Psychometric properties and validation of the German‐language King's Health Questionnaire in women with stress urinary incontinence

Bjelic‐Radisic, Vesna; Dorfer, Martha; Tamussino, Karl; Greimel, Elfriede

doi:10.1002/nau.20092

Cited by 50 publications

(49 citation statements)

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“…Demographic data were equally distributed in all four groups: age (median 79 years, range 41-91), BMI (median 29 kg/m 2 , range 21-41 for polyacrylamide hydrogel and 19-41 for the other agents, respectively), previous incontinence operations (median 1, range 0-4), number of injections (median 1, range 1-3), hospital stay (median 2 days, range 1-3 except for one maximum stay of 34 days in a patient in whom complications occurred after a collagen injection), and operation time (median 10 min, range [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Eighty percent of patients answered the questionnaire in German, 18 % in French, and 2 % in English; 67 % had SUI and 33 % MUI.…”

Section: Resultsmentioning

confidence: 99%

“…The King's Health Questionnaire (KHQ) assesses QoL and is widely used in patients with incontinence [17]. It is validated in several languages, including German [18]. The questionnaire deals with the domains general health perception, role limitation (e.g., household, cleaning, shopping), physical and personal limitation (walking, sports, travel, social life, relationship, sex, family life), emotions (depressed, anxious, nervous, feeling bad about oneself), sleep (feeling worn out, tired), and incontinence impact (pad usage, need to change underwear, restrict drinking, fear bad smells).…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, bladder problems are specified in the KHQ as questions for frequency symptoms, nocturia, urgency, stress incontinence episodes, coital incontinence, urinary tract infections, and bladder pain exist. The scores for each domain range from 0 to 5 and 1 to 5, respectively, are added up, and a change of at least five points is considered significant [18]. Subjective outcome was further assessed by patients judging their incontinence severity on a visual analogue scale (VAS).…”

Section: Methodsmentioning

confidence: 99%

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Bulking agents: an analysis of 500 cases and review of the literature

et al. 2012

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Introduction and hypothesis Stress urinary incontinence (SUI) is common, impacts women's quality of life, and generates high costs. Physiotherapy is the first-line therapy, and if it fails, suburethral slings are the gold standard in SUI surgery. Bulking agents injected periurethrally might be a beneficial alternative, but there is a paucity of data on bulking therapy. The aim of this study was to prospectively analyze the efficacy and safety of bulking agents in the setting of a tertiary referral center. Methods In the last 13 years, 514 elderly women with SUI were treated by injection therapy with either collagen (Contigen®), hyaluronic acid (Zuidex®), ethylene vinyl alcohol (Tegress®), or polyacrylamide hydrogel (Bulkamid®). Subjective and objective outcome was recorded at the 12-month postoperative appointment using the King's Health Questionnaire, visual analogue scale (VAS) describing their incontinence severity, standardized pad test, and urethral pressure profile.Results Demographic data were equally distributed in all four groups of agents used. Sixty-one patients were lost to follow-up (10.6 %). Statistically significant changes were found for maximum urethral closure pressure (MUCP), pad weight, and VAS before and after bulking for the four agents used. Pad test was negative in 73.2 % of patients after bulking therapy. Subjective assessment showed improvements in general health and role limitations. The overall complication rate was low for all agents. Conclusions This study shows improvement in incontinence after bulking therapy according to subjective and objective outcomes in an elderly population. In contrast to earlier reports, side effects due to injections were few and mild. We can advocate bulking therapy for treating SUI, as it is simple, safe, and shows both objective and subjective improvement and relief.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Bulking agents: an analysis of 500 cases and review of the literature

et al. 2012

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“…Ein validierter Fragebogen, der diese Symptome zuverlässig erfasst und zudem die krankheitsspezifische Lebensqualität misst, fehlt im deutschsprachigen Raum. Obwohl bereits validierte Fragebögen aus dem Englischen übersetzt wurden, wurde nur die Übersetzung des King's Health Questionnaire auf Deutsch validiert und publiziert [2] . Dieser Fragebogen geht allerdings nur auf die Harninkontinenz ein [2] .…”

Section: Introductionunclassified

Validierung eines umfassenden Beckenboden-Fragebogens für Klinik, Praxis und Forschung

