Department of Urology and Pediatric Urology, Erasmus Medical Center, Rotterdam, The Netherlands.
Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands.
J Urol. 2016 Aug;196(2):536-41. doi: 10.1016/j.juro.2016.02.2973. Epub 2016 Mar 11.
We sought to establish the reliability and validity of the Dutch version of the Vancouver Symptom Score for Dysfunctional Elimination Syndrome for children with dysfunctional voiding and their parents.
For this cross-sectional multicenter study the Vancouver Symptom Score for Dysfunctional Elimination Syndrome was translated and cross-culturally adapted to Dutch following a standardized process. Patients 16 years or younger with dysfunctional voiding and their parents were recruited at pediatric, pediatric urology and pelvic floor physical therapy outpatient clinics. The reference group consisted of children 6 to 16 years old without dysfunctional voiding and their parents. All groups completed questionnaires. The evaluated measurement properties included discriminative ability, internal consistency, test-retest reliability, interrater agreement, criterion validity using the Pediatric Incontinence Questionnaire and construct validity. A cutoff value for diagnosis of dysfunctional voiding was determined.
A total of 50 patients and 60 references and their parents were included in the study. The Vancouver Symptom Score for Dysfunctional Elimination Syndrome showed good discriminative ability. A moderate internal consistency was found (Cronbach alpha 0.37-0.55). Test-retest reliability was moderate to good, and interrater agreement demonstrated good correlation between children and parents (ICC 0.85, 95% CI 0.79-0.89). A weak correlation with the Pediatric Incontinence Questionnaire was found in patients and construct validity was confirmed. Cutoff scores for dysfunctional voiding were 11 and 9 for patients and parents, respectively.
The Dutch Vancouver Symptom Score for Dysfunctional Elimination Syndrome displayed moderate to good reliability and validity properties for the patient and parent versions. Use of this instrument in clinical practice will support the assessment of dysfunctional voiding and facilitate international reporting of research results.
我们旨在建立用于功能性排尿障碍儿童及其父母的荷兰版温哥华症状评分表（Dysfunctional Elimination Syndrome，DES）的信度和效度。
为了进行这项横断面多中心研究，我们按照标准化流程对温哥华症状评分表（Dysfunctional Elimination Syndrome，DES）进行了翻译和跨文化调适。在儿科、小儿泌尿科和骨盆底物理治疗门诊，招募了 16 岁或以下的有功能性排尿障碍的患者及其父母。参考组由 6 至 16 岁无功能性排尿障碍的儿童及其父母组成。所有组均填写问卷。评估的测量特性包括鉴别能力、内部一致性、重测信度、评分者间一致性、使用小儿尿失禁问卷（Pediatric Incontinence Questionnaire）的标准效度和结构效度。确定了用于诊断功能性排尿障碍的截断值。
共纳入 50 例患者及其 60 名对照及其父母。温哥华症状评分表（Dysfunctional Elimination Syndrome，DES）显示出良好的鉴别能力。内部一致性中等（Cronbach alpha 为 0.37-0.55）。重测信度为中等至良好，患儿和家长之间的评分者间一致性显示出良好的相关性（ICC 为 0.85，95% CI 为 0.79-0.89）。与小儿尿失禁问卷（Pediatric Incontinence Questionnaire）的相关性较弱，且结构效度得到证实。患者的功能性排尿障碍截断值为 11 分，父母的功能性排尿障碍截断值为 9 分。
荷兰版温哥华症状评分表（Dysfunctional Elimination Syndrome，DES）在患者和家长版本中具有中等至良好的信度和效度特性。该工具在临床实践中的使用将支持功能性排尿障碍的评估，并促进国际研究结果的报告。
