Bradley Catherine S, Brown Jeanette S, Van Den Eeden Stephen K, Schembri Michael, Ragins Arona, Thom David H
Comprehensive Access and Delivery Research and Evaluation Center, Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA.
Int Urogynecol J. 2011 Dec;22(12):1565-71. doi: 10.1007/s00192-011-1503-3. Epub 2011 Jul 28.
This study aims to measure self-report urinary incontinence questions' reproducibility and agreement with bladder diary.
Data were analyzed from the Reproductive Risk of Incontinence Study at Kaiser. Participating women reporting at least weekly incontinence completed self-report incontinence questions and a 7-day bladder diary. Self-report question reproducibility was assessed and agreement between self-reported and diary-recorded voiding and incontinence frequency was measured. Test characteristics and area under the curve were calculated for self-reported incontinence types using diary as the gold standard.
Five hundred ninety-one women were included and 425 completed a diary. The self-report questions had moderate reproducibility and self-reported and diary-recorded incontinence and voiding frequencies had moderate to good agreement. Self-reported incontinence types identified stress and urgency incontinence more accurately than mixed incontinence.
Self-report incontinence questions have moderate reproducibility and agreement with diary, and considering their minimal burden, are acceptable research tools in epidemiologic studies.
本研究旨在评估自我报告的尿失禁问题的可重复性以及与膀胱日记的一致性。
对凯撒医疗中心的尿失禁生殖风险研究中的数据进行分析。参与研究的女性至少每周报告一次尿失禁情况，她们完成了自我报告的尿失禁问题以及一份为期7天的膀胱日记。评估自我报告问题的可重复性，并测量自我报告与日记记录的排尿和尿失禁频率之间的一致性。以日记作为金标准，计算自我报告的尿失禁类型的检验特征和曲线下面积。
纳入591名女性，其中425名完成了日记。自我报告问题具有中等可重复性，自我报告与日记记录的尿失禁和排尿频率具有中等至良好的一致性。自我报告的尿失禁类型识别压力性和急迫性尿失禁比混合性尿失禁更准确。
自我报告的尿失禁问题具有中等可重复性且与日记一致，考虑到其负担极小，是流行病学研究中可接受的研究工具。
