817 EVALUATION OF PEDIATRIC SURVEYS FOR MEASURING VOIDING DYSFUNCTION: SEARCH FOR A “GOLD STANDARD”

You have accessJournal of UrologyPediatrics: Bladder Dysfunction - Myelodysplasia, Voiding Dysfunction, Enuresis1 Apr 2011817 EVALUATION OF PEDIATRIC SURVEYS FOR MEASURING VOIDING DYSFUNCTION: SEARCH FOR A “GOLD STANDARD” Joseph Barone, Akira Yamamota, Daniel Su, and Schneider Dona Joseph BaroneJoseph Barone New Brunswick, NJ More articles by this author , Akira YamamotaAkira Yamamota New Brunswick, NJ More articles by this author , Daniel SuDaniel Su New Brunswick, NJ More articles by this author , and Schneider DonaSchneider Dona New Brunswick, NJ More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.636AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is no “gold standard” scoring system for measuring symptom severity in children with voiding dysfunction. Without a “gold standard”, comparative research will be hampered and clinicians will hesitate to select one survey for routine use. Thus, we evaluated the three most described surveys that have been reported to predict symptom severity at baseline visit and to monitor treatment response: 1) the Farkat survey (for completion by 4–10 year old patients with parental help), 2) the Akbal survey (for completion by the parents of 4–10 year old patients), and 3) the Nelson survey (for completion by the 11–17 year old patient). We compared total symptom scores from the three surveys to clinical evaluation by the specialist and report our findings. METHODS The study protocol was approved by our Institutional Review Board. Subjects consisted of otherwise normal children between the ages of 4 and 17 years who were seen for the first time for daytime voiding dysfunction at a pediatric urology practice. Parents of children (4–10 years) completed the survey by Akbal, which had previously been validated in Turkey, while children (4–10 years) completed the survey by Farhat, which had been previously validated in Canada, with the help of a parent. Older children (11–17) years completed the survey by Nelson without help. The surveys were kept by the research nurse and the examining physician was blinded to the survey results. The physician scored the patient for severity of symptoms at the time of the initial visit and those scores were compared to the scores obtained by the surveys. RESULTS There were 71 subjects (36 male, 35 female). Of these, 36 were ages 4–10 years; 35 were ages 11–17 years. Using ordinal regression, we found that parental report of child symptoms using the Akbal survey reflected the physician symptom rating (very mild, mild, moderate, severe) fairly well (n=36; p=.028). Younger child (4–10 years) self-report using the Farkat survey was less useful (n=36; p=.374); older children (11–17 years) using the Nelson self-report survey strongly reflected physician symptom rating (n=35; p=.001). CONCLUSIONS The Nelson and Akbal surveys, in older and younger children respectively, were more accurate than the Farkat survey for measuring symptom severity. Using the most accurate scoring system allows physicians to accurately grade the severity of symptoms, to track treatment success, and allows for a scientific basis for comparative research. These data are helpful in determining a “gold standard” survey instrument for measuring pediatric voiding dysfunction. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e328-e329 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph Barone New Brunswick, NJ More articles by this author Akira Yamamota New Brunswick, NJ More articles by this author Daniel Su New Brunswick, NJ More articles by this author Schneider Dona New Brunswick, NJ More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.