Baeßler

Kempkensteffen²

2009

Gynäkol Geburtshilfliche Rundsch

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Fragestellung: Das Ziel dieser Arbeit ist es, einen deutschen Beckenboden-Fragebogen, der Blasen-, Darm-, Deszensus- und sexuelle Probleme, deren Schweregrad und Auswirkung auf die Lebensqualität erfasst, zu validieren. Methoden: Eine selbst- und eine arztadministrierte Version wurde vollständig psychometrisch getestet (n = 63). Ergebnisse: Fehlende Antworten überstiegen nie 4%. Der Fragebogen kann signifikant zwischen Patientinnen mit urogynäkologischen Erkrankungen und anderen (n = 24) diskriminieren. Die Ergebnisse von Urodynamik, Stresstest und vaginalem Prolapsstaging korrelierten mit dem Fragebogen. Cronbachs α-Werte im selbst- und arztadministrierten Fragebogen waren: Blasenfunktion 0,86 und 0,77, Darmfunktion 0,76 und 0,77, Deszensus 0,82 und 0,83, Sexualfunktion 0,80 und 0,71. Die ĸ-Werte für die Test-Retest-Reliabilität lagen zwischen 0,61 und 1,0. Schlussfolgerungen: Dies ist der erste deutsche validierte Beckenboden-Fragebogen, der Blasen-, Darm-, Deszensus- und sexuelle Symptome, Symptomhäufigkeit und die symptomspezifische Lebensqualität in einer reproduzierbaren und zuverlässigen Weise erfasst.

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“…With a specific questionnaire, namely Kingʼs questionnaire, a very good instrument has been developed for the evaluation of the mental impairments of women due to incontinence. The validated German version of the questionnaire [15] can be obtained free of charge via http://www.iciq.net/index.html. With the help of this questionnaire, Hensel et al [16] were able to demonstrate prospectively in 53 patients with combined stress incontinence and overactive bladders (OAB) that the placement of a suburethral tape resulted in a significant improvement in quality of life.…”

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confidence: 99%

Psychosomatic Aspects of Urinary Incontinence in Women

Debus

Kästner

2015

Geburtshilfe Frauenheilkd

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Introduction !Urinary incontinence is an increasing health problem in our rapidly ageing society that is often not disclosed for a long time by the victims and is associated with appreciable costs. In the USA the annual costs generated by urgency urinary incontinence are estimated at almost $ 82.6 in 2015 with growing tendency [1]. The prevalence of urinary incontinence increases with increasing age. Thus, Buckley et al. [2] and Markland et al. [3] reported that 25 to 57 % of all Abstract ! Urinary incontinence in women is a common problem. With increasing age its prevalence and severity of its manifestations increase. Among nursing home residents the frequency is between 43 and 77 %, 6 to 10 % of all admissions to nursing homes are due to urinary incontinence. The risk for urinary incontinence among women with cognitive deficits is 1.5-to 3.4-fold higher than for women without mental disorders. The most common form is stress incontinence (50%), followed by mixed stress-urge incontinence (40 %) and purely urge incontinence (OAB = overactive bladder, 20 %). With regard to its cause, the latter remains unclarified in about 80 % of the cases. It is often difficult to treat. There are also cases in which urge incontinence is related to traumatic events. In such cases behavioural and psychotherapeutic options may be helpful. Almost inevitably every form of incontinence has psychological consequences: shame and insecurity are often results of uncontrolled loss of urine. Among others, in the long term, they lead to the avoidance of social contacts and possibly to depression and isolation. Consideration of the psychosomatics is important in the therapy for female urinary incontinence from three points of view: 1) the efficacy of treatment is better suited to the patient, 2) the treatment costs are lower, 3) the professional satisfaction of the responsible physician increases. Zusammenfassung

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Psychometric properties and validation of the German‐language King's Health Questionnaire in women with stress urinary incontinence

Abstract: The results indicate good psychometric properties for the German-language KHQ.

Cited by 50 publications

References 15 publications

Bulking agents: an analysis of 500 cases and review of the literature

Bulking agents: an analysis of 500 cases and review of the literature

Validierung eines umfassenden Beckenboden-Fragebogens für Klinik, Praxis und Forschung

Psychosomatic Aspects of Urinary Incontinence in Women

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