The Sensitivity and Specificity of a Simple Test To Distinguish between Urge and Stress Urinary Incontinence

In addition to medical diseases, psychological, social, cognitive, and functional issues influence the health of older persons. Therefore, the traditional medical assessment alone is often not enough to evaluate the older population with multiple comorbidities. Out of this recognized need, the geriatric assessment has been developed, which emphasizes a broader approach to evaluating contributors to health in older persons. Geriatric assessment uses specific tools to help determine patient's status across several different dimensions, including assessment of medical, cognitive, affective, social, economic, environmental, spiritual, and functional status. This article reviews specific tools that practitioners can use in their screening for the following geriatric syndromes: hearing impairment, vision impairment, functional

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“…The 3IQ questionnaire helps the clinician differentiate between urinary stress and urge incontinence using self-report questions. 14 …”

Section: Urinary Incontinencementioning

confidence: 99%

Geriatric Assessment Tools

Rosen

Reuben

2011

Mount Sinai J Medicine

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“…Participants were included if they experienced at least weekly episodes of UI and presented with ≥ 80 % SUI symptoms per history and the Three Incontinence Questions (3IQ) [14]. Women taking hormone replacement therapy were admissible as long as their prescriptions had been stable for at least 6 months.…”

Section: Participantsmentioning

confidence: 99%

Changes in urethral sphincter size following rehabilitation in older women with stress urinary incontinence

et al. 2014

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“…Those whose 3IQ indicated UUI (versus stress-predominant, equally mixed, or other incontinence) were eligible to continue. Consistent with proposed use of the 3IQ in clinical practice, 11 women had dipstick urinalysis testing to rule out urinary tract infection and hematuria before enrollment.…”

Section: Study Populationmentioning

confidence: 99%

“…The 3IQ is a brief validated, reproducible questionnaire with good sensitivity and specificity in distinguishing between urgency and stress incontinence. 11 However, the longer-term efficacy and safety of treating incontinence based on this streamlined questionnaire are not known.…”

Section: Introductionmentioning

confidence: 99%

Long-term Efficacy and Safety of Questionnaire-Based Initiation of Urgency Urinary Incontinence Treatment

Hess

Huang

Richter

et al. 2014

Obstetrical &Amp; Gynecological Survey

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Requests for reprints Corresponding author (for editorial use only): Rachel Hess, MD, MS, Center for Research on Health Care, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, 412-692-2025 (phone), 412-725-5276 (cell), 412-692-4838 (fax) Objectives-To determine the longer-term efficacy and safety of initiating treatment for urgency-predominant urinary incontinence (UUI) in women diagnosed using a simple questionnaire rather than an extensive evaluation.Study Design-Women completing a 12-week randomized controlled trial of fesoterodine therapy for UUI diagnosed by questionnaire were invited to participate in a 9-month open label continuation study. UUI and voiding episodes were collected using voiding diaries. Participant satisfaction was measured by questionnaire. Safety was assessed by measurement of post void residual volume and adverse event monitoring; if necessary, women underwent specialist evaluation. Longitudinal changes in UUI and voiding episodes were evaluated using linear mixed models adjusting for baseline.Results-Of the 567 women completing the randomized trial, 498 (87.8%) took at least one dose of medication during this open label study. Compared to the enrollment visit in the randomized trial, fesoterodine was associated with a reduction in total incontinence episodes/day and urgency incontinence episodes/day at the end of the open label study [adjusted mean (standard error (SE)) 4.6 (0.12) to 1.2 (0.13) and 3.9 (0.11) to 0.9 (0.11) respectively, p-value<.0001 for both]. Most women were satisfied with treatment (89%, 92%, and 93% at 3, 6, and 9 months). Twenty-six women experienced 28 serious adverse events, one of which was considered possibly treatmentrelated. Twenty-two women had specialist evaluation: 5 women's incontinence was misclassified by the 3IQ; none experienced harm due to misclassification.Conclusions-Using a simple validated questionnaire to diagnose and initiate treatment for UUI in community dwelling women is safe and effective, allowing timely treatment by primary care practitioners.

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The Sensitivity and Specificity of a Simple Test To Distinguish between Urge and Stress Urinary Incontinence

Abstract: Background: Urinary incontinence is common in women. Because treatments differ, urge incontinence should be distinguished from stress incontinence. To make this distinction, current guidelines recommend an extensive evaluation that is too time-consuming for primary care practice.

Cited by 173 publications

References 33 publications

Geriatric Assessment Tools

Geriatric Assessment Tools

Changes in urethral sphincter size following rehabilitation in older women with stress urinary incontinence

Long-term Efficacy and Safety of Questionnaire-Based Initiation of Urgency Urinary Incontinence Treatment

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