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Validation of the UDI-6 and the ICIQ-UI SF – Croatian version

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Abstract

Introduction and hypothesis

Despite the widespread use of UDI-6 and ICIQ-UI SF in Croatia, it remains unknown whether a realiable and valid measure for the population of interest is used. Thus, the aim of this study was to translate, adapt and validate the UDI-6 and the ICIQ-UI SF in Croatia.

Methods

The study included a total of 232 consecutive patients with urinary incontinence symptoms. The translation to Croatian followed standardized procedure. All participants underwent urodynamic assesment and completed UDI-6 and ICIQ-UI SF questionnaires at inclusion and 2 weeks after to assess test-retest reliability. Cronbach α coefficient was calculated in order to assess internal consistency.

Results

Both questionnaires had high internal consistency (Cronbach α for UDI-6 and ICIQ-UI SF was .83 and .85, respectively) and high test-retest reliability (intraclass correlation coefficient .99 for instruments). Strong correlation was found between urodynamic findings and total scores in UDI-6 and ICIQ-UI SF (ρ = 0.88 and 0.89, respectively). Women with stress urinary incontinence (SUI) and detrusor overactivity (DOA) group had significantly higher scores on UDI-6 (Mdn = 33.33 and Mdn = 50, respectively) compared to women with no urodynamic abnormality (Mdn = 0; p < 0.001). Women with no urodynamic abnormality scored significantly lower on ICIQ-UI SF (Mdn = 0; p < 0.001) compared to women with SUI (Mdn = 14) and DOA (Mdn = 16). Women with DOA scored worse on Irritative and Obstructive symptoms when comparing with two other groups (p < 0.001), while women with SUI had significantly worse score on Stress symptoms subscale (p < 0.001).

Conclusions

The UDI-6 and ICIQ-UI SF have very good psychometric characteristics and can be used in Croatian urogynecology practice.

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References

  1. Abrams P, Andersson K, Birder L, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.

    Article  CAS  Google Scholar 

  2. Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2018;22(3):217–22.

    Article  Google Scholar 

  3. Riss P, Kargl J. Quality of life and urinary incontinence in women. Maturitas. 2011;68(2):137–42.

    Article  Google Scholar 

  4. Pérez-López FR, Cuadros JL, Fernández-Alonso AM, Chedraui P, Sánchez-Borrego R, Monterrosa-Castro A. Urinary incontinence, related factors and menopause-related quality of life in mid-aged women assessed with the Cervantes scale. Maturitas. 2012;73(4):369–72.

    Article  Google Scholar 

  5. Koch LH. Help-Seeking Behaviors of Women with Urinary Incontinence: An Integrative Literature Review. J Midwifery Womens Health. 2006;51(6).

  6. Gil KM, Somerville AM, Cichowski S, Savitski JL. Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence. Health Qual Life Outcomes. 2009;7(1).

  7. Uebersax JS, Wyman JF, Shumaker SA, Mcclish DK. Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodyn. 1995;14(2):131–9.

    Article  CAS  Google Scholar 

  8. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322–30.

    Article  Google Scholar 

  9. Shumaker SA, Wyman JF, Uebersax JS, Mcclish D, Fantl JA. Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Qual Life Res. 1994;3(5):291–306.

    Article  CAS  Google Scholar 

  10. Chan SSC, Choy KW, Lee BPY, et al. Chinese validation of urogenital distress inventory and incontinence impact questionnaire short form. Int Urogynecol J. 2010;21(7):807–12.

    Article  Google Scholar 

  11. Utomo E, Korfage IJ, Wildhagen MF, Steensma AB, Bangma CH, Blok BF. Validation of the urogenital distress inventory (UDI-6) and incontinence impact questionnaire (IIQ-7) in a Dutch population. Neurourol Urodyn. 2013;34(1):24–31.

    Article  Google Scholar 

  12. Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2006;26(1):129–33.

    Article  Google Scholar 

  13. Reuven Y, Yohay Z, Glinter H, Yohai D, Weintraub AY. Validation of the Hebrew version of the short form of the urogenital distress inventory (UDI-6). Int Urogynecol J. 2017;28(12):1891–4.

    Article  Google Scholar 

  14. Timmermans L, Falez F, Mélot C, Wespes E. Validation of use of the international consultation on incontinence questionnaire-urinary incontinence-short form (ICIQ-UI-SF) for impairment rating: a transversal retrospective study of 120 patients. Neurourol Urodyn. 2012;32(7):974–9.

    Article  Google Scholar 

  15. Rotar M, Tršinar B, Kisner K, et al. Correlations between the ICIQ-UI short form and urodynamic diagnosis. Neurourol Urodyn. 2009;28(6):501–5.

    Article  Google Scholar 

  16. Huang L, Zhang SW, Wu SL, Ma L, Deng X-H. The Chinese version of ICIQ: a useful tool in clinical practice and research on urinary incontinence. Neurourol Urodyn. 2008;27:522–4.

