Division of Urology, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Department of Urology, UT Southwestern Medical Center, Dallas, TX.
Urology. 2019 Oct;132:75-80. doi: 10.1016/j.urology.2019.07.008. Epub 2019 Jul 13.
To compare patients' questionnaire-reported urinary incontinence (UI) symptoms to determine which have the best concordance.
Women with self-reported mixed UI were asked to report quality of life (QoL) due to urinary problems on a visual analog scale and complete 6 standardized validated questionnaires with questions on mixed UI (Medical Epidemiological and Social Aspects of Aging questionnaire, the Urogenital Distress Inventory short form [UDI-6], the Incontinence impact questionnaire short form [IIQ-7], the International Consultation on Incontinence Questionnaire Urinary Incontinence short form [ICIQ-SF], the King's Health Questionnaire [KHQ], and Patient Global Impression of Severity Scale [PGI-S]). Specific questions related to stress urinary incontinence (SUI), urgency urinary incontinence (UUI), UI severity, and QoL were compared within surveys from each patient with a Pearson correlation coefficient.
Twenty consecutive women participated in the study with a mean age of 64 ± 13 years and mean time to complete all surveys of 11.2 ± 5.4 minutes. In SUI and UUI subdomains, KHQ, UDI-6, and Medical Epidemiological and Social Aspects of Aging questionnaire were well correlated, however, specific ICIQ questions related to SUI and UUI were less often well correlated. For severity subdomains the UDI-6 score was poorly correlated with the KHQ, PGI-S, and ICIQ scores (all P> .1). KHQ correlated well with the PGI-S (0.64, P= .003) and ICIQ score (0.58, P= .008). PGI-S and ICIQ severity scores were also well correlated (0.56, P= .012). QoL on a VAS (range: 1-10) was significantly well correlated with both KHQ (0.75, P<.001) and the IIQ-7 (0.64, P= .003). KHQ and IIQ-7 were also well correlated (0.64, P= .003).
In this pilot study, validated questionnaires with questions regarding UI are mostly well correlated in women for subdomains of SUI, UUI, QoL, and severity. For UI symptoms and UI symptom severity the ICIQ and UDI-6, respectively, are poorly correlated with other survey results and may be less indicative of patient's complaints.
比较患者问卷报告的尿失禁（UI）症状，以确定哪些具有最佳一致性。
报告有混合性 UI 的女性被要求使用视觉模拟量表报告与尿相关的生活质量（QoL）问题，并完成 6 份标准化的经过验证的问卷，其中包含混合性 UI 的问题（医学流行病学和社会老龄化问卷、尿失禁困扰量表简表 [UDI-6]、失禁影响问卷简表 [IIQ-7]、国际尿失禁咨询问卷尿失禁简表 [ICIQ-SF]、King's 健康问卷 [KHQ]和患者总体印象严重程度量表 [PGI-S]）。每位患者的问卷内特定的压力性尿失禁（SUI）、急迫性尿失禁（UUI）、UI 严重程度和 QoL 相关问题，使用 Pearson 相关系数进行比较。
20 名连续参与研究的女性平均年龄为 64 ± 13 岁，平均完成所有问卷的时间为 11.2 ± 5.4 分钟。在 SUI 和 UUI 子域中，KHQ、UDI-6 和医学流行病学和社会老龄化问卷相关性良好，然而，特定的 ICIQ 与 SUI 和 UUI 相关的问题相关性较差。对于严重程度子域，UDI-6 评分与 KHQ、PGI-S 和 ICIQ 评分相关性较差（均 P＞.1）。KHQ 与 PGI-S（0.64，P=.003）和 ICIQ 评分（0.58，P=.008）相关性良好。PGI-S 和 ICIQ 严重程度评分也具有良好的相关性（0.56，P=.012）。VAS（1-10 分）上的 QoL 与 KHQ（0.75，P<.001）和 IIQ-7（0.64，P=.003）显著相关。KHQ 和 IIQ-7 也具有良好的相关性（0.64，P=.003）。
在这项初步研究中，针对 UI 的问题的经过验证的问卷在女性的 SUI、UUI、QoL 和严重程度的子域中大多相关性良好。对于 UI 症状和 UI 症状严重程度，ICIQ 和 UDI-6 分别与其他调查结果相关性较差，可能更不能反映患者的抱怨。
