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- W2148759898 abstract "No AccessJournal of UrologyAdult urology1 Jan 2007The Urgency Perception Score: Validation and Test-Retest Jerry G. Blaivas, Georgia Panagopoulos, Jeffrey P. Weiss, Chandra Somaroo, and David C. Chaikin Jerry G. BlaivasJerry G. Blaivas Weill Medical College of Cornell University, New York, New York More articles by this author , Georgia PanagopoulosGeorgia Panagopoulos Lenox Hill Hospital, New York, New York More articles by this author , Jeffrey P. WeissJeffrey P. Weiss Weill Medical College of Cornell University, New York, New York More articles by this author , Chandra SomarooChandra Somaroo UroCenter of New York, New York, New York More articles by this author , and David C. ChaikinDavid C. Chaikin Weill Medical College of Cornell University, New York, New York More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2006.08.091AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We validate a grading system for urinary urgency. Materials and Methods: A total of 225 subjects participated in a validation study of a fixed format question that examined the reasons why an individual usually voids. The response comprised 5 graded categories. The written questionnaire was completed by the subject twice in 3 to 14 days, during which there was no change in symptoms. Subjects included asymptomatic normal volunteers and consecutive patients with lower urinary tract symptoms without urinary urgency and those with overactive bladder with or without other lower urinary tract symptoms. Content validity was established by an expert panel. Discriminant validity was assessed by examining the frequency of responses in the various categories across the 3 groups (chi-square test) and by comparing average scores in each of the 3 groups using 1-way ANOVA, followed by LSD post hoc tests. Test-retest reliability was assessed using the intraclass correlation coefficient and κ coefficient. Results: A total of 83 normal subjects, 62 patients with lower urinary tract symptoms and 80 patients with overactive bladder were included in the study. Median age was 71 years (range 21 to 97). For test-retest reliability the intraclass correlation coefficient (0.86) and κ coefficient (0.68) indicated a good level of agreement (p <0.001). The overactive bladder group achieved a significantly higher score than the normal and lower urinary tract symptoms groups (mean ± SD 2.5 ± 0.99 vs 1.6 ± 0.93 and 1.8 ± 0.93, respectively, each p <0.001). Conclusions: The urgency perception score appears to be a valid and reliable means of grading urinary urgency. We believe that this method of grading urgency will prove to be more clinically useful than the simple yes/no characterization of urgency as a sudden compelling desire to void and it will be a useful item for questionnaires and diary keeping. References 1 : The standardisation of terminology of lower urinary tract function: report from the Standardisation sub-committee of the international continence society. Neurourol Urodyn2002; 21: 167. Google Scholar 2 : Frequency-volume charts: a tool to evaluate bladder sensation. Neurourol Urodyn2003; 22: 638. Google Scholar 3 : The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: Current concepts and future prospects. BJU Int2005; 95: 335. Google Scholar 4 : A validated patient reported measure of urinary urgency severity in overactive bladder for use in clinical trials. J Urol2005; 174: 604. Link, Google Scholar 5 : The overactive bladder-symptom composite score: a composite symptom score of toilet voids, urgency severity and urge urinary incontinence in patients with overactive bladder. J Urol2005; 173: 1639. Link, Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byTownsend J (2016) Development and Pilot Testing of a New Bladder Diary Format: Phase 1Urology Practice, VOL. 3, NO. 3, (218-223), Online publication date: 1-May-2016.Heeringa R, van Koeveringe G, Winkens B, van Kerrebroeck P and de Wachter S (2011) Degree of Urge, Perception of Bladder Fullness and Bladder Volume—How are They Related?Journal of Urology, VOL. 186, NO. 4, (1352-1357), Online publication date: 1-Oct-2011.Blaivas J (2010) Urodynamics for the Evaluation of Painful Bladder Syndrome/Interstitial CystitisJournal of Urology, VOL. 184, NO. 1, (16-17), Online publication date: 1-Jul-2010.Twiss C, Triaca V, Anger J, Patel M, Smith A, Kim J, Raz S and Rodríguez L (2009) Validating the Incontinence Symptom Severity Index: A Self-Assessment Instrument for Voiding Symptom Severity in WomenJournal of Urology, VOL. 182, NO. 5, (2384-2391), Online publication date: 1-Nov-2009.Rapp D, Neil N, Govier F and Kobashi K (2009) Bladder Sensation Measures and Overactive BladderJournal of Urology, VOL. 182, NO. 3, (1050-1054), Online publication date: 1-Sep-2009.Blaivas J, Panagopoulos G, Weiss J and Somaroo C (2007) Validation of the Overactive Bladder Symptom ScoreJournal of Urology, VOL. 178, NO. 2, (543-547), Online publication date: 1-Aug-2007. Volume 177Issue 1January 2007Page: 199-202 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsurination disordersquestionnairesbladderMetricsAuthor Information Jerry G. Blaivas Weill Medical College of Cornell University, New York, New York More articles by this author Georgia Panagopoulos Lenox Hill Hospital, New York, New York More articles by this author Jeffrey P. Weiss Weill Medical College of Cornell University, New York, New York More articles by this author Chandra Somaroo UroCenter of New York, New York, New York More articles by this author David C. Chaikin Weill Medical College of Cornell University, New York, New York More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W2148759898 title "The Urgency Perception Score: Validation and Test-Retest" @default.
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