Urodynamic Unit, Department of Nephrology and Urology, Children's Hospital Bambino Gesù, Rome, Italy.
J Urol. 2010 Oct;184(4 Suppl):1662-7. doi: 10.1016/j.juro.2010.03.075. Epub 2010 Aug 21.
Lower urinary tract symptoms are common in pediatric patients. To our knowledge no validated instruments properly designed to screen lower urinary tract symptoms in the pediatric population have been published to date. In the International Consultation on Incontinence Questionnaire Committee the psychometric properties of a screening questionnaire for pediatric lower urinary tract symptoms were assessed.
The 12-item International Consultation on Incontinence Questionnaire-Pediatric Lower Urinary Tract Symptoms was developed in child and parent self-administered versions, and produced in English, Italian and German using a standard cross-cultural adaptation process. The questionnaire was self-administered to children 5 to 18 years old and their parents presenting for lower urinary tract symptoms (cases) or to pediatric/urological clinics for other reasons (controls). A case report form included history, urinalysis, bladder diary, flowmetry/post-void residual urine volume and clinician judgment on whether each child did or did not have lower urinary tract symptoms. Questionnaire psychometric properties were evaluated and data were stratified into 3 age groups, including 5 to 9, 10 to 13 and 14 to 18 years.
A total of 345 questionnaires were completed, of which 147 were negative and 198 were positive for lower urinary tract symptoms. A mean of 1.67% and 2.10% of items were missing in the child and parent versions, respectively. Reliability (Cronbach's α) was unacceptable in only the 5 to 9-year-old group. The high ICC of 0.847 suggested fair child/parent equivalence. Sensitivity and specificity were 89% and 76% in the child version, and 91% and 73.5% in the parent version, respectively.
The questionnaire is an acceptable, reliable tool with high sensitivity and specificity to screen for lower urinary tract symptoms in pediatric practice. Problems related to literacy suggest use of the child versions for patients older than 9 years. In research this questionnaire could be used to recalibrate the prevalence of lower urinary tract symptoms in children.
下尿路症状在儿科患者中很常见。据我们所知，迄今为止，尚无经过验证的专门用于筛查儿科人群下尿路症状的工具。在国际尿控协会问卷委员会中，评估了一种用于筛查小儿下尿路症状的筛查问卷的心理测量特性。
12 项国际尿控协会问卷-小儿下尿路症状问卷以儿童和家长自我管理的版本开发，并使用标准的跨文化适应过程以英语、意大利语和德语制作。该问卷由 5 至 18 岁出现下尿路症状（病例）或因其他原因到儿科/泌尿科就诊的儿童及其父母自行填写。病例报告表包括病史、尿液分析、膀胱日记、流量测量/剩余尿量和临床医生判断每个孩子是否存在下尿路症状。评估了问卷的心理测量特性，并根据 3 个年龄组（5 至 9 岁、10 至 13 岁和 14 至 18 岁）对数据进行分层。
共完成 345 份问卷，其中 147 份为阴性，198 份为阳性。儿童和家长版本分别有 1.67%和 2.10%的项目缺失。仅在 5 至 9 岁年龄组，可靠性（Cronbach's α）不可接受。0.847 的高 ICC 表明儿童/家长具有良好的等效性。儿童版本的灵敏度和特异性分别为 89%和 76%，家长版本分别为 91%和 73.5%。
该问卷是一种可接受、可靠的工具，具有较高的灵敏度和特异性，可用于儿科实践中筛查下尿路症状。与文化程度相关的问题表明，9 岁以上患者应使用儿童版本。在研究中，该问卷可用于重新校准儿童下尿路症状的患病率。
Zotero 插件