Magyar András, Alidjanov Jakhongir, Pilatz Adrian, Nagy Károly, Arthanareeswaran Vinodh Kumar Adithyaa, Póth Sándor, Bécsi András, Wagenlehner Florian M E, Naber Kurt G, Tenke Péter, Köves Béla
Department of Urology, Jahn Ferenc South Pest Teaching Hospital, Köves, Hungary.
Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University, Giessen, Germany.
Cent European J Urol. 2018;71(1):134-141. doi: 10.5173/ceju.2018.1530. Epub 2017 Jan 22.
The Acute Cystitis Symptom Score (ACSS) is a new self-reporting tool to evaluate the symptoms of uncomplicated acute cystitis (AC) in women. The linguistic and clinical validation process of the Hungarian version used in this study may serve as a guide for the validation of the ACSS in other languages.
In this prospective cohort study, women with AC (Patients) and those without (Controls) filled in the Hungarian ACSS version, during their visits to physician's office. Statistical analysis included ordinary descriptive values, calculation of reliability, validity, discriminative ability, responsiveness (sensitivity, specificity) and comparative analysis.
Thirty-one patients were recruited for validation along with 37 controls. Statistical analyses resulted in excellent values of internal consistency, discriminative ability and validity for diagnosis of AC. At the cut-off at a score of 6 in the 'typical' domain, positive and negative predictive values were 97% and 92%, sensitivity and specificity were 90% and 97%, respectively.
The ACSS has demonstrated benefits for diagnosis and patient-reported outcome assessment. It is objective, fast, and cost-effective, and may help to easily confirm the accurate diagnosis of AC. Therefore, it may be especially important for clinical and epidemiological studies on AC in women.
急性膀胱炎症状评分（ACSS）是一种用于评估女性单纯性急性膀胱炎（AC）症状的新型自我报告工具。本研究中使用的匈牙利语版本的语言和临床验证过程可为ACSS在其他语言中的验证提供指导。
在这项前瞻性队列研究中，患有AC的女性（患者）和未患AC的女性（对照）在前往医生办公室就诊时填写匈牙利语版ACSS。统计分析包括常规描述性数值、可靠性、有效性、鉴别能力、反应性（敏感性、特异性）计算以及比较分析。
招募了31名患者和37名对照进行验证。统计分析得出AC诊断的内部一致性、鉴别能力和有效性的极佳值。在“典型”领域得分6分的临界值时，阳性预测值和阴性预测值分别为97%和92%，敏感性和特异性分别为90%和97%。
ACSS已证明在诊断和患者报告结局评估方面具有优势。它客观、快速且具有成本效益，可能有助于轻松确认AC的准确诊断。因此，它对于女性AC的临床和流行病学研究可能尤为重要。
