Avery K N L, Bosch J L H R, Gotoh M, Naughton M, Jackson S, Radley S C, Valiquette L, Batista J, Donovan J L
Department of Social Medicine, University of Bristol, Bristol, United Kingdom.
J Urol. 2007 Jan;177(1):39-49. doi: 10.1016/j.juro.2006.08.075.
We reviewed and provide recommendations about the most scientifically robust and appropriate questionnaires for evaluating symptoms and the quality of life impact of urinary and/or anal incontinence, and vaginal and pelvic floor problems. We also investigated the use of these questionnaires in randomized, controlled trials of treatment strategies.
The Symptom and Quality of Life Committee of the International Consultation on Incontinence performed a systematic review of questionnaires related to urinary and anal incontinence, and vaginal and pelvic floor problems, searching MEDLINE, The Cochrane Library and other electronic databases between 2001 and 2004.
A total of 23 robust and relevant questionnaires could be recommended in clinical practice and research. The development of questionnaires to assess anal incontinence, and pelvic floor and vaginal problems has been limited with some promising measures but with none achieving the highest level of rigor. From 2001 to 2004 there were 150 published randomized trials of treatments for incontinence. Increasingly trials of incontinence are using recommended measures (38% of those for urinary incontinence and 22% of those for anal incontinence used the highest quality questionnaires in 2001 to 2004) but none of vaginal and pelvic floor problems used recommended questionnaires.
With increasing acknowledgment of the value of patient based assessment much attention has been given to the development of questionnaires to assess symptoms and quality of life. Sufficient measures are now available for urinary incontinence, and researchers and clinicians are encouraged to use the 18 achieving the highest level of rigor and their validated translations. In contrast, the development of questionnaires for anal incontinence and pelvic/vaginal problems is in its infancy and further study in this area is needed. Randomized trials of treatments for incontinence should use only questionnaires achieving the highest level of scientific rigor.
我们回顾并提供关于评估尿失禁和/或肛门失禁、阴道及盆底问题的症状和生活质量影响的最具科学稳健性和适当性的问卷的建议。我们还研究了这些问卷在治疗策略的随机对照试验中的使用情况。
国际尿失禁咨询委员会的症状与生活质量委员会对与尿失禁和肛门失禁、阴道及盆底问题相关的问卷进行了系统回顾，在2001年至2004年期间检索了MEDLINE、考克兰图书馆及其他电子数据库。
在临床实践和研究中总共可推荐23份稳健且相关的问卷。用于评估肛门失禁、盆底及阴道问题的问卷开发有限，虽有一些有前景的措施，但没有一个达到最高的严谨程度。2001年至2004年期间有150项已发表的失禁治疗随机试验。越来越多的失禁试验在使用推荐的测量方法（2001年至2004年，38%的尿失禁试验和22%的肛门失禁试验使用了最高质量的问卷），但没有一个阴道及盆底问题试验使用推荐问卷。
随着对基于患者评估价值的认识不断提高，人们对用于评估症状和生活质量的问卷开发给予了很多关注。现在有足够的方法用于尿失禁评估，鼓励研究人员和临床医生使用达到最高严谨程度的18份问卷及其经过验证的译文。相比之下，用于肛门失禁和盆腔/阴道问题的问卷开发尚处于起步阶段，该领域需要进一步研究。失禁治疗的随机试验应仅使用达到最高科学严谨程度的问卷。
