Barry M J, Fowler F J, O'Leary M P, Bruskewitz R C, Holtgrewe H L, Mebust W K
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston.
J Urol. 1992 Nov;148(5):1558-63; discussion 1564. doi: 10.1016/s0022-5347(17)36967-7.
We correlated the American Urological Association (AUA) symptom index with other indexes that have been used to measure symptoms for benign prostatic hyperplasia (BPH) and compared their psychometric properties. A self-administered questionnaire that allowed derivation of AUA, Maine Medical Assessment Program, Madsen-Iversen and Boyarsky symptom scores was completed by 76 men with clinically defined BPH, 59 younger control subjects, and 27 men before and after prostatectomy. The scores from the 4 indexes were strongly correlated (r = 0.77 to 0.93). All 4 indexes had good internal consistency and test-retest reliabilities. All indexes were predictive of patient global ratings of the degree of bother from the urinary condition. The AUA index discriminated BPH patients from controls significantly better than the Maine Medical Assessment Program index, and equivalently to the Madsen-Iversen and Boyarsky indexes (despite having fewer items). All 4 indexes were responsive when BPH patients underwent prostatectomy, although the AUA and Madsen-Iversen indexes were significantly more sensitive.
我们将美国泌尿外科学会（AUA）症状指数与其他用于测量良性前列腺增生（BPH）症状的指数进行了关联，并比较了它们的心理测量特性。一份可自行填写的问卷让76名临床确诊为BPH的男性、59名年轻对照受试者以及27名前列腺切除术前和术后的男性得出了AUA、缅因州医学评估项目、马德森 - 艾弗森和博亚尔斯基症状评分。这4个指数的评分高度相关（r = 0.77至0.93）。所有4个指数都具有良好的内部一致性和重测信度。所有指数都能预测患者对泌尿系统疾病困扰程度的总体评价。AUA指数区分BPH患者和对照受试者的能力显著优于缅因州医学评估项目指数，与马德森 - 艾弗森和博亚尔斯基指数相当（尽管项目较少）。当BPH患者接受前列腺切除术时，所有4个指数都有反应，尽管AUA和马德森 - 艾弗森指数的敏感性明显更高。
