A new questionnaire to assess the quality of life of urinary incontinent women

Kelleher, Con; Cardozo, Linda; Khullar, Vik; Salvatore, Stefano

doi:10.1111/j.1471-0528.1997.tb11006.x

Cited by 1,023 publications

(751 citation statements)

References 12 publications

(10 reference statements)

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“…In addition, the King's Health Questionnaire is a condition-specific quality of life measurement, which is able to evaluate HRQL impairment because of symptoms related to the urinary tract. 14 It is recommended that both generic and condition-specific instruments are used. 15 The SF-36 survey is comprised of 36 questions and is organized into eight health domains: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health (MH).…”

Section: Methodsmentioning

confidence: 99%

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

Liu

Gall

et al. 2009

Spinal Cord

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Study design: Cross-sectional study. Objectives: (1) To assess the relationship between bladder management methods and the healthrelated quality of life (HRQL) in patients with spinal cord injury (SCI). (2) To identify any correlation between the two questionnaires used to assess the quality of life (one validated for SCI and one validated for bladder symptoms). Setting: Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK. Methods: This study is based on two questionnaires with results collected from 142 people with SCI. The two questionnaires were based on information from the Short-Form 36-Item Health Survey (SF-36) and the King's Health Questionnaire and included demographic characteristics, bladder management methods and the frequency of incontinence. Results: There is a moderate correlation between the results of the SF-36 and the King's Health Questionnaire. Only 21% SCI patients report normal voiding without any other form of bladder management. The type of bladder management may influence the HRQL in patients with SCI. Clean intermittent catheterization by attendant, indwelling transurethral catheterization and indwelling suprapubic catheterization are the three groups with the worst mental status. In addition, the frequency of incontinence is a strong influence on HRQL. Conclusions:The results of this study may provide a general baseline HRQL for patients with SCI. Our findings show the relationships between bladder management methods and quality of life in patients with SCI. In addition, the impact of incontinence on quality of life was also confirmed.

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Section: Methodsmentioning

confidence: 99%

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

Liu

Gall

et al. 2009

Spinal Cord

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“…All women were asked to complete a disease-specific health related quality of life (HRQoL) questionnaire (King's Health Questionnaire, KHQ) [2] and 3-day bladder diary incorporating M a n u s c r i p t 6 the validated Patient's Perception of Intensity of Urgency Scale (PPIUS) [12], before attending the urodynamic clinic. The symptom domain of the KHQ was used to assess the presence of LUTS.…”

Section: Methodsmentioning

confidence: 99%

“…The nine variables (with the contributing score) included in the final questionnaire were: urgency (11), voided volume < 300ml (9), UUI (8), nocturia (6), nocturnal enuresis (6), flooding (6), nulliparity (5), frequency (2), non-caucasian ethnicity (2). In view of the use of multiple variables in a small sample without adjusted logistic regression analysis, there is a significant risk of overfitting M a n u s c r i p t 11 for this scoring system.…”

Section: Commentmentioning

confidence: 99%

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Can we predict detrusor overactivity in women with lower urinary tract symptoms? The King's Detrusor Overactivity Score (KiDOS)

