The Chinese Linguistic Validation of the Ureteral Stent Symptom Questionnaire

Abstract

Objective: We validated the Chinese version of the Ureteral Stent Symptoms Questionnaire (USSQ) in patients with an indwelling ureteric stent. Patients and Methods: The English version of the USSQ was translated into Chinese using a multi-step process by 3 urologists and 2 independent translators. The Chinese version was validated by asking 50 patients with temporary unilateral ureteral stent to complete the questionnaire at weeks 1 and 4 after stent placement. Thirty healthy individuals without a ureteral stent were also asked to complete the Chinese USSQ once. The psychometric properties of the questionnaire were analyzed. Results: After revision of the initial 2 drafts after translation, back translation, and pilot testing, a final draft was developed that underwent field testing. Psychometric analyses revealed satisfactory internal consistencies and test-retest reliability for all domains except for sexual matters. Most USSQ domains showed moderate correlations with each other. It demonstrated satisfactory discriminant validity (sensitivity to change, p < 0.05) and test-retest reliability. Analysis of the domains of the sexual matters was limited because of the small proportion of the study population for whom it was applicable. Conclusion: The Chinese version of the USSQ is a reliable and valid instrument to evaluate symptoms and health-related quality of life in Chinese patients with ureteric stents.

Initial experiment of self-expanding metal ureteral stent in recurrent ureteral stenosis after kidney transplantation

“…© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons TA B L E 1 PS, polymeric double-J stent; US, ureteral stenosis; USSQ, Ureteral Stent Symptom Questionnaire; UV, ureterovesical junction 5. a Success was defined as stent in situ within 1 year without obstruction or obvious migration, regardless of whether it has been reinserted or not.…”

Impact of Endourological procedures with or without double-J stent on sexual function: a systematic review and meta-analysis

“…USSQ is utilized to assess the safety of a new stent or medications that can relieve symptoms after placement of a stent. Zhu et al and Giannarini et al showed impairment in sexual health in patients compared to that in healthy individuals at four weeks after stent placement [29,30]. By contrast, some studies showed no significant difference when comparing sexual health at the fourth week after placement with that at the fourth week after removal [30,31].…”

Japanese linguistic validation of the ureteral stent symptom questionnaire

“…1 Joshi developed the USSQ, an effective tool for assessing the impact of ureteral stents on patients, which has been regarded as a reliable measure of outcomes in many studies. [2][3][4][5][6][7][8][9][10][11] In the present study, we evaluated the psychometric properties of the Japanese version of the USSQ.…”

“…This tool has become the standard for the evaluation of symptoms, and the English version of the USSQ has since been translated and validated in European and Asian countries. [3][4][5][6][7][8][9][10][11] In the present study, we developed the Japanese version of the USSQ and validated its psychometric properties to determine whether it is appropriate for evaluating the outcomes of ureteral stent placement.…”

“…It consists of six domains, exploring stent‐specific matters in three domains (urinary symptoms, body pain and additional problems) and general matters in the remaining three domains (general health, work performance and sexual matters). This tool has become the standard for the evaluation of symptoms, and the English version of the USSQ has since been translated and validated in European and Asian countries 3–11 …”