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Göteborgs universitets publikationer

Self-reported urinary incontinence, voiding frequency, voided volume and pad-test results: variables in a prospective study in children.

Författare och institution:
An M Bael (-); Hildegard Lax (-); Herbert Hirche (-); Elisabeth Gäbel (-); Pauline Winkler (-); Anna-Lena Hellström (Institutionen för vårdvetenskap och hälsa & Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa); Roelie van Zon (-); Ellen Janhsen (-); Sophie Güntek (-); Jan D van Gool (-); Catherine Renson (-)
Publicerad i:
BJU international, 100 ( 3 ) s. 651-6
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
OBJECTIVE: To determine the congruence between self-reported and objective data on incontinence, voided volume (VV) and voiding frequency (VF), in a prospective study of treatment of functional urinary incontinence (UI) due to urge syndrome or dysfunctional voiding in children. PATIENTS AND METHODS: In all, 202 children, enrolled in the European Bladder Dysfunction Study (EBDS), provided self-reported data on UI, VV and VF, before and after treatment, with validated questionnaires and 72-h voiding diaries. Objective data were obtained with uroflowmetry and a 12-h pad test, also before and after treatment. Questionnaires and diaries were checked and scored by a urotherapist, at scheduled office visits that were combined with uroflowmetry. RESULTS: At entry, parents under-reported UI on the questionnaires in 45% of cases, compared with the urotherapist's scores, and the 12-h pad test sensitivity for UI was only 64% (95% confidence interval 55-73%). The voiding diaries had inconsistent entries on UI and on VV. VF was overestimated in the questionnaires and underestimated in the diaries, compared with the urotherapist's scores. A VF of >7/day decreased significantly after EBDS treatment, but with no correlation with treatment outcome. The mean VV increased significantly after treatment for UI, also with no correlation with treatment outcome. CONCLUSIONS: Voiding diaries and questionnaires are useful tools for charting individual treatment and for screening, but they are ill-suited to documenting outcome variables in urge syndrome or dysfunctional voiding, because of over- and under-reporting. VV and VF lack specificity as outcome variables in children with urge syndrome or dysfunctional voiding. The 12-h pad test is not sensitive enough to complement self-reported symptoms of UI in children with urge syndrome or dysfunctional voiding. Clinical studies on UI rely on complaints and self-reported symptoms, but in children the reporting should be supervised by a trained urotherapist, to provide the necessary checks and balances.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
Child, Female, Humans, Incontinence Pads, Male, Medical Records, Prospective Studies, Questionnaires, Self Disclosure, Urinary Bladder Diseases, complications, physiopathology, Urinary Incontinence, etiology, physiopathology, therapy, Urodynamics, physiology
Postens nummer:
Posten skapad:
2008-06-24 14:36
Posten ändrad:
2011-01-20 09:59

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