The Overactive Bladder Symptom Score, International Prostate Symptom Score–Storage Subscore, and Urgency Severity Score in Patients With Overactive Bladder and Hypersensitive Bladder: Which Scoring System is Best?
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: To evaluate the correlations among the Overactive Bladder Symptom Score (OABSS), International Prostate Symptom Score–Storage Subscore (IPSS-S), and the modified Urgency Severity Scale (USS) in patients with overactive bladder (OAB) and hypersensitive bladder (HSB) and to identify the most useful diagnostic tool for classifying the severity of OAB. Methods: We retrospectively reviewed the charts of consecutive patients with OAB who visited our urologic clinics for treatment. All patients underwent a detailed history, physical examination, urinalysis, uroflowmetry, and postvoid residual volume measurement, and completed a 3-day voiding diary. All patients answered the Chinese versions of the IPSS, OABSS, and USS, according to which they were classified as having wet or dry OAB based on whether their chief complaint was urgency urinary incontinence or urgency without incontinence. HSB was defined as a functional bladder capacity <350 mL and a USS of 0 or 1. Results: The records of 325 OAB patients (99 women and 226 men) were reviewed. The OAB subgroups included HSB (n=31), OAB-dry (n=74), and OAB-wet (n=220). One-way analysis of variance showed significant differences among the OAB subgroups evaluated using each scoring system. Each scoring system was significantly correlated with the OAB subgroups. The Spearman rho was 0.983 for the USS, 0.651 for the OABSS, and 0.428 for the IPSS-S. Conclusions: The IPSS-S, OABSS, and USS showed good correlations with the OAB subgroups. Their ranking in terms of discriminant ability for classifying OAB severity as HSB, OAB-dry, and OAB-wet was USS>OABSS>IPSS-S. The simplest survey, the USS, with a single item scored from 0 to 4, had the strongest correlation with the OAB severity subgroups.
Abstract
Purpose: To evaluate the correlations among the Overactive Bladder Symptom Score (OABSS), International Prostate Symptom Score–Storage Subscore (IPSS-S), and the modified Urgency Severity Scale (USS) in patients with overactive bladder (OAB) and hypersensitive bladder (HSB) and to identify the most useful diagnostic tool for classifying the severity of OAB. Methods: We retrospectively reviewed the charts of consecutive patients with OAB who visited our urologic clinics for treatment. All patients underwent a detailed history, physical examination, urinalysis, uroflowmetry, and postvoid residual volume measurement, and completed a 3-day voiding diary. All patients answered the Chinese versions of the IPSS, OABSS, and USS, according to which they were classified as having wet or dry OAB based on whether their chief complaint was urgency urinary incontinence or urgency without incontinence. HSB was defined as a functional bladder capacity <350 mL and a USS of 0 or 1. Results: The records of 325 OAB patients (99 women and 226 men) were reviewed. The OAB subgroups included HSB (n=31), OAB-dry (n=74), and OAB-wet (n=220). One-way analysis of variance showed significant differences among the OAB subgroups evaluated using each scoring system. Each scoring system was significantly correlated with the OAB subgroups. The Spearman rho was 0.983 for the USS, 0.651 for the OABSS, and 0.428 for the IPSS-S. Conclusions: The IPSS-S, OABSS, and USS showed good correlations with the OAB subgroups. Their ranking in terms of discriminant ability for classifying OAB severity as HSB, OAB-dry, and OAB-wet was USS>OABSS>IPSS-S. The simplest survey, the USS, with a single item scored from 0 to 4, had the strongest correlation with the OAB severity subgroups.
