Resumen de Validez y fiabilidad de la prueba de Kupperman

C. Mascort, M. Beltrán Vilella, Pascual Solanas, S. Vargas, S. Saura

• Objective: To study the validity and reliability of the Kupperman test (KT), which measures climacteric symptoms.

  Design: Validation study. Setting: an urban primary care center (Gerona-3 primary care center) in Gerona, Spain.

  Patients: A randomized sample of women aged between 45 and 60 years old. Sample size for the calculation of intraclass correlation coefficient (ICC): N=256.

  Measurements: KT was administered on two occasions. At the baseline visit, both KT and the Nottingham Health Profile (NHP) were administered.

  Results: Twenty-eight patients (11%) refused to participate. Reliability: the ICC for the total KT score was 0.779, and for the diverse fields was between 0.777 (for hot flushes) and 0.53 1 (for arthralgias). Validity: the correlation between NHP and KT was 0.605 (P<.0005). The KT score for menopausal (159) and non-menopausal women (69) showed no statistically significant differences (12.96 vs 10.5 1; P=.055).

  The ICC of the KT revealed that this test was suitable for group use but not for individual use (ICC<0.9). KT measures quality of life in women between 45 and 60 years old indirectly (through symptoms). The lack of significant differences between menopausal and non-menopausal women could be due to the low power of KT.