Validation of the Modified American Urological Association Symptom Score

Crawford, E. David; O’Donnell, Colin; Barqawi, Al B.; O’Leary, Michael P.; Sullivan, Katherine J.; Hughes, Alexa; Roehrborn, Claus G.; Maroni, Paul

doi:10.1016/j.juro.2011.04.060

Cited by 13 publications

(20 citation statements)

References 6 publications

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“…After the score was derived, it was validated in the prostate cancer awareness week 2006-2007 and then later in the clinical setting as well. 7,8 UWIN omits frequency, which was one of the most misunderstood questions, but retains urgency due to its high correlation to bother. 4 We found a good linear relationship between AUA-SI and UWIN.…”

Section: Received Uwin Second N=140mentioning

confidence: 99%

“…This scoring system was derived from statistical analysis of 8731 AUASI scores collected during Prostate Cancer awareness week in 2003/2004 and after correlation analysis and applying area under curve (AUC) to determine the best reduced index and cut off points in severity for mild, moderate and severe categories . The UWIN score thus developed was validated by the same group in subsequent publications . This study was undertaken to compare the UWIN score with the existing gold standard AUASI for symptom severity assessment in patients with benign prostatic hyperplasia (BPH) related LUTS at our institution.…”

Section: Introductionmentioning

confidence: 99%

“…4 The UWIN score thus developed was validated by the same group in subsequent publications. 7,8 This study was undertaken to compare the UWIN score with the existing gold standard AUASI for symptom severity assessment in patients with benign prostatic hyperplasia (BPH) related LUTS at our institution.…”

Section: Introductionmentioning

confidence: 99%

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UWIN (Urgency, Weak stream, Incomplete Void, Nocturia) Score for Assessment of Lower Urinary Tract Symptoms: Could it Replace the American Urology Association Symptom Index Score? An Open Label Randomized Cross over Trial

Mallya

Keshavamurthy

Karthikeyan

et al. 2017

LUTS

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Section: Received Uwin Second N=140mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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UWIN (Urgency, Weak stream, Incomplete Void, Nocturia) Score for Assessment of Lower Urinary Tract Symptoms: Could it Replace the American Urology Association Symptom Index Score? An Open Label Randomized Cross over Trial

Mallya

Keshavamurthy

Karthikeyan

et al. 2017

LUTS

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“…However, there is a paucity of literature evaluating new tools. Crawford et al 14 validated a shorter version of the IPSS called the UWIN (urgency, weak stream, incomplete emptying, and nocturia), but it does not address the problem of poor literacy. Ushijima et al 15 evaluated a novel visual analog scale questionnaire to the IPSS in Kyoto Prefectural University of Medicine (Kyoto, Japan).…”

Section: Commentmentioning

confidence: 99%

Validation of a Visual Prostate Symptom Score in Men With Lower Urinary Tract Symptoms in a Health Safety Net Hospital

Selekman

Harris

Filippou

et al. 2015

Urology

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OBJECTIVE To evaluate the correlation between the International Prostate Symptom Score (IPSS) and the Visual Prostate Symptom Score (VPSS), a visual assessment of urinary stream, frequency, nocturia, and quality of life using pictograms, in a health safety net population. METHODS Men presenting to San Francisco General Hospital with lower urinary tract symptoms completed the IPSS and the VPSS without and then with assistance. Statistical analysis was performed using the chi-square test, the Wilcoxon signed rank test, and the Spearman rank correlation. RESULTS One hundred twenty-one patients were enrolled between December 2013 and May 2014 with a mean age of 54 years. There were statistically significant correlations between total VPSS and total IPSS (ρ = 0.71; P <.001) and for frequency (ρ = 0.47; P <.001), nocturia (ρ = 0.69; P <.001), force of stream (ρ = 0.65; P <.001), and quality of life (ρ = 0.69; P <.001). In addition, there were statistically significant correlations between total VPSS and both VPSS quality of life (ρ = 0.69; P <.001) and Qmax (ρ = −0.473; P = .006). The mean absolute disagreement for participants who took the IPSS independently vs with assistance was greater than for those who took the VPSS independently vs assistance for all symptoms: frequency (0.64 vs 0.3, respectively; P <.001), weak stream (0.82 vs 0.14, respectively; P <.001), nocturia (0.38 vs 0.23, respectively; P = .023), and quality of life (0.63 vs 0.32, respectively; P = .005). CONCLUSION Many men altered their IPSS responses when they received assistance. There was significantly less alteration in responses using the VPSS, suggesting that the VPSS is useful in determining lower urinary tract symptoms, particularly in patients with limited education and literacy.

