Validation of the Urgency, Weak Stream, Incomplete Emptying, and Nocturia (UWIN) Score Compared With the American Urological Association Symptoms Score in Assessing Lower Urinary Tract Symptoms in the Clinical Setting

Eid, Khadijah; Krughoff, Kevin; Stoimenova, Diliana; Smith, Daniel T.; Phillips, Jason M.; O’Donnell, Colin; Barqawi, Al B.

doi:10.1016/j.urology.2013.08.039

Cited by 14 publications

(21 citation statements)

References 4 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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“…Most of the studies did not compare Qmax or with urodynamic study with the scoring system. 17 In our study, the pre-treatment and post-treatment score of UWIN and Q-max were also compared and subjected to the same test and it was within the confident limit and hence found to be in good agreement. In this study the participants were also questioned about the easiness about both the questionnaires; almost 95% of the people irrespective of their educational status said UWIN was easier than the IPSS.…”

Section: Discussionmentioning

confidence: 66%

“…These results were same as mentioned in other studies. 17 This study further included Q-max vs. UWIN scoring system for comparison and the results were found to be in correlation with both pre-treatment and post-treatment level. However, when evaluating a new questionnaire vs. an established instrument, we must see whether the new instrument agrees with the older questionnaire.…”

Section: Discussionmentioning

confidence: 94%

Comparison of Uwin Score With International Prostatic Symptom Score in Patients With Lower Urinary Tract Symptoms

Ramaraju¹,

Rajan²,

Kalyanasundaram³

et al. 2016

jemds

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BACKGROUNDBenign Prostatic Hyperplasia (BPH) is a common disease causing bothersome symptoms. The AUA Symptom Index or the identical IPSS is recommended for symptom assessment in each patient presenting with BPH. Though it has been validated it requires some explanation, especially for people with limited education. In this study, we evaluated the agreement and correlation between IPSS and UWIN to determine whether the reduced questionnaire could reliably be used instead of IPSS. MATERIALS AND METHODSA total of 300 patients with LUTS completed the IPSS and UWIN questionnaire. The patients feel about the two questionnaires, i.e. easy understanding, ability to fill without help, literacy of the patient, time taken, completeness of information were also recorded. Statistical analysis was performed; the scores of each participant on AUA-SS (range 0 to 35) and UWIN (range 0 to 12) were calculated and evaluated using Spearman's correlation coefficients. Bland-Altman plots were also used into determining whether UWIN and IPSS total scores were in agreement. RESULTSThe Spearman correlation coefficient was calculated for both the scores (Table 3), i.e. the IPSS and UWIN score and it was 0.913 (p <0.0001) which states that both the scoring system are in good correlation. Bland Altman plot of IPSS vs. UWIN showed that both the system were said to be in agreement if the values plotted are within the confidence limit. The pre-treatment IPSS and UWIN score were in good agreement for the 300 participants (Fig. 4). Similarly, the post-treatment IPSS and UWIN score were also in good agreement. The time taken for filling up the charts for IPSS score was average of 18 minutes (14-26 minutes). The time taken for filling up the charts for UWIN score was average of 10 minutes (8-18 minutes). CONCLUSIONSIn daily clinical practice the use of patient's questionnaires can be limited by questionnaire length and the burden that it places on the respondent to read, understand and answer all questions. Our study has shown that the UWIN scoring system for LUTS is equivalent to the gold standard IPSS.

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High‐dose‐rate brachytherapy for prostate cancer: Rationale, current applications, and clinical outcome

et al. 2021

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Background: High-dose-rate brachytherapy (HDR BRT) has been enjoying rapid acceptance as a treatment modality offered to selected prostate cancer patients devoid of risk group, employed either in monotherapy setting or combined with external beam radiation therapy (EBRT) and is currently one of the most active clinical research areas.Recent findings: This review encompasses all the current evidence to support the use of HDR BRT in various clinical scenario and shines light to the HDR BRT rationale, as an ultimately conformal dose delivery method enabling safe dose escalation to the prostate. Conclusion:Valid long-term data, both in regard to the oncologic outcomes and toxicity profile, support the current clinical indication spectrum of HDR BRT. At the same time, this serves as solid, rigid ground for emerging therapeutic applications, allowing the technique to remain in the spotlight alongside stereotactic radiosurgery.

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Validation of the Urgency, Weak Stream, Incomplete Emptying, and Nocturia (UWIN) Score Compared With the American Urological Association Symptoms Score in Assessing Lower Urinary Tract Symptoms in the Clinical Setting

Cited by 14 publications

References 4 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

Comparison of Uwin Score With International Prostatic Symptom Score in Patients With Lower Urinary Tract Symptoms

High‐dose‐rate brachytherapy for prostate cancer: Rationale, current applications, and clinical outcome

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