Abstract
Introduction and hypothesis
Little evidence is available concerning the ability of women with urinary incontinence (UI) to properly assess their problem. This study compared women’s assessments of their UI type with physicians’ diagnoses.
Methods
Women referred to a urogynecology clinic for UI were asked to anonymously answer a short validated Questionnaire for Urinary Incontinence Diagnosis (QUID) before their physician visit. Women completed the QUID and read a brief explanation of its interpretation, after which they were asked to choose their UI type: stress, urge, or mixed. Physicians, blinded to patients’ answers, conducted routine examinations and indicated their diagnoses of incontinence types. Sample size was representative of typical clinic volumes. Levels of agreement among physician diagnoses, QUID scores, and patient self-assessments of UI type were calculated with kappa (κ) statistics. Physician diagnosis was the gold standard.
Results
We had 497 patients return the questionnaire; 338 met inclusion criteria. Mean age was 53 (±13) years. Levels of agreement among physician diagnoses and patients’ assessments of UI type (κ = 0.411, p < 0.01) and QUID scores (κ = 0.378, p < 0.01) were significant. Significant level of agreement was found among QUID scores and patients’ assessments of UI type (κ = 0.497, p < 0.001).
Conclusions
With aid of a brief standardized questionnaire, women can accurately assess their UI type. This suggests women could be educated about UI via good-quality Internet health sites and choose appropriate conservative management options.
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References
Milsom I (2009) Lower urinary tract symptoms in women. Curr Opin Urol 19:337–341
Diokno AC, Burgio K, Fultz NH, Kinchen KS, Obenchain R, Bump RC (2004) Medical and self-care practices reported by women with urinary incontinence. Am J Manag Care 10:69–78
Swanson JG, Skelly J, Hutchison B, Kaczorowski J (2002) Urinary incontinence in Canada. National survey of family physicians’ knowledge, attitudes, and practices. Can Fam Physician 48:86–92
Milne J (2000) The impact of information on health behaviors of older adults with urinary incontinence. Clin Nurs Res 9:161–176
Diokno AC, Sampselle CM, Herzog AR, Raghunathan TE, Hines S, Messer KL et al (2004) Prevention of urinary incontinence by behavioural modification program: a randomized, controlled trial among older women in the community. J Urol 171:1165–1171
Subak LL, Quesenberry CP, Posner SF, Cattolica E, Soghikian K (2002) The effect of behavioural therapy on urinary incontinence: a randomized controlled trial. Obstet Gynecol 100:72–78
Statistics Canada. Canadian Internet Use Survey (CIUS) (2007) Ottawa, ON, 2008. Available at: www.statcan.gc.ca/daily-quotidien/080221/dq080221c-eng.htm Accessed Dec. 21, 2009
Farrell KD, Robinson LM, Baydock SA, Farrell SA, Irving LE, O’Connell CM (2006) A survey of Canadian websites providing information about female urinary incontinence. JOGC 28(8):700–712
Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM (2004) The effectiveness of web-based vs. non-web-based interventions: a meta-analysis of behavioural change outcomes. J Med Internet Res 6(4):e40. Available at: www.jmir.org/2004/4/e40 Accessed: Jan.19, 2006
Bradley CS, Rovner ES, Morgan MA, Berlin M, Novi JM, Shea JA, Arya LA (2005) A new questionnaire for urinary incontinence diagnosis in women: development and testing. Am J Obstet Gynecol 192:66–73
Bradley CS, Rahn DD, Nygaard IE, Barber MD, Nager CW, Kenton KS et al (2010) The questionnaire for urinary incontinence diagnosis (QUID): validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence. Neurourol Urodyn 29(5):727–734
Brown JS, Bradley CS, Subak LL, Richter HE, Kraus SR, Brubaker L, Lin F, Vittinghoff E, Grady D (2006) The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Int Med 144:715–723
Klovning A, Hunskaar S, Eriksen BC (1996) Validity of a scored urological history in detecting detrusor instability in female urinary incontinence. Acta Obstet Gynecol Scand 75:941–945
Sandvik H, Hunskaar S, Vanvik A, Bratt H, Seim A, Hermstad R (1995) Diagnostic classification of female urinary incontinence: an epidemiological survey corrected for validity. J Clin Epidemiol 48:339–343
Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version 2.3.1. www.OpenEpi.com, updated 2010/19/09, accessed 2012/02/16
Goepel M, Hoffmann JA, Piro M, Rübben H, Michel MC (2002) Prevalence and physician awareness of symptoms of urinary bladder dysfunction. Eur Urol 41(3):234–239
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Farrell, S.A., Bent, A., Amir-Khalkhali, B. et al. Women’s ability to assess their urinary incontinence type using the QUID as an educational tool. Int Urogynecol J 24, 759–762 (2013). https://doi.org/10.1007/s00192-012-1925-6
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DOI: https://doi.org/10.1007/s00192-012-1925-6