Giarenis

Musonda

Mastoroudes

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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A prediction model is able to predict detrusor overactivity more accurately than a symptomatic diagnosis alone, in women with lower urinary tract symptoms. Abstract ObjectiveTraditionally, urodynamic studies (UDS) have been used to assess lower urinary tract symptoms (LUTS), but their routine use is now discouraged. While urodynamic stress incontinence is strongly associated with the symptom of stress urinary incontinence (SUI) and a positive cough test, there is a weak relationship between symptoms of overactive bladder and detrusor overactivity (DO). The aim of our study was to develop a model to predict DO in women with LUTS. Study DesignThis prospective study included consecutive women with LUTS attending a urodynamic clinic. All women underwent a comprehensive clinical and urodynamic assessment. The effect of each variable on the odds of DO was estimated both by univariate analysis and adjusted analysis using logistic regression. Results1006 women with LUTS were included in the study with 374 patients (37%) diagnosed with DO. The factors considered to be the best predictors of DO were urgency urinary incontinence, urge rating/void and parity (p-value <0.01). The absence of SUI, vaginal Page 3 of 26 A c c e p t e d M a n u s c r i p t 3 bulging and previous continence surgery were also good predictors of DO (p-value < 0.01).We have created a prediction model for DO based on our best predictors. In our scoring system, presence of UUI scores 5; mean urge rating/void ≥ 3 scores 3; parity ≥ 2 scores 2; previous continence surgery scores -1; presence of SUI scores -1; and the complaint of vaginal bulging scores -1. If a criterion is absent, then the score is 0 and the total score can vary from a value of -3 to +10. The Receiver Operating Characteristic (ROC) analysis for the overall cut-off points revealed an area under the curve of 0.748 (95%CI 0.741, 0.755). ConclusionThis model is able to predict DO more accurately than a symptomatic diagnosis alone, in women with LUTS. The introduction of this scoring system as a screening tool into clinical practice may reduce the need for expensive and invasive tests to diagnose DO, but cannot replace UDS completely.

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“…Since then there has been an increased interest in research focussing on the tools used to assess incontinence and its impact on health [Blaivas et al, 1997;Mattiasson et al, 1998]. Many questionnaires designed to quantify the e¡ects of urinary incontinence have been developed in the last 10 years [Wyman et al, 1987;Uebersax et al, 1995;Jackson et al, 1996;Wagner et al, 1996;Kelleher et al, 1997;Patrick et al, 1999;Corcos et al, 2002]. It can be di⁄cult to select right instrument to be used for an outcome measure.…”

Section: Introductionmentioning

confidence: 99%

Which questionnaire? A psychometric evaluation of three patient‐based outcome measures used to assess surgery for stress urinary incontinence

Reid

Smith

Dunn

2006

Neurourology and Urodynamics

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Aims: The aim of the study was to further validate three patient-based outcome measures (PBOM) used to assess the outcome of surgery for stress urinary incontinence and to compare their psychometric properties with a view to determining the most appropriate measure for clinical use. Methods: The work was embedded within a randomized controlled trial of laparoscopic and open colposuspension. The trial recruited 291 women from six centers. The three instruments compared were Bristol Female Lower Urinary Tract Symptom Questionnaire (BFLUTS), Kings Health Questionnaire (KHQ), and the Symptom Severity Index and Symptom Impact Index (SSI/SII). The International Consultation on Incontinence (ICI) ABC grading system of psychometric propertie's reliability, validity, and responsiveness was used to evaluate the instruments. Results: From the analysis of the psychometric properties of the three instruments, the SSI/SII appeared to have the best psychometric pro¢le; Grade A, BFLUTS was of grade A, and KHQ was of grade B. SSI/SII had a good degree of internal consistency (Cronbach's alpha 0.74^0.78). BFLUTS and KHQ both had domains in which the internal consistency was <0.7. The SSI domain of the SSI/SII was the only domain to correlate to the 1-hr pad test. All domains of the SSI/SII were able to distinguish those cured from not cured and it was most responsive to change. Unlike the KHQ, the SSI/SII had no signi¢cant ceiling or £oor e¡ects. Conclusions: This study has demonstrated that when instruments are used in di¡erent populations their psychometric properties may change. All three instruments analyzed had limitations when used as an outcome measure for surgery for stress urinary incontinence. Neurourol. Urodynam. 26: 123^128, 2007. ß 2006

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A new questionnaire to assess the quality of life of urinary incontinent women

Cited by 1,023 publications

References 12 publications

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

Can we predict detrusor overactivity in women with lower urinary tract symptoms? The King's Detrusor Overactivity Score (KiDOS)

Which questionnaire? A psychometric evaluation of three patient‐based outcome measures used to assess surgery for stress urinary incontinence

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