Deutsche Validierung des „Acute Cystitis Symptom Score“

Alidjanov, Jakhongir F; Pilatz, Adrian; Abdufattaev, U.A.; Wiltink, Jörg; Weidner, W.; Naber, Kurt G.; Wagenlehner, Florian M. E.

doi:10.1007/s00120-015-3873-5

Cited by 40 publications

(36 citation statements)

References 26 publications

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“…In a first manifestation of AUC, or if the patient is unknown to the physician, the medical history ought to be taken and a symptom-related medical examination carried out (evidence level V-B). With the validated Acute Cystitis Symptom Score (ACSS) questionnaire (eFigure 5), AUC can be diagnosed with a high degree of certainty based on clinical criteria (94.7% sensitivity and 82.4% specificity with a total score of ≥ 6 points), the severity of the symptoms can be estimated, the patient's progress can be followed, and the treatment effect is rendered measurable (evidence level IIb) (19,20). Acute uncomplicated pyelonephritis (AUP)-In addition to establishing the patient's general medical history, physical examination and urinalysis including urine culture should be carried out (evidence level V-A).…”

Section: Diagnosis In the Standard Group: Nonpregnant Women In The Prmentioning

confidence: 99%

Uncomplicated Bacterial Community-Acquired Urinary Tract Infection in Adults

Kranz

Schmidt

Lebert

et al. 2017

Deutsches Ärzteblatt International

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Section: Diagnosis In the Standard Group: Nonpregnant Women In The Prmentioning

confidence: 99%

Uncomplicated Bacterial Community-Acquired Urinary Tract Infection in Adults

Kranz

Schmidt

Lebert

et al. 2017

Deutsches Ärzteblatt International

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“…The ACSS and its scoring system have demonstrated high values of reliability, validity, and discriminative abilities in all studies conducted in these countries. The Polish, Romanian, Ukrainian, Turkish, French, Portuguese, Spanish, American English, and traditional Chinese versions have been already linguistically validated and are under definite clinical validations [8][9][10][11][12][13]. Here, we aimed to validate the ACSS in the Italian language for clinical use and for epidemiological studies.…”

Section: Introductionmentioning

confidence: 99%

Acute Cystitis Symptom Score (ACSS): Clinical Validation of the Italian Version

et al. 2020

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Acute Cystitis Symptom Score (ACSS) is an 18-item self-reporting questionnaire for clinical diagnosis and follow-up of acute uncomplicated cystitis (AUC) in women. The ACSS, originally developed in Uzbek and Russian languages, is now available in several languages. The purpose of the study was to validate the ACSS questionnaire in the Italian language. Linguistic validation was carried out according to Linguistic Validation Manual for Patient-Reported Outcomes Instruments guidelines. Clinical validation was carried out by enrolling one hundred Italian-speaking women. All women were asked to fill in the ACSS questionnaire during their medical visit. Fifty-four women, median age 36 (Inter Quartile Range 28–49), were diagnosed with AUC, while 46 women, median age 38 (IQR 29–45), were enrolled as the control group attending the hospital’s fertility center for couples. The most frequently isolated pathogen in AUC was Escherichia coli (40; 74.0%) followed by Enterococcus faecalis (7; 13.0%) and Staphylococcus saprophyticus (3; 5.6%). Receiver operating characteristic (ROC) curve analysis performed at the first diagnostic visit on a typical symptoms domain cut-off score of 6 revealed a sensitivity of 92.5% and specificity of 97.8%. The Italian version of the ACSS has proved to be a reliable tool with a high accuracy in diagnosis and follow-up in women with AUC. The ACSS may also be useful for clinical and epidemiological studies.

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“…The data collected during international studies in different languages were derived from the ACSS database (e-USQOLAT) and analyzed retrospectively [19,[23][24][25][26][27].…”

Section: Methodsmentioning

confidence: 99%

Reliability of Symptom-Based Diagnosis of Uncomplicated Cystitis

et al. 2018

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Background and Objectives: Acute uncomplicated cystitis (AC) is common among women. Acute onset of specific typical symptoms may serve as reliable criteria for developing a cost-effective strategy to make an accurate diagnosis of AC. We aimed to evaluate the diagnostic values of most common symptoms and signs of AC depending on their presence and severity. Methods: The current trial was designed as a case-control study. Data derived from the Acute Cystitis Symptom Score (ACSS) database were analyzed. Diagnostic values of the symptoms and their severity were assessed via the calculations of the sensitivity and specificity, odds ratio, positive and negative likelihood ratios. The strength of associations was estimated by the coefficient of correlation (Pearson’s R). Results: Data from 819 female subjects (423 Patients, 396 controls) with the mean age of 37.1 ± 15.3 were analyzed. Highest diagnostic values for AC in this study belonged to dysuria, urgency, and frequency. Interestingly, complaints of vaginal discharge was not found to decrease the odds for having AC in the study population. Conclusions: The severity of the symptom is even more essential than just its presence for an accurate diagnosis. The ACSS is an accurate tool and may be recommended for clinical practice and studies for diagnosis of AC in women. Further studies and unification of terms are need.

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Deutsche Validierung des „Acute Cystitis Symptom Score“

Abstract: The German version of the ACSS showed a high reliability and validity. Therefore, the German version of the ACSS can be reliably used in clinical practice and research for diagnosis and therapeutic monitoring of patients suffering from AC.

Cited by 40 publications

References 26 publications

Uncomplicated Bacterial Community-Acquired Urinary Tract Infection in Adults

Uncomplicated Bacterial Community-Acquired Urinary Tract Infection in Adults

Acute Cystitis Symptom Score (ACSS): Clinical Validation of the Italian Version

Reliability of Symptom-Based Diagnosis of Uncomplicated Cystitis

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