The Dysfunctional Voiding Scoring System: Quantitative Standardization of Dysfunctional Voiding Symptoms in Children

Farhat, Walid A.; Bägli, Darius; Capolicchio, Gianpaolo; O???REILLY, SHEILA; Merguerian, Paul A.; Khoury, Antoine E.; McLorie, Gordon A.

doi:10.1016/s0022-5347(05)67239-4

Cited by 339 publications

(159 citation statements)

References 28 publications

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“…Farhat et al [5] made the first attempt to construct a dysfunctional voiding symptom score system in the pediatric age group. The Farhat questionnaire was originally designed to be answered by children with the help of parents.…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms of LUTD were evaluated using an adaptation of the semantic equivalent of the Brazilian version of the Dysfunctional Voiding Scoring System (DVSS) instrument [18,19] developed by Farhat et al [5] was applied by the researchers and two academics in the school environment. Although the questionnaire was originally designed to be applied to both parents and their children, we subsequently decided to interview children only because of the difficulty for parents to come for the interview.…”

Section: Instrumentsmentioning

confidence: 99%

“…The children were asked if they had experienced any stressful situations in the previous month. The cutoff point considered by the score as an indicator of the possible presence of LUTD was >6 points for girls (92.7% sensitivity, 87% specificity) and >9 for boys (80.9% sensitivity, 91.3% specificity) [5].…”

Section: Instrumentsmentioning

confidence: 99%

“…Relevant epidemiological studies allow for the supposition that the prevalence of LUTD in children is variable, possibly affecting between 2% and 25% of the population [3][4][5][6][7][8][9][10][11][12]. Despite this disparity in the prevalence reported in studies, in which the informants are generally the parents, LUTD is common in the pediatric population and represents a challenge for specialized interdisciplinary teams.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of lower urinary tract symptoms in school-age children

et al. 2011

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Epidemiological studies have demonstrated rates of incontinence and enuresis as high as 20% in school-age children. This cross-sectional study aimed to investigate the prevalence of lower urinary tract (LUT) symptoms in 739 children aged 6-12 years enrolled in three government schools with different socioeconomic levels in Minas Gerais, Brazil. Symptoms of LUT were evaluated using a modified version of the Dysfunction Voiding Scoring System in which the cutoff point considered as an indicator of LUT dysfunction is >6 for girls and >9 for boys. Children with a score indicative of symptoms received an educational booklet on the functioning of the LUT and were sent for clinical evaluation. LUT dysfunction symptoms were detected in 161 (21.8%) children. Symptoms were most frequent in girls (p < 0.001), children aged 6-8 (p < 0.028), and attended the school with the lowest social level (p < 0.001). Intestinal constipation was the most prevalent finding (30.7%), independent of LUT score. The most common urinary symptoms in children with an elevated score were diurnal urinary incontinence (30.7%), holding maneuvers (19.1%), and urinary urgency (13.7%). Stress factors were associated in 28.4% of children. Our findings suggest that LUT symptoms must be investigated carefully at routine pediatric visits.

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Section: Discussionmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of lower urinary tract symptoms in school-age children

et al. 2011

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“…Çocuk ürolojisi polikliniklerine başvuran çocukların yaklaşık % 30-40'ında, işeme veya idrar depolama sorunu, idrara sıkışma hissi, sık idrara gitme, gündüz idrar kaçırma, gece idrar kaçırma ve/veya sık idrar yolu infeksiyonları görülmektedir (1,2) . Birçok yayında da, çocukların % 6-30'unda idrar kaçırma görüldüğü-nü bildirmiştir (3,4) .…”

Section: Introductionunclassified

Non-neuropathic bladder dysfunctions, and treatment approaches

Tuğtepe¹

2016

tcdd

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Measurement properties of the childhood bladder and bowel dysfunction questionnaire

van Engelenburg–van Lonkhuyzen,

Bols,

Bastiaenen

et al. 2024

J. pediatr. gastroenterol. nutr.

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ObjectivesThe childhood bladder and bowel dysfunction questionnaire (CBBDQ) was previously found feasible, structurally valid, with good internal consistency. The purpose of this study was to evaluate the remaining measurement properties according to the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN).MethodsA prospective cohort study among parents of children aged 5–12 years was conducted. Calculated were the area under the curve (AUC) (criterion validity, responsiveness, interpretability) and intra‐class correlation coefficients (ICCagreement) (construct validity and test−retest reliability).ResultsOne hundred and seventy‐two parents were included from March 2019 to April 2021. Correlating the bladder subscales of the CBBDQ with the Vancouver symptom score for dysfunctional elimination (VSSDES) and proxy‐reported pediatric incontinence quality of life (p‐PinQ) showed convergent validity (ICCsagreement: 0.76 and 0.74). Divergent validity was found when correlating the bowel subscales of the CBBDQ with the VSSDES (ICCagreement: 0.52). Excellent criterion validity (AUC: 0.98); excellent test−retest reliability (ICCagreement: 0.94) and, at 6 months, fair responsiveness (AUC: 0.74) were found. The minimal important change was 4.5, with cut‐off value of 11.ConclusionThe CBBDQ has been developed according to COSMIN standards. The items were defined using the consensus‐based ICCS standards and Rome‐III criteria. The measurement properties were identified using enough participants. Although interpretability is not considered a measurement property, interpretability aspects are reported here as they refer to what instrument scores mean. The 18‐item‐CBBDQ met the measurement properties of validity, reliability, and responsiveness, as defined by COSMIN. The CBBDQ is suitable for self‐administration by parents, and completion takes little time.

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The Dysfunctional Voiding Scoring System: Quantitative Standardization of Dysfunctional Voiding Symptoms in Children

Cited by 339 publications

References 28 publications

Prevalence of lower urinary tract symptoms in school-age children

Prevalence of lower urinary tract symptoms in school-age children

Non-neuropathic bladder dysfunctions, and treatment approaches

Measurement properties of the childhood bladder and bowel dysfunction questionnaire

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