Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in Pediatric Serbian Population

Abstract

Background and objective: Dysfunctional voiding (DV) presents relatively frequent problem in pediatric urologist practice. The necessity for implementation of DV evaluation in the pediatric population is of particular importance, since there is no clear consensus on the clinical assessment of such condition. The aims of our study were to evaluate the test/retest reliability and reproducibility of dysfunctional voiding and incontinence scoring system: Serbian version (DVISSSR) in patients with voiding and incontinence dysfunctions without structural deformities, and to estimate cut-off value for DVISSSR. Methods: The cross-sectional study included 57 children with voiding and incontinence dysfunctions and 30 healthy pediatric controls. For the evaluation of voiding and incontinence dysfunction we used DVISS. The forward–backward method was applied for translation of the DVISS questionnaire from English into Serbian language. Reproducibility was analyzed by Interclass Correlation Coefficient (ICC). Sensitivity and specificity of DVISSSR scores was done by receiver operating curve (ROC) curve. Results: There was a significant difference in DVISSSR score between patients and controls (p < 0.001). For reliability and reproducibility of the questionnaire, there was no significant difference between repeated measurements (p = 0.141), and strong reliability (ICC = 0.957; p < 0.001). Conclusion: We have demonstrated successful translation and validation of the DVISSSR score. Moreover, a reliable scoring system of children with voiding dysfunctions should include evaluations of symptom scoring systems at the multicentric level.

Validation and Cultural Adaptation of the Serbian Version of the Pediatric Outcome Data Collection Instrument (PODCI) in Children with Obstetrical Brachial Plexus Lesion

“…For proper adaptation of the testing instrument, several aspects regarding translation should be taken into consideration, including cultural, idiomatic, linguistic and contextual aspects [18]. Improper translation of the instruments undergoing the validation process in different languages could be the cause of changes in the sensitivity and specificity of original instruments, potentially resulting in an inadequate comparability of responses between different populations [14].…”

“…In Serbia, there is a lack of availability of professional translators with experience in translating parents' reported outcomes measurements. Improper translation of the instruments undergoing validation process in different languages could be the cause of changes in the sensitivity and specificity of original instruments, potentially resulting in an inadequate comparability of responses between different populations [14]. Therefore, due to the aforementioned lack of professional translators or native English speakers in Serbia with experience in this specific topic, two lead authors first translated all the items separately.…”

Dysfunctional Voiding and Incontinence Scoring System for Children and Adolescents: A Tool to Predict Clinical Course and Outcome

“…To record the voiding abnormalities in a standardized manner, several questionnaires have been created. 7 8 9 10 11 12 13 14 15 In 2005, Akbal et al described the development of the dysfunctional voiding and incontinence scoring system (DVAISS) based on the patient's history for children with dysfunctional voiding and incontinence. 13 Based on the DVAISS, which was recorded in a patient group as well as a control group, Akbal et al created a scoring system ranging from 0 to 35.…”