참고문헌 (25)
- Abrams P, "The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society", Urology, 61, pp.37~49 (2003)[DOI]
- Abrams P, "Urinary urgency: a review of its assessment as the key symptom of the overactive bladder syndrome", World J Urol, 30, pp.385~392 (2012)[DOI]
- Yamaguchi O, "Defining overactive bladder as hypersensitivity", Neurourol Urodyn, 26(6 Suppl), pp.904~907 (2007)[DOI]
- Lee SR, "Overactive bladder is not only overactive but also hypersensitive", Urology, 75, pp.1053~1059 (2010)[DOI]
- Chuang FC, "Overactive bladder changes with time: a 5-year longitudinal followup of changes in overactive bladder symptoms, urodynamic studies and urinary nerve growth factor levels", J Urol, 192, pp.458~463 (2014)[DOI]
- Homma Y, "Hypersensitive bladder: a solution to confused terminology and ignorance concerning interstitial cystitis", Int J Urol, 21(Suppl 1), pp.43~47 (2014)[DOI]
- Palmtag H, "The patient's perspective: redefining end points", Urology, 64(6 Suppl 1), pp.17~20 (2004)
- Coyne KS, "Comorbidities and personal burden of urgency urinary incontinence: a systematic review", Int J Clin Pract, 67, pp.1015~1033 (2013)[DOI]
- Agarwal A, "What is the most bothersome lower urinary tract symptom? Individual- and population-level perspectives for both men and women", Eur Urol, 65, pp.1211~1217 (2014)[DOI]
- Hung MJ, "Urgency is the core symptom of female overactive bladder syndrome, as demonstrated by a statistical analysis", J Urol, 176, pp.636~640 (2006)[DOI]
- Stewart WF, "Prevalence and burden of overactive bladder in the United States", World J Urol, 20, pp.327~336 (2003)
- Matza LS, "Test-retest reliability of four questionnaires for patients with overactive bladder: the overactive bladder questionnaire (OAB-q), patient perception of bladder condition (PPBC), urgency questionnaire (UQ), and the primary OAB symptom questionnaire (POSQ)", Neurourol Urodyn, 24, pp.215~225 (2005)[DOI]
- Starkman JS, "Urgency assessment in the evaluation of overactive bladder (OAB)", Neurourol Urodyn, 27, pp.13~21 (2008)[DOI]
- Coyne KS, "The validation of the patient perception of bladder condition (PPBC): a single-item global measure for patients with overactive bladder", Eur Urol, 49, pp.1079~1086 (2006)[DOI]
- Homma Y, "Symptom assessment tool for overactive bladder syndrome--overactive bladder symptom score", Urology, 68, pp.318~323 (2006)[DOI]
- Brown JS, "Measurement characteristics of a voiding diary for use by men and women with overactive bladder", Urology, 61, pp.802~809 (2003)[DOI]
- Hsiao SM, "International Prostate Symptom Score for assessing lower urinary tract dysfunction in women", Int Urogynecol J, 24, pp.263~267 (2013)[DOI]
- Scarpero HM, "American Urological Association Symptom Index for lower urinary tract symptoms in women: correlation with degree of bother and impact on quality of life", Urology, 61, pp.1118~1122 (2003)[DOI]
- Hung MJ, "Development and validation of the Chinese Overactive Bladder Symptom Score for assessing overactive bladder syndrome in a RESORT study", J Formos Med Assoc, 112, pp.276~282 (2013)[DOI]
- Chung SD, "Urgency severity scale could predict urodynamic detrusor overactivity in patients with overactive bladder syndrome", Neurourol Urodyn, 30, pp.1300~1304 (2011)
- Homma Y, "Assessment of overactive bladder symptoms: comparison of 3-day bladder diary and the overactive bladder symptoms score", Urology, 77, pp.60~64 (2011)[DOI]
- Chou EC, "The translation and validation of Chinese overactive bladder symptom score for assessing overactive bladder syndrome and response to solifenacin treatment", J Formos Med Assoc, 113, pp.506~512 (2014)[DOI]
- Hosmer DW, "Applied logistic regression", pp.143~ (2000), John Wiley and Sons
- Ke QS, "Strong correlation between the overactive bladder symptom score and urgency severity score in assessment of patients with overactive bladder syndrome", Tzu Chi Med J, 22, pp.82~86 (2010)[DOI]
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Am J Obstet Gynecol, 187, pp.116~126 (2002)[DOI]