Analyse de la valeur du questionnaire ICIQ-sf et du test d’incontinence sur une heure pour le diagnostic d’incontinence urinaire objectivé par un bilan urodynamique

Timmermans, Luc; Mélot, Christian; Wespes, Eric

doi:10.1007/s11608-011-0373-y

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…El puntaje del ICIQ-SF es obtenido sumándose las puntuaciones de los ítems anteriormente descritos, con variación de 0 a 21. Este cuestionario fue elaborado por Avery y cols (15) validado para el idioma portugués (16) y mostró ser una técnica no invasiva para identificar la IU con satisfactoria precisión, comparándolo con el patrón de oro, el test urodinámico (17).…”

Section: Pacientes Y Métodounclassified

Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Sacomori

Vinter

Sperandio

et al. 2015

Rev. chil. obstet. ginecol.

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RESUMENIntroducción: Los episodios de pérdidas urinarias son causas de vergüenza social, disfunción sexual y bajo desempeño profesional. Objetivos: Identificar la sensibilidad y especificidad, y proponer puntos de corte de diferentes indicadores antropométricos para la predicción en mujeres de la incontinencia urinaria (IU). Métodos: Fueron evaluadas 500 mujeres de la Gran Florianópolis, SC, Brasil, de un amplio rango etario, a partir del cuestionario ICIQ -SF para incontinencia urinaria. Fueron analizados los siguientes indicadores antropométricos: Circunferencia de Cintura (CC), Índice de Masa Corporal (IMC), Índice Cintura/Cadera (ICC), Razón Cintura/Estatura (RCE), Índice de Adiposidad Corporal (IAC) e Índice de Conicidad (Índice C). Para el análisis estadístico de los datos, fueron utilizadas pruebas de asociación y cálculos de sensibilidad y especificidad por medio de curvas ROC. Resultados: La prevalencia de IU fue 35%. Se observaron correlaciones significativas entre los indicadores antropométricos y frecuencia e intensidad de pérdidas urinarias. La RCE fue el indicador antropométrico con mayor área sobre la curva ROC (0,618). La CC fue el indicador antropométrico con mayor sensibilidad y el Índice C, aquel con la mayor especificidad para la predicción de la IU. Mujeres con CC con 78,5 cm o más presentaron 1,24 vez más prevalencia de IU (p<0,05). Mujeres con Índice C de 1,23 puntos o más presentaron 1,23 vez más prevalencia de IU (p<0,05). Conclusiones: Los indicadores antropométricos, especialmente aquellos que llevan en consideración la CC, presentaron asociaciones significativas y pueden ser usados como indicativos de IU.PALABRAS CLAVE: Sobrepeso, antropometría, incontinencia urinaria, actividad física SUMMARY Background:The episodes of urinary incontinence may cause social embarrassment, sexual dysfunction and diminished work performance. Objectives: To identify the sensitivity, specificity and to propose cutoff points of different anthropometric indicators for the prediction of urinary incontinence (UI) in women. Methods: 500 women from Florianópolis, SC, Brazil, from a wide age range, were assessed using the Internatinal Consultation on Incontinence Questionnaire (ICIQ -SF). The anthropometric indexes analyzed were: Waist Circumference (WC), Body Mass Index (BMI), Waist / Hip Ratio (WHR), Waist / Height Ratio (WHeR), Body Adiposity Index (IAC) and Conicity Index (Index C). For statistical analysis, association tests and calculations of sensitivity and specificity by ROC curves were used. Results: The prevalence of UI was 35%. There were significant correlations between anthropometric indicators and frequency and intensity of UI. The WHeR was the index with the largest area under the ROC curve (0.618). The WC was the most sensitive index and the index C had the highest specificity. Women with WC with 78.50 cm or more exhibited 1.24 increased prevalence of UI (p < 0.05). Those women with index C of 1.23 or more showed 1.23 greater prevalence of UI (p < 0.05). Conclusions: Anthropometric indicators, e...

