The association between the ICIQ-LUTS and the ICIQ-bladder diary in assessing LUTS

作者：Abdelmoteleb Haitham^*; Kamel Mohamed I; Hashim Hashim

来源：Neurourology and Urodynamics, 2017, 36(6): 1601-1606.

DOI：10.1002/nau.23162

• agreement
• bladder diary
• ICIQ
• LUTS

ObjectivesThe bladder diary (BD) provides a non-invasive method of investigating lower urinary tract symptoms (LUTS) while the International Consultation on Incontinence Questionnaires (ICIQ) symptom questionnaires, such as the ICIQ-MLUTS and ICIQ-FLUTS for males and females, respectively, provide a subjective assessment. The association between objective and subjective assessments has not been well established for the ICIQ.
Materials and MethodsRetrospective analysis of data collected from a urodynamics database was conducted. Only patients who completed both the ICIQ-MLUTS/FLUTS and the ICIQ-BD were included. Assessment of the relationship between the ICIQ-BD and the ICIQ-MLUTS/FLUTS with regards to daytime frequency and nocturia episodes was conducted using descriptive statistics to determine how well they correlate.
ResultsA total of 3054 patients were on the database with only 529 patients fully completing both the ICIQ-BD and ICIQ-MLUTS/FLUTS from February 2012 until November 2014. Criterion testing showed fair agreement between the nocturia question on the ICIQ-MLUTS/FLUTS and the ICIQ-BD (Kappa=0.339; P<0.001; 48.5%). Whereas diary recordings of daytime voiding frequency showed low agreement with questionnaire responses (Kappa=0.254; P<0.001; 42.7%). The degree of agreement was higher at lower frequencies. Females had a slightly higher agreement than males during the daytime (43.2% vs 41.6%) and nighttime (49.3% vs 47%).
ConclusionThe ICIQ-BD is a simple, cheap, valid, and reliable method to assess LUTS in everyday clinical practice. However, an agreement between the ICIQ-BD and the ICIQ-MLUTS/FLUTS with regards to daytime frequency and nocturia episode is weak and therefore both are needed in the assessment of patients with LUTS.

• 出版日期2017-8