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首页> 外文期刊>BJU international >Self-reported urinary incontinence, voiding frequency, voided volume and pad-test results: variables in a prospective study in children.
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Self-reported urinary incontinence, voiding frequency, voided volume and pad-test results: variables in a prospective study in children.

机译：自我报告的尿失禁，排尿频率，排尿量和尿垫试验结果：儿童前瞻性研究中的变量。

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OBJECTIVE To determine the congruence between self-reported and objective data on incontinence, voided volume (VV) and voiding frequency (VF), in a prospective study of treatment of functional urinary incontinence (UI) due to urge syndrome or dysfunctional voiding in children. PATIENTS AND METHODS In all, 202 children, enrolled in the European Bladder Dysfunction Study (EBDS), provided self-reported data on UI, VV and VF, before and after treatment, with validated questionnaires and 72-h voiding diaries. Objective data were obtained with uroflowmetry and a 12-h pad test, also before and after treatment. Questionnaires and diaries were checked and scored by a urotherapist, at scheduled office visits that were combined with uroflowmetry. RESULTS At entry, parents under-reported UI on the questionnaires in 45% of cases, compared with the urotherapist's scores, and the 12-h pad test sensitivity for UI was only 64% (95% confidence interval 55-73%). The voiding diaries had inconsistent entries on UI and on VV. VF was overestimated in the questionnaires and underestimated in the diaries, compared with the urotherapist's scores. A VF of >7/day decreased significantly after EBDS treatment, but with no correlation with treatment outcome. The mean VV increased significantly after treatment for UI, also with no correlation with treatment outcome. CONCLUSIONS Voiding diaries and questionnaires are useful tools for charting individual treatment and for screening, but they are ill-suited to documenting outcome variables in urge syndrome or dysfunctional voiding, because of over- and under-reporting. VV and VF lack specificity as outcome variables in children with urge syndrome or dysfunctional voiding. The 12-h pad test is not sensitive enough to complement self-reported symptoms of UI in children with urge syndrome or dysfunctional voiding. Clinical studies on UI rely on complaints and self-reported symptoms, but in children the reporting should be supervised by a trained urotherapist, to provide the necessary checks and balances.
机译：目的在前瞻性研究儿童冲动综合征或功能性排尿功能障碍导致的功能性尿失禁（UI）的前瞻性研究中，确定自我报告的失禁，无效尿量（VV）和排尿频率（VF）的客观数据之间的一致性。患者与方法纳入欧洲膀胱功能障碍研究（EBDS）的202名儿童，在治疗前后均提供了有关UI，VV和VF的自我报告数据，并附有经过验证的问卷和72小时排尿日记。在治疗前后，均通过尿流法和12小时的垫块试验获得了客观数据。在计划的办公室就诊时，结合尿流测定法，由泌尿科医师对问卷和日记进行检查和评分。结果入院时，父母对尿失禁者的漏报率为45％，而泌尿外科医师的得分为零，而尿液12小时的便笺本测试敏感性仅为64％（95％置信区间55-73％）。无效日记在UI和VV上的条目不一致。与泌尿科医师的评分相比，问卷调查中的VF被高估了，而日记中的VF被低估了。 EBDS治疗后，> 7 /天的VF显着下降，但与治疗结果无关。 UI治疗后，平均VV显着增加，也与治疗结果无相关性。结论无效的日记和问卷是用于绘制个体治疗方案和进行筛查的有用工具，但是由于报告过多和报告不足，它们不适用于记录急症候群或功能性排尿障碍的结果变量。 VV和VF缺乏特异性作为冲动综合征或排尿障碍的儿童的预后变量。 12小时的便笺簿测试不够灵敏，无法补充患有冲动综合征或排尿障碍的儿童的UI自我报告症状。 UI的临床研究依赖于主诉和自我报告的症状，但对于儿童，报告应由训练有素的泌尿外科医师进行监督，以提供必要的制衡。

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