A comparison study of two lower urinary tract symptoms screening tools in clinical practice: The B-SAQ and OAB-V8 questionnaires

Abstract

Lower urinary tract symptoms (LUTS) have a detrimental effect on quality-of-life (QoL). However, sufferers are often reluctant to seek help. Screening for LUTS will identify patients with bothersome symptoms who may benefit from treatment and allow patients to self-assess their symptoms and the need for medical intervention, potentially saving costly medical time and reducing long-term morbidity. The aim of this study was to compare the value of two validated questionnaires: the Bladder Control Self Assessment Questionnaire (B-SAQ) and the Overactive Bladder Awareness Tool (OAB-V8) as screening questionnaires in clinical practice. A total of 223 women were recruited prospectively from three centres. Participants completed both questionnaires in the waiting area prior to assessment by a clinician, who completed a symptom evaluation sheet. Data were analysed using receiver operating characteristic curves. Both the B-SAQ and the OAB-V8 performed well in detecting symptoms of OAB and mixed urinary symptoms. The B-SAQ performed better in detecting symptoms of stress incontinence than the OAB-V8. The opportunity to screen for haematuria should never be missed and this is an important omission from the OAB-V8.

Validation of the bladder control self‐assessment questionnaire (B‐SAQ) in men

“…A comparison of the B‐SAQ and the OAB awareness tool, the OAB‐V8, in women in both primary and secondary care, showed that both tools were good at detecting OAB and mixed urinary symptoms, but it appeared that the B‐SAQ was better for detecting stress UI (AUC 0.85 vs 0.68) . In a cross‐sectional, multicentre study from Spain recruiting women attending urodynamic investigations, the B‐SAQ correlated well with a 3 day bladder diary when assessing frequency and urgency; both these measures were the only instruments able to fully assess all the symptoms of OAB .…”

Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

“…Esta herramienta también se ha empleado para evaluar la prevalencia de VH en una población española 6 . Un estudio reciente compara la capacidad de OAB-V8 y de CACV para detectar VH y confirma su equivalencia, aunque CACV se comporta mejor que OAB-V8 para detectar síntomas de incontinencia de esfuerzo 29 .…”

Case‐finding tools for the diagnosis of OAB in women: A narrative review

“…However, it was shown to have the best diagnostic performance for OAB in combination with a 3‐day bladder diary in another study of 247 women with a clinical diagnosis of OAB . In a separate comparison study of the B‐SAQ and the OAB‐V8 questionnaire amongst 223 women, an AUC of 0.83 and 0.82 for OAB was found for B‐SAQ and OAB‐V8 respectively, indicating that both are good screening tools in the identification of OAB symptoms, although the B‐SAQ was shown to be superior in the detection of mixed incontinence and stress incontinence symptoms . The authors concluded that the B‐SAQ was superior as a screening tool as it was better at detecting a range of LUTS and importantly for the “red‐flag” symptoms of haematuria and bladder pain.…”

“…14 In a separate comparison study of the B-SAQ and the OAB-V8 questionnaire amongst 223 women, an AUC of 0.83 and 0.82 for OAB was found for B-SAQ and OAB-V8 respectively, indicating that both are good screening tools in the identification of OAB symptoms, although the B-SAQ was shown to be superior in the detection of mixed incontinence and stress incontinence symptoms. 15 The authors concluded that the B-SAQ was superior as a screening tool as it was better at detecting a range of LUTS and importantly for the "red-flag" symptoms of haematuria and bladder pain. These studies have shown that the B-SAQ is a psychometrically robust and valid screening tool for LUTS and OAB in both men and women in the primary and secondary care setting.…”