Comparison of self-assessed and clinician-assessed hirsutism diagnosed according to the modified Ferriman-Gallwey scale among female outpatients in Brazil
Arch. endocrinol. metab. (Online)
; 68: e230271, 2024. tab, graf
Article
in En
|
LILACS-Express
| LILACS
| ID: biblio-1563734
Responsible library:
BR1.1
Localization: 2359-4292-aem-68-e230271.xml
RESUMO
ABSTRACT Objective The aim of this study was to evaluate the efficacy of a self-assessment questionnaire for hirsutism using the latest cutoff values recommended by the Endocrine Society (ES) for Latin-American women and by the European Society for Human Reproduction and Embryology (ESHRE). Subject and methods Female premenopausal outpatients (n = 188) completed a self-assessment questionnaire, scoring hair presence across the nine areas evaluated by the modified Ferriman-Gallwey (mFG) scale. The results were compared with clinician-assessed scores rated independently by two trained physicians. Scores in the Hirsuta questionnaire, derived from self-assessment of five areas of the mFG scale, were also evaluated. Results The ethnic composition of the sample was as follows 23.1% white, 25.8% black, 48.9% mixed, and 2.1% other backgrounds (Indigenous, Asian). The participants had age and BMI of (mean ± standard deviation) 33.7 ± 9.9 years and 29.8 ± 7.21 kg/m2, respectively. The most common areas of excessive hair growth were the chin, upper and lower abdomen, and thighs. Relative to clinician-assessed mFG scores, self-assessed mFG scores had an accuracy of 80% using ES criteria for hirsutism diagnosis, with a sensitivity of 95.45%, specificity of 56.25%, positive predictive value of 30.10%, and negative predictive value of 98.40%. Self-assessed mFG had lower accuracy (71%) for diagnosing hirsutism when the ESHRE criteria were applied. Conclusions Self-assessed mFG had low specificity, limiting its application. The results of this study do not support the use of the self-assessed mFG or Hirsuta scores for diagnosing hirsutism in a clinical setting, although both scoring systems may be useful for screening hirsutism in epidemiological studies.
Full text:
1
Collection:
01-internacional
Database:
LILACS
Country/Region as subject:
America do sul
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Brasil
Language:
En
Journal:
Arch Endocrinol Metab
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Arch. endocrinol. metab. (Online)
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Archives of endocrinology and metabolism (Impresso)
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Archives of endocrinology and metabolism (Online)
Journal subject:
ENDOCRINOLOGIA
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METABOLISMO
Year:
2024
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil