Culha Mehmet Gokhan, Degirmentepe Recep Burak, Ozbir Sait, Cakir Suleyman Sami, Homma Yukio
Department of Urology, University of Health Sciences, Okmeydani Training & Research Hospital, 34098, Istanbul, Turkey.
Japanese Red Cross Medical Center, Tokyo, Japan.
Int Urogynecol J. 2019 Dec;30(12):2121-2126. doi: 10.1007/s00192-019-04054-0. Epub 2019 Jul 22.
Overactive bladder (OAB) is a syndrome with symptoms such as urinary frequency, urinary urgency and urge incontinence. The aim of this study is to assess the validity and reliability of the Turkish overactive bladder symptom score (OABSS) and to evaluate the results of mirabegron treatment with OABSS.
The study was carried out with 117 patients who applied to the urology outpatient clinic between June 2018-January 2019. OABSS Turkish validation was developed from the English version. Demographic data of the patients were recorded. The OABSS, overactive bladder questionnaire (OAB-v8) and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) were filled out by the patients. The patients were asked to fill in these questionnaires after 2 weeks. Patients receiving mirabegon treatment were evaluated with the same questionnaires and bladder diaries after 8 weeks.
A total of 117 OAB patients, including 82 OAB-wet and 35-OAB dry, were included in the study. The mean age of the patients was 46.79 ± 14.26 (18-78) years, and the mean duration of OAB complaint was 32.28 ± 32.21 months. The mean score of the OABSS is 9.9 ± 3.14. The results of the reliability assessment showed that the intraclass correlation coefficient of the total OABSS score was 0.71 (weighted coefficients of individual item points, 0.635-0.831), and the Cronbach α was 0.736. In the validity analysis, the OABSS total score was highly correlated with that belonging to other questionnaire forms (OAB-v8, ICIQ-SF and bladder diary). After the treatment with mirabegron, mean OABSS scores of the patients improved significantly from baseline to the 8th week (p < 0.001).
The Turkish version of the OABSS has been approved as a valid and reliable tool for evaluating OAB. Mirabegron used daily improved the symptoms of OAB in patients.
膀胱过度活动症(OAB)是一种具有尿频、尿急和急迫性尿失禁等症状的综合征。本研究的目的是评估土耳其版膀胱过度活动症症状评分(OABSS)的有效性和可靠性,并使用OABSS评估米拉贝隆治疗的结果。
该研究对2018年6月至2019年1月期间到泌尿外科门诊就诊的117例患者进行。OABSS土耳其语版是从英文版改编而来。记录患者的人口统计学数据。患者填写OABSS、膀胱过度活动症问卷(OAB-v8)和国际尿失禁咨询问卷简表(ICIQ-SF)。要求患者在2周后填写这些问卷。接受米拉贝隆治疗的患者在8周后用相同的问卷和膀胱日记进行评估。
本研究共纳入117例OAB患者,其中82例为伴急迫性尿失禁的OAB患者,35例为不伴急迫性尿失禁的OAB患者。患者的平均年龄为46.79±14.26(18-78)岁,OAB症状的平均持续时间为32.28±32.21个月。OABSS的平均得分为9.9±3.14。可靠性评估结果显示,OABSS总分的组内相关系数为0.71(各项目得分的加权系数为0.635-0.831),Cronbach α为0.736。在效度分析中,OABSS总分与其他问卷形式(OAB-v8、ICIQ-SF和膀胱日记)的总分高度相关。米拉贝隆治疗后,患者的平均OABSS评分从基线到第8周有显著改善(p<0.001)。
OABSS土耳其语版已被认可为评估OAB的有效且可靠的工具。每日使用米拉贝隆可改善患者的OAB症状。