Hodhod Amr, Hoang Tuan, El-Sherbiny Mohamed, Capolicchio John-Paul, Jednak Roman
Division of Urology, Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, QC, Canada.
Can Urol Assoc J. 2023 Aug 29;17(12):411-6. doi: 10.5489/cuaj.8326.
We sought to evaluate the reliability and validity of a new, illustrated questionnaire, the bladder bowel dysfunction symptom score (BBDSS) in the assessment of overactive bladder (OAB) and bladder bowel dysfunction (BBD).
The BBDSS questionnaire consisted of 12 structured questions. This pilot study was designed with two principal groups of questions: one group to assess bladder symptoms and the other to assess bowel dysfunction during the preceding month. Each question had three possible answers, with each answer being assigned a severity score. We prospectively collected previously untreated patients referred to our voiding dysfunction clinic for the first time. A control group of healthy children was recruited to assess the reliability of the BBDSS questionnaire. The provisional diagnosis was collected from patients' charts at the time of presentation.
The questionnaire was administered to 92 children (44 in the affected group and 48 in the control group). The age at presentation was similar in both groups (17 months or nine years, nine months). The mean total score for the affected group was 8.7 (3-14) while it was 1.19 (0-5) for the control group (p<0.001). There was a strong correlation, between the total BBDSS score and both groups (r=0.88, p<0.001). Using the ROC curve, the BBDSS was found to be an excellent tool in differentiating normal from affected patients (area under the curve [AUC]=0.98, p<0.001). When the total BBDSS score was ≥6, the positive predictive value was 1, with a negative predictive value of 0.89. The defecation part of the BBDSS was a good tool in differentiating OAB from BBD patients (AUC=0.89, p<0.001). No patient with OAB had a bowel score >3.
The BBDSS is a reliable and valid instrument in the diagnosis of voiding dysfunction. The questionnaire was easily administered by parents or children. Moreover, it can differentiate between OAB and BBD.
我们试图评估一种新的、配有插图的问卷——膀胱肠道功能障碍症状评分（BBDSS）在评估膀胱过度活动症（OAB）和膀胱肠道功能障碍（BBD）方面的可靠性和有效性。
BBDSS问卷由12个结构化问题组成。这项初步研究设计了两组主要问题：一组用于评估膀胱症状，另一组用于评估前一个月的肠道功能障碍。每个问题有三个可能的答案，每个答案都被赋予一个严重程度评分。我们前瞻性地收集了首次转诊到我们排尿功能障碍诊所的未经治疗的患者。招募了一组健康儿童作为对照组，以评估BBDSS问卷的可靠性。在患者就诊时从病历中收集初步诊断信息。
该问卷应用于92名儿童（患病组44名，对照组48名）。两组患者的就诊年龄相似（17个月或9岁9个月）。患病组的平均总分是8.7（3 - 14），而对照组为1.19（0 - 5）（p<0.001）。BBDSS总分与两组之间存在很强的相关性（r = 0.88，p<0.001）。使用ROC曲线发现，BBDSS是区分正常患者和患病患者的优秀工具（曲线下面积[AUC]=0.98，p<0.001）。当BBDSS总分≥6时，阳性预测值为1，阴性预测值为0.89。BBDSS的排便部分是区分OAB患者和BBD患者的良好工具（AUC = 0.89，p<0.001）。没有OAB患者的肠道评分>3。
BBDSS是诊断排尿功能障碍的可靠且有效的工具。该问卷易于由家长或儿童填写。此外，它可以区分OAB和BBD。
