Using the ICSQoL to measure the impact of lower urinary tract symptoms on quality of life: evidence from the ICS–‘BPH’ study

Abstract

Objective To present and describe the validity and generic health status, as measured by the Short Form (SF-36) and EuroQol instruments. Reliability was reliability of the International Continence SocietyBenign Prostatic Hyperplasia study quality-of-life assessed by measures of internal consistency and a test-retest analysis. (ICSQoL) instrument, a new set of questions to assess the impact of lower urinary tract symptoms (LUTS)Results The ICSQoL items were easily understood by patients, were completed with low levels of missing on quality of life (QoL) in middle-aged and elderly men. Patients and methods The study comprised 1271 condata, and address some (but not all) concerns about the impact of LUTS on QoL. The ICSQoL items have secutive men over the age of 45 years, attending urology departments in 12 countries, with LUTS and good construct validity, showing expected diÂerences between community and clinic samples, and expected possible benign prostatic obstruction who were recruited to the ICS-'BPH' study (the clinic group); relationships with each other and individual LUTS. Items had good test-retest reliability, but their internal 423 ambulant men were recruited from a general practice in the UK to provide a community group.consistency was poor, confirming that ICSQoL questions should not be combined into a score. General Each individual completed the ICS-'BPH' study questionnaire which includes six items addressing general ICSQoL items were closely related with most domains of the SF-36 and the EuroQol. and specific aspects of QoL (the ICSQoL). Content and construct validity were assessed by interviews with Conclusion ICSQoL items may be used individually or as a group in research studies or in clinical practice. patients and by testing hypotheses within the study groups, e.g. the relationships with age, individual Keywords Quality of life, lower urinary tract symptoms, questionnaire, benign prostatic hyperplasia LUTS (as measured on the ICSmale questionnaire) and be diagnosed with pressure-flow studies in conjunction

The Impact of Benign Prostatic Hyperplasia Surgery on Patients’ Quality of Life

“…Several studies have evaluated the impact of BPH surgery on QoL using tools such as the Nottingham Profile of Health [17,18], or questionnaires with a specific section on illness and another on general QoL [19,20]. Other more complex questionnaires have been designed [21][22][23].…”

Criterios de derivación en hiperplasia benigna de próstata para atención primaria

“…De todos los síntomas, los que más alteran la calidad de vida son la nocturia y el chorro miccional débil 1 . El aumento palpable de la próstata no siempre muestra una sintomatología clínica 4 ; sólo un 50% de los pacientes con cambios histoló-gicos va a presentar manifestaciones clínicas prostáticas y solicitará consejo al médico de Atención Primaria (AP) o al urólogo.…”

Assessment of male sexual function

“…Both the ICSmale and the ICSQoL have been shown to be psychometrically valid and reliable. 11,12 The ICSsex consists of four questions relating to the effect of LUTS on the patient's sex life, whether the patient has erections or ejaculation and any pain/discomfort experienced during ejaculation. In common with other questionnaires, it also assesses the degree of bother experienced by the patient because of these symptoms.…”