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Section: Pacientes Y Métodounclassified

Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Sacomori

Vinter

Sperandio

et al. 2015

Rev. chil. obstet. ginecol.

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“…The studies generally showed good applicability of concepts concerning participant selection, index testing, and reference testing. We highlight that only Timmermans et al 25 included men in their sample. Only the study by Matharu et al 23 showed low applicability because the researchers modified the 1‐h pad test protocol and excluded the activity of climbing a flight of stairs, considering the participants' physical limitations.…”

Section: Resultsmentioning

confidence: 98%

“…A meta-analysis of the studies was not possible because of differences in the cutoff point between the long-duration studies, and the small number of short-duration studies which also presented some methodological limitations. Some studies did not present the sensitivity/specificity values [23][24][25]39 ; therefore, they were calculated and presented in the forest plot (Figure 3).…”

Section: Summary Of Resultsmentioning

confidence: 99%

“…Four studies, 23,25,28,39 with a total of 719 participants, analyzed the properties of the 1-h pad test. The cutoff point value utilized was 1 g, and the sensitivity and specificity values ranged 34%-95% and 60%-100%, respectively.…”

Section: A 1-h Pad Testmentioning

confidence: 99%

“…The studies also showed biases in interpreting the test results. In three studies, [24][25][26] it was not clearly described if the evaluator was blinded, that is, whether the pad test was analyzed without knowing the urodynamic test result. In another three studies, [27][28][29] the participants performed the pad test after knowing the urodynamic study result.…”

Section: Risk Of Biasmentioning

confidence: 99%

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Pad test for urinary incontinence diagnosis in adults: Systematic review of diagnostic test accuracy

Araújo

Morais

Sacomori

et al. 2022

Neurourology and Urodynamics

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Introduction:The pad test is an assessment tool for urinary incontinence (UI) severity classification and therapeutic response monitoring. However, the reliability and reproducibility of this test have been questioned.Objectives: To summarize the evidence regarding the accuracy measures and reproducibility of different pad test protocols for assessing UI. Methods: A systematic review of the diagnostic accuracy of this tool was performed (CRD42020219392). Eligibility criteria: Studies reporting data on the accuracy measures and reproducibility of the pad test when used for detecting UI in adult men and women. Data sources: MEDLINE, Science Direct, Cochrane, Web of Science, LILACS, and Pedro. Data extraction and synthesis: Two reviewers independently screened the articles, extracted the data, and evaluated the risk of bias (RoB) using the QUADAS-2 tool. Results: From 1048 studies, 18 studies were included. Eight of these reported accuracy data, and 12 reported reproducibility properties. A total of 1070 individuals were analyzed, whose mean age ranged from 20 to 90 years. The accuracy of the long-duration protocols was generally moderate to high (sensitivity, 60%-93%; specificity, 60%-84%). The 1-h protocols obtained higher accuracy values. The overall reproducibility was moderate to high (κ ≥ 0.66). Limitations:The RoB was high and, due to different cutoff points adopted by studies, the bivariate model was not satisfied to perform a meta-analysis. Discussion: The 1-h pad test was more accurate but less reproducible when compared to the long-duration tests. Pad test results should be used with caution in clinical practice. K E Y W O R D S data accuracy, exposure, measures of association, reproducibility of results, risk or outcome, severity of illness index

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Assessment of male urinary incontinence postprostatectomy through the Consultation on Incontinence Questionnaire-Short Form

Soto-González

Carrera

Gutiérrez-Nieto

et al. 2020

Progrès en Urologie

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Analyse de la valeur du questionnaire ICIQ-sf et du test d’incontinence sur une heure pour le diagnostic d’incontinence urinaire objectivé par un bilan urodynamique

Cited by 5 publications

References 9 publications

Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Propuesta de puntos de corte para diferentes indicadores antropométricos en la predicción de la incontinencia urinaria en mujeres

Pad test for urinary incontinence diagnosis in adults: Systematic review of diagnostic test accuracy

Assessment of male urinary incontinence postprostatectomy through the Consultation on Incontinence Questionnaire-Short Form

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