    Article  Google Scholar 

  17. Tsang S, Royse C, Terkawi A. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11(5):80.

    Article  Google Scholar 

  18. Nusee Z, Rusly A, Jamalludin AR, Abdulwahab DF, Ismail R. Translation and validation of Bahasa Malaysia version of urogenital distress inventory (UDI-6) and incontinence impact quality of life questionnaires (IIQ-7). a Cross Sectional Study Malays J Med Sci. 2016;23(3):57–63.

    PubMed  Google Scholar 

  19. El-Azab AS, Mascha EJ. Arabic validation of the urogenital distress inventory and adapted incontinence impact questionnaires-short forms. Neurourol Urodyn. 2009;28(1):33–9.

    Article  Google Scholar 

  20. Stievano LP, Olival GSD, Silva RAPD, et al. Validation survey of the impact of urinary incontinence (IIQ-7) and inventory of distress urogenital (UDI-6) – the short scales – in patients with multiple sclerosis. Arq Neuropsiquiatr. 2015;73(1):46–51.

    Article  Google Scholar 

  21. Momenimovahed Z, Tiznobaik A, Pakgohar M, Montazeri A, Safoura T. Incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6): translation and psychometric validation of the Iranian version. J Clin Diagn Res. 2018;12(5):15–8.

    Google Scholar 

  22. Al-Shaikh G, Al-Badr A, Al Maarik A, Cotterill N, Al-Mandeel HM. Reliability of Arabic ICIQ-UI short form in Saudi Arabia. Urol Ann. 2013;5(1):34–8.

    Article  Google Scholar 

  23. Tamanini JTN, Dambros M, D'Ancona CAL, Palma PCR, Rodrigues NN. Validation of the "international consultation on incontinence questionnaire - short form" (ICIQ-SF) for Portuguese. Rev Saúde Pública. 2004;38(3):438–44.

    Article  Google Scholar 

  24. Pons ME, Alvarez PR, Clota MP. Validación de la versión española del International Consultation on Incontinence Questionnaire-Short Form. Un cuestionario para evaluar la incontinencia urinaria. Med Clin. 2004;122(8):288–92.

    Article  Google Scholar 

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Author information

Authors and Affiliations

Authors

Contributions

M Mikuš: conception of the study, data analysis, data collection, manuscript writing.

M Ćorić: conception of the study, data analysis, interpretation, manuscript writing.

L Matak: data collection and manuscript writing.

B Škegro: manuscript writing, data analysis.

G Vujić: conception of the study, manuscript drafting and reviewing, supervision.

V Banović: analysis, interpretation, editing assistance, supervision.

Corresponding author

Correspondence to Mislav Mikuš.

Ethics declarations

Conflict of interest

None.

All authors approved the final version of manuscript.

Additional information

Work was carried out at University Hospital Center Zagreb on Department of Obstetrics and Gynecology, Petrova 13, 10 000 Zagreb.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Appendices

Appendices

Upitnik urinarnih tegoba, kratka verzija (UDI-6)

Za svako pitanje, zaokružite broj koji najbolje opisuje taj problem za Vas u posljednjih mjesec dana.

Jeste li doživjeli i, ako jeste, koliko Vas muči:

  1. 1.

    Učestalo mokrenje

  2. 2.

    Nevoljni gubitak urina zbog hitnoće?

  3. 3.

    Gubljenje mokraće prilikom (fizičke) aktivnosti? (hodanje, trčanje, smijanje, kihanje, kašljanje)

  4. 4.

    Male količine gubitka urina? (kapi)

  5. 5.

    Poteškoće sa pražnjenjem mjehura ili mokrenjem?

  6. 6.

    Bol ili nelagoda u donjem dijelu trbuha, zdjelici ili genitalnom području?

0 = ne uopće; 1 = malo; 2 = umjereno; 3 = prilično.

ICIQ-UI kratka verzija

Velik broj osoba ima povremeno nevoljno bježanje mokraće. Ovim upitnikom želimo otkriti koliki broj osoba ima nevoljno bježanje mokraće i koliku smetnju im to predstavlja. Bili bismo zahvalni ako biste mogli odgovoriti na niže navedena pitanja razmišljajući o tome kakve ste tegobe imali UNAZAD ČETIRI TJEDNA:

  1. 1.

    Koliko često vam bježi mokraća?

0 = nikada; 1 = otprilike jednom tjedno ili rjeđe; 2 = dvaput ili triput tjedno; 3 = otprilike jednom dnevno; 4 = više puta dnevno; 5 = stalno

  1. 2.

    Ovim pitanjem želimo utvrditi koliko prema Vašem mišljenju urina Vam pobjegne. Koliko urina prema Vašem mišljenju Vam uobičajeno pobjegne?

0 = ništa; 2 = mala količina; 4 = umjerena količina; 6 = velika količina

  1. 3.

    Ukupno gledano, koliko značajno bježanje mokraće (urinska inkontinencija) utječe na Vaš svakodnevni život?

rang od 0 = nimalo do 10 = značajno.

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Mikuš, M., Ćorić, M., Matak, L. et al. Validation of the UDI-6 and the ICIQ-UI SF – Croatian version. Int Urogynecol J 31, 2625–2630 (2020). https://doi.org/10.1007/s00192-020-04500-4

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  • DOI: https://doi.org/10.1007/s00192-020-04500-4

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