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“…The IPSS is the most used questionnaire for the evaluation of LUTS in men, but subjects with low education level have been shown to have difficulties in completing it accurately (Johnson et al 2008) (Barry et al 1992). Following the original publications describing the development (Barqawi et al 2011) and validation (Crawford et al 2011) of the UWIN, other studies used the simplified tool to evaluate its validity and applicability compared to the IPSS (Eid et al 2014;Mallya et al 2017;Ramaraju et al 2016). The UWIN provide results comparable to the IPSS while using a more straightforward format and taking less time to complete and needing lesser assistance even when completed by subjects with lower educational status.…”

Section: Resultsmentioning

confidence: 99%

Peer Review #1 of "Transcultural adaptation and validation of the questionnaire “Urgency, Weak stream, Incomplete emptying and Nocturia (UWIN)” for the Brazilian Portuguese (v0.2)"

2020

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Lower urinary tract symptoms (LUTS) are common complaints in the adult male population and have a negative affect in the quality of life and represent an economic burden for the healthcare system worldwide. The International Prostatism Symptom Score (IPSS) is a validated tool for assessing these symptoms, but patients with low literacy may have difficulties comprehending and completing it accurately. The Urgency, Weak Stream, Incomplete Emptying, and Nocturia (UWIN) questionnaire was developed as a shorter tool in the assessment of LUTS to improve accuracy and minimize error. This study aimed at performing cross-cultural adaptation to Brazilian Portuguese and validation of UWIN questionnaire for patients with LUTS. The cross-cultural adaptation followed the steps of conceptual, item, semantic, operational, and pre-test equivalence to obtain the UWIN-Br version. The IPSS (gold standard) and UWIN-Br were coadministered, and information regarding the uroflowmetry examination was also recorded. We evaluated 306 men, median age 59 [52-66] years .There was a positive correlation r = 0.804 (p <0.001) between the total IPSS score and the total UWIN-Br score, as well as the quality of life question (r = 0.761) (p <0.001). The Bland-Altman plot showed good agreement between. Also, we observed that the maximum flow values decreased with the severity of the LUTS. UWIN-Br demonstrated excellent diagnostic accuracy in detecting the most severe cases. The area under the ROC curve was 89% [81-97%] 95% CI. 280 (91.5%) subjects completed the questionnaires without help, while 26 (8.5%) did so through an interview. The response time was 1.2 [1.0-1.5] min for UWIN-Br and 2.8 [2.2-3.4] min for IPSS (p <0.001). UWIN-Br presents satisfactory and similar psychometric properties to the IPSS in the evaluation of LUTS and quality of life and is suitable for use in both clinical practice and research in our country.

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Validation of the Modified American Urological Association Symptom Score

Cited by 13 publications

References 6 publications

UWIN (Urgency, Weak stream, Incomplete Void, Nocturia) Score for Assessment of Lower Urinary Tract Symptoms: Could it Replace the American Urology Association Symptom Index Score? An Open Label Randomized Cross over Trial

UWIN (Urgency, Weak stream, Incomplete Void, Nocturia) Score for Assessment of Lower Urinary Tract Symptoms: Could it Replace the American Urology Association Symptom Index Score? An Open Label Randomized Cross over Trial

Validation of a Visual Prostate Symptom Score in Men With Lower Urinary Tract Symptoms in a Health Safety Net Hospital

Peer Review #1 of "Transcultural adaptation and validation of the questionnaire “Urgency, Weak stream, Incomplete emptying and Nocturia (UWIN)” for the Brazilian Portuguese (v0.2)"

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