Cross-cultural adaptation of the dysfunctional voiding score symptom (DVSS) questionnaire for Brazilian children

Calado, Adriano Almeida; Araujo, Eleazar M.; Barroso, Ubirajara; Netto, José Murillo Bastos; Filho, Miguel Zerati; Macedo, António; Bägli, Darius; Farhat, Walid A.

doi:10.1590/s1677-55382010000400009

Cited by 64 publications

(68 citation statements)

References 8 publications

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“…The DVSS has been used widely and translated into other languages (16)(17)(18). However, the drawbacks of this questionnaire were the lack of test-retest reliability and confusing wording of some of the questions asked (3,4).…”

Section: Discussionmentioning

confidence: 99%

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Narter¹,

Tarhan²,

Narter³

et al. 2017

Turk J Med Sci

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IntroductionBladder bowel dysfunction (BBD) is common clinical problem in pediatric urology patients. If a specialist takes a medical history meticulously during ambulatory visits by these patients, it can be detected just about 40% (1).These patients present with lower urinary tract symptoms (LUTS) of storage and/or emptying. When this disorder is associated with abnormal bowel patterns such as constipation and encopresis, the term bladder bowel dysfunction (BBD) is used. BBD can lead to development of urinary tract infection (UTI), incontinence, unfavorable outcome on vesicourethral reflux (VUR), and upper or lower urinary tract damage in children. Regarding the sex distribution of this problem, a female to male ratio as high as 5:1 for BBD is reported in the literature (2). However, the epidemiological data about this problem can vary, depending on the definition of BBD.Diagnostic procedures should include taking a medical history, physical examination, voiding and bowel diary, urinalysis, urine culture, urinary ultrasonography, and complementary investigations. In contrast, there is no consensus about reliable and valid methods for evaluation of this problem. There are a few published questionnaires that quantify BBD. Additionally, the International Continence Society (ICS) recommends the use of the Rome III criteria for constipation in children. Extensively, the Bristol Stool Form Scale (BSFS) is used for definition of constipation. Recently, new diagnostic methods were developed for the diagnosis and follow up of dysfunctional micturition symptoms. One of them is named the Bladder and Bowel Dysfunction Questionnaire (BBDQ).In this context, we aimed to evaluate the reliability and validity of a Turkish version of the BBDQ in pediatric urology patients. Patients and methods Study designBetween October 2013 and April 2014, a total of 193 consecutive male (n = 94) and female (n = 99) children were enrolled in this study. While 103 patients with various Background/aim: We developed a Turkish version of the Bladder and Bowel Dysfunction Questionnaire (BBDQ) and evaluated its psychometric properties among Turkish pediatric patients. Materials and methods:The BBDQ was translated into Turkish and then it was back-translated into English. A total of 193 patients were asked to complete the Turkish version of the BBDQ as well as the Dysfunctional Voiding and Incontinence Scoring System (DVISS). In addition, 39 children completed the same questionnaires twice at 2-week intervals for test-retest evaluation.Results: Cronbach's alpha coefficient of the BBDQ was 0.727. Reliability of the test/retest was 0.759 (P < 0.001). Area under the curve of the receiver operating characteristic plot was 0.765. There were statistically significant differences in BBDQ scores between the controls and patients (P < 0.001). Analysis demonstrated moderate convergent validity against the DVISS (r: 0.78, r 2 : 0.601, P < 0.0001). Conclusion:The Turkish version of the BBDQ is a reliable and valid instrument for Turkish pediatric patients with b...

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Section: Discussionmentioning

confidence: 99%

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Narter¹,

Tarhan²,

Narter³

et al. 2017

Turk J Med Sci

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“…Symptoms of LUTD were evaluated using an adaptation of the semantic equivalent of the Brazilian version of the Dysfunctional Voiding Scoring System (DVSS) instrument [18,19] developed by Farhat et al [5] was applied by the researchers and two academics in the school environment. Although the questionnaire was originally designed to be applied to both parents and their children, we subsequently decided to interview children only because of the difficulty for parents to come for the interview.…”

Section: Instrumentsmentioning

confidence: 99%

Prevalence of lower urinary tract symptoms in school-age children

et al. 2011

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Epidemiological studies have demonstrated rates of incontinence and enuresis as high as 20% in school-age children. This cross-sectional study aimed to investigate the prevalence of lower urinary tract (LUT) symptoms in 739 children aged 6-12 years enrolled in three government schools with different socioeconomic levels in Minas Gerais, Brazil. Symptoms of LUT were evaluated using a modified version of the Dysfunction Voiding Scoring System in which the cutoff point considered as an indicator of LUT dysfunction is >6 for girls and >9 for boys. Children with a score indicative of symptoms received an educational booklet on the functioning of the LUT and were sent for clinical evaluation. LUT dysfunction symptoms were detected in 161 (21.8%) children. Symptoms were most frequent in girls (p < 0.001), children aged 6-8 (p < 0.028), and attended the school with the lowest social level (p < 0.001). Intestinal constipation was the most prevalent finding (30.7%), independent of LUT score. The most common urinary symptoms in children with an elevated score were diurnal urinary incontinence (30.7%), holding maneuvers (19.1%), and urinary urgency (13.7%). Stress factors were associated in 28.4% of children. Our findings suggest that LUT symptoms must be investigated carefully at routine pediatric visits.

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“…The DVSS is a scale used to assess lower urinary tract symptoms in the general population. 24 Lower urinary tract symptoms correlated with scores in the Swanson, Nolan e Pelham-IV (SNAP-IV), a scale used to assess symptoms of ADHD and ODD. 25 in attaining more promising therapies for patients with LUTD.…”

Section: Enuresismentioning

confidence: 99%

Mental disorders in children and adolescents with lower urinary tract dysfunction

Marciano¹,

Cardoso²,

Vasconcelos³

et al. 2016

Jornal Brasileiro De Nefrologia

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Cross-cultural adaptation of the dysfunctional voiding score symptom (DVSS) questionnaire for Brazilian children

Cited by 64 publications

References 8 publications

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Prevalence of lower urinary tract symptoms in school-age children

Mental disorders in children and adolescents with lower urinary tract dysfunction

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