Diagnostic Tool for Assessing Overactive Bladder Symptoms: Could the International Prostate Symptom Storage Subscore Replace the Overactive Bladder Symptom Score?
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Purpose: The goal of this study was to compare the International Prostate Symptom Storage Subscore (IPSS-s) and the overactive bladder symptom score (OABSS) as tools for assessing the symptoms of overactive bladder (OAB). Methods: A cross-sectional study was conducted of a sample of 1,341 patients aged 50 years and older with lower urinary tract complaints who had undergone a medical examination at one of several centers. For each patient, we reviewed the International Prostate Symptom Score and the OABSS. The patients were divided into 2 groups according to their IPSS-s result (group 1, score ≥6; group 2, score<6) and into another 2 groups according to their OABSS diagnosis (group 3, OAB patients; group 4, non-OAB patients). We determined whether the OABSS varied to a statistically significant extent between groups 1 and 2. Furthermore, we evaluated the correlation of IPSS-s severity with the OABSS results in group 3, and the OAB diagnosis rate was compared between groups 1 and 2. Results: In groups 1 and 2, the OABSS results were not found to vary to a statistically significant extent (P=0.326). In group 3, no significant correlation was found between IPSS-s severity and the OABSS results (P=0.385). In the prevalence analysis, no statistically significant difference was found among the groups, and the receiver operating characteristic curve showed an area under the curve of 0.474. Conclusions: The results of this cross-sectional analysis suggest that the IPSS-s and the OABSS are not significantly correlated. Although both scores are used to measure OAB symptoms, the simultaneous use of IPSS-s and OABSS is not warranted.
Abstract
Purpose: The goal of this study was to compare the International Prostate Symptom Storage Subscore (IPSS-s) and the overactive bladder symptom score (OABSS) as tools for assessing the symptoms of overactive bladder (OAB). Methods: A cross-sectional study was conducted of a sample of 1,341 patients aged 50 years and older with lower urinary tract complaints who had undergone a medical examination at one of several centers. For each patient, we reviewed the International Prostate Symptom Score and the OABSS. The patients were divided into 2 groups according to their IPSS-s result (group 1, score ≥6; group 2, score<6) and into another 2 groups according to their OABSS diagnosis (group 3, OAB patients; group 4, non-OAB patients). We determined whether the OABSS varied to a statistically significant extent between groups 1 and 2. Furthermore, we evaluated the correlation of IPSS-s severity with the OABSS results in group 3, and the OAB diagnosis rate was compared between groups 1 and 2. Results: In groups 1 and 2, the OABSS results were not found to vary to a statistically significant extent (P=0.326). In group 3, no significant correlation was found between IPSS-s severity and the OABSS results (P=0.385). In the prevalence analysis, no statistically significant difference was found among the groups, and the receiver operating characteristic curve showed an area under the curve of 0.474. Conclusions: The results of this cross-sectional analysis suggest that the IPSS-s and the OABSS are not significantly correlated. Although both scores are used to measure OAB symptoms, the simultaneous use of IPSS-s and OABSS is not warranted.
참고문헌 (16)
- 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)
- 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)
- Barry MJ, "The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association", J Urol, 148, pp.1549~1557 (1992)
- Chapple C, "Tolterodine treatment improves storage symptoms suggestive of overactive bladder in men treated with alpha-blockers", Eur Urol, 56, pp.534~534 (2009)
- Hsiao SM, "International Prostate Symptom Score for assessing lower urinary tract dysfunction in women", Int Urogynecol J, 24, pp.263~267 (2013)
- Lee JY, "Change in International Prostate Symptom storage subscore after long-term medical therapy in BPH patients: finasteride and alpha-blocker combination therapy in men with moderate-to-severe LUTS", BPH in Korea, 2011, pp.77, 171~176
- Keyes M, "Predictive factors for acute and late urinary toxicity after permanent prostate brachytherapy: long-term outcome in 712 consecutive patients", Int J Radiat Oncol Biol Phys, 73, pp.1023~1032 (2009)
- Moore KN, "Return to continence after radical retropubic prostatectomy: a randomized trial of verbal and written instructions versus therapistdirected pelvic floor muscle therapy", Urology, 72, pp.1280~1286 (2008)
- Suardi N, "Nerve-sparing radical retropubic prostatectomy in patients previously submitted to holmium laser enucleation of the prostate for bladder outlet obstruction due to benign prostatic enlargement", Eur Urol, 53, pp.1180~1185 (2008)
- Low BY, "Terazosin therapy for patients with female lower urinary tract symptoms: a randomized, double-blind, placebo controlled trial", J Urol, 179, pp.1461~1469 (2008)
- Maserejian NN, "Prevalence of post-micturition symptoms in association with lower urinary tract symptoms and health-related quality of life in men and women", BJU Int, 108, pp.1452~1458 (2011)
- Okamura K, "Psychometric analysis of international prostate symptom score for female lower urinary tract symptoms", Urology, 73, pp.1199~1202 (2009)
- Rosen RC, "Lower urinary tract symptoms and sexual health: the role of gender, lifestyle and medical comorbidities", BJU Int, 103(Suppl 3), pp.42~47 (2009)
- Chapple CR, "The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects", BJU Int, 95, pp.335~340 (2005)
- Temml C, "Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life", Neurourol Urodyn, 19, pp.259~271 (2000)
- Coyne KS, "Determining the importance of change in the overactive bladder questionnaire", J Urol, 176, pp.627~632 (2006)