Seim Arnfinn, Talseth Trygve, Haukeland Harriet, Høye Kjetil, Berg Nina, Bergeland Trygve
Department of Community Medicine and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Scand J Prim Health Care. 2004 Dec;22(4):217-21. doi: 10.1080/02813430410006639.
To develop and validate a simple patient questionnaire for the detection of overactive bladder (OAB).
An open, non-randomized multicentre study.
A pilot study (n = 133) was conducted to bring forward five questions from initially 14 questions, for detection of OAB. These five questions were subject to further validation in the main study (n =520).
531 adults responding to a newspaper advertisement regarding symptoms of OAB and patients seeing a physician for other reasons were attending 28 general practitioners.
Agreement rate, sensitivity, and specificity.
The agreement rate between the patients' own diagnosis based on the patient questionnaire, and the physicians' diagnosis based on medical history, urine analysis, and micturition chart, was 0.78 (kappa =0.89). Sensitivity and specificity were 0.98 and 0.90, respectively.
The validated questionnaire may become a useful tool to decide whether a patient has overactive bladder. The questionnaire corresponds well with the physicians' diagnosis.
开发并验证一种用于检测膀胱过度活动症（OAB）的简单患者问卷。
一项开放性、非随机多中心研究。
进行了一项试点研究（n = 133），从最初的14个问题中筛选出5个问题用于检测OAB。这5个问题在主要研究（n = 520）中进一步验证。
531名成年人，他们回应了一则关于OAB症状的报纸广告，以及因其他原因看医生的患者，就诊于28名全科医生。
符合率、敏感性和特异性。
基于患者问卷的患者自我诊断与基于病史、尿液分析和排尿图表的医生诊断之间的符合率为0.78（kappa = 0.89）。敏感性和特异性分别为0.98和0.90。
经验证的问卷可能成为判断患者是否患有膀胱过度活动症的有用工具。该问卷与医生的诊断结果高度相符。
