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  1. Accuracy of survey questions for geriatric urinary incontinence.

    Article - En anglais

    Purpose 

    Risk factors, natural history, consequences, therapeutic responses and costs are all likely related to type of urinary incontinence, for example stress or urge.

    Yet few epidemiologic type specific data are available and only 1 study has been validated urodynamically.

    We compare the accuracy of a typical questionnaire used in a large epidemiologic study with the criterion standard of multichannel video urodynamic testing.

    Materials and Methods 

    The questionnaire was administered before urodynamic testing to 132 subjects 65 years old or older, of whom 80% were women, all were mobile and none was severely demented.

    Responses to questionnaire items were compared to the criterion standard, singly and in combination, using a total of 4 a priori and post hoc strategies, including a computerized regression tree program.

    Results 

    Overall, no analytic strategy correctly classified more than 67% of patients and none accurately classified even a single type of incontinence, including stress incontinence.

    Conclusions 

    Short questionnaires commonly used in epidemiologic studies correlated poorly with video urodynamic testing in incontinent older adults.

    Previously published information regarding prevalence of the types of incontinence should be reviewed in the light of these data.

    Mots-clés Pascal : Incontinence urinaire, Vieillard, Homme, Questionnaire, Sensibilité, Symptomatologie, Etude comparative, Cystométrie, Epidémiologie, Critère âge, Enregistrement donnée, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Elderly, Human, Questionnaire, Sensitivity, Symptomatology, Comparative study, Cystometry, Epidemiology, Age criterion, Data logging, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0283920

    Code Inist : 002B14E02. Création : 27/11/1998.