values (p ≤ 0.05) 8 or the minimal clinically important difference 9 of the instruments: Visual Analog Scale (VAS) 10 , Brief Pain Inventory (BPI) 11 , and World Health Organization Quality of Life Questionnaire (WHOQOL) 12 . These adjustments facilitate probabilistic reasoning in the clinical applicability of scientific evidence. Second, the authors used convenience sampling and suggested further studies with larger samples. A convenience sample is one that is drawn from a source that is easily accessible to study. This sample","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 7","pages":"e20230304"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/fe/1806-9282-ramb-69-07-e20230304.PMC10352007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9947120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of breast augmentation on female sexuality.","authors":"Paulo Afonso Monteiro Pacheco Guimarães,&nbsp;Elisa Mayumi Kokuba Aihara,&nbsp;Miguel Sabino Neto,&nbsp;Mateus Leme De Marchi,&nbsp;Lydia Masako Ferreira","doi":"10.1590/1806-9282.2023S105","DOIUrl":"https://doi.org/10.1590/1806-9282.2023S105","url":null,"abstract":"<p><strong>Introduction: </strong>The breasts are symbols of femininity, sexuality, and maternity. Breast augmentation is among the most sought-after procedures for women and has a positive impact on quality of life. Sexuality is one of the items that contribute to increased quality of life. Surgical outcomes can be evaluated from the patients' perspective using developed and validated questionnaires. For the assessment of sexuality, the most commonly used instruments are the Female Sexual Quotient and the Female Sexual Function Index, which estimate several domains of sexuality and can be used to evaluate the impact of surgery on it.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the impact of breast augmentation on female sexuality.</p><p><strong>Methods: </strong>We selected 87 patients from the Plastic Surgery Outpatient Clinic of Hospital São Paulo (Federal University of São Paulo) who wished to undergo breast augmentation. The patients were classified into two groups: the Female Sexual Quotient questionnaire was applied to one group, and the Female Sexual Function Index questionnaire was applied to the other group to evaluate sexuality preoperatively as well as at 2 and 4 months postoperatively.</p><p><strong>Results: </strong>In both groups, there was a significant increase in the total score of the Female Sexual Quotient and Female Sexual Function Index questionnaires, and an individual increase in each domain assessed, with a significant increase in the domains of orgasm and sexual satisfaction, as well as foreplay and arousal, indicating an improvement in the patients' sexuality postoperatively.</p><p><strong>Conclusion: </strong>Breast augmentation has a positive impact on female sexuality; furthermore, the Female Sexual Quotient and Female Sexual Function Index are sensitive in detecting this impact.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 suppl 1","pages":"e2023S105"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/9e/1806-9282-ramb-69-suppl1-e2023S105.PMC10411706.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}