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  1. Calculating the direct costs of urinary incontinence : a new test instrument.

    Article - En anglais

    Objectives To develop a universally applicable test instrument to measure the total direct costs of urinary incontinence, including personal costs and treatment costs, i.e. the Dowell-Bryant Incontinence Cost Index (DBICI). and to study the construct validity and test-retest reliability of the instrument.

    Patients and methods In a prospective observational study, 100 consecutive community-dwelling ambulatory women who presented with stress, urge or mixed incontinence were asked to complete the DBICI questionnaire on two occasions, 7 days apart, before any treatment.

    The construct validity of the DBICI was ascertained by correlation with other standard measures of urinary incontinence severity ; (i) a visual analogue scale (VAS) to assess the impact of leakage upon lifestyle :

    • The construct validity of the DBICI was ascertained by correlation with other standard measures of urinary incontinence severity ;

    • (ii) frequency-volume charts (voids/24 h, leaks/week) ;

    • (iii) urine loss during a standard 1 h pad test : and (iv) two disease-specific quality of life questionnaires.

    The test-retest reliability was measured by comparing the two test results and the construct validity of the individual subsets (personal and treatment) of the DBICI similarly assessed.

    Results Ninety-seven women completed the baseline assessment and 84 completed the re-test.

    The median (interquartile range) total direct incontinence cost (in Au$) was 12.89 (5.26-22.67) per week, which comprised the median personal costs of 5.61 (1.68-10.36) and the median treatment costs of 4.96 (1.22-13.37). (...)

    Mots-clés Pascal : Incontinence urinaire, Coût, Technique mesure, Traitement, Personnel sanitaire, Fiabilité, Validité, Echelle évaluation, Australie, Océanie, Femelle, Homme, Epidémiologie, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Costs, Measurement technique, Treatment, Health staff, Reliability, Validity, Evaluation scale, Australia, Oceania, Female, Human, Epidemiology, 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 : 99-0239634

    Code Inist : 002B14E02. Création : 16/11/1999.