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The Bristol Female Lower Urinary Tract Symptoms Questionnaire: Development And Psychometric Testing.

S. Jackson, J. Donovan, S. Brookes, S. Eckford, L. Swithinbank, P. Abrams
Published 1996 · Medicine

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OBJECTIVE To develop a questionnaire that is sensitive to changes in the symptomatology of the female lower urinary tract, particularly urinary incontinence, providing an instrument that can characterize symptom severity, impact on quality of life and evaluate treatment outcome. PATIENTS, SUBJECTS AND METHODS Items covering as wide a range of urinary symptoms as possible were devised after consultation with clinicians and a health scientist, a literature review and discussion with patients. Additional items assessed the degree of 'bother' that symptoms were causing. Eighty-five women with clinical symptoms attending for urodynamic assessment and 20 women with none were asked to self-complete the questionnaire. The instrument's validity was assessed by interviewing patients and measuring levels of missing data, comparing symptom scores between clinical and non-clinical populations and comparison with frequency/volume charts and data from pad tests. The instrument's reliability was assessed by measuring both internal consistency and stability, using a 2-week test-retest analysis. RESULTS The questionnaire was completed by the patients with a mean of only 2% of items missing; most questions were easily understood. Construct validity was good, with the instrument easily differentiating clinical and non-clinical populations. Criterion validity, as tested against frequency/volume charts and pad-test data, was acceptable, with Kappa coefficients of 0.29-0.79 for frequency/volume data and Spearman rank correlations of 0.50-0.97 and 0.31-0.67 for frequency/volume and pad-test data, respectively. The reliability of the instrument was good; a Cronbach's alpha of 0.78 indicated that the symptom questions had high internal consistency, while stability was excellent, with 78% of symptoms and problems answered identically on two occasions, and Spearman rank correlations of 0.86 and 0.90, respectively. CONCLUSION The instrument has good psychometric validity and reliability. The stability demonstrated at baseline and the ability to differentiate clearly between community and clinical populations suggest that it should be ideal for measuring changes following therapeutic intervention. The addition of life-impact items and a 'bother' factor may provide the opportunity to identify those women who wish treatment for their symptoms; this dimension requires further exploration.

This paper is referenced by
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B. Jarrahi (2015)
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V. Phé (2015)
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K. Coyne (2010)
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L. Swithinbank (2000)
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A. Kinn (2005)
Trends in urinary incontinence in women between 4 and 24 months postpartum in the EDEN cohort
E. Quiboeuf (2016)
Quality of Life in Spinal Cord Injury Patients with Urinary Difficulties
P. Costa (2000)
J. Sharma (2005)
Lower urinary tract symptoms and sexual dysfunction in women
A. Salonia (2007)
Review Article Understanding King's Health Questionnaire (KHQ) in assessment of female urinary incontinence
Shripad Hebbar (2015)
Lower urinary tract symptoms in women—A common but neglected problem
C. Bradway (2008)
The outcome of pelvic examinations in women 40-60 years of age with lower urinary tract symptoms
L. A. M. G. Lose (2000)
The development of a patient‐reported outcome measure for real‐time symptom assessment in a population with functional urologic complaints—A focus group study
A. Herrewegh (2018)
Is there a discrepancy between patient and physician quality of life assessment?
S. Srikrishna (2009)
Neurourology and Urodynamics
G. Legendre (2019)
Urinary incontinence in women.
D. Y. Deng (2011)
Causes of frequency and nocturia after renal transplantation
M. V. D. van der Weide (2008)
Effects of bariatric surgery on untreated lower urinary tract symptoms: a prospective multicentre cohort study
Serge Luke (2015)
A new questionnaire for urinary incontinence diagnosis in women: development and testing.
C. Bradley (2005)
Diagnóstico clínico e subsidiário da incontinência urinária
P. C. Feldner (2006)
Incontinence urinaire d'effort et obésité Stress urinary incontinence and obesity
S. Bart (2008)
A randomized comparison of vesicourethral function after laparoscopic hysterectomy with and without vaginal cuff suspension.
C. Y. Long (2005)
Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial
H. Gimbel (2005)
Testing of the Incontinence Impact Questionnaire (IIQ‐7) With Men After Radical Prostatectomy
K. Moore (2000)
The prevalence of stress urinary incontinence among women operated on for abdominal wall hernias
E. Tok (2004)
Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey
X. Fritel (2004)
Women Undergoing Third Line Overactive Bladder Treatment Demonstrate Elevated Thermal Temporal Summation
S. Reynolds (2018)
Long term follow up of the cruciate fascial sling for women with genuine stress incontinence
E. Hawkins (2002)
The Relationship Between Anxiety and Overactive Bladder or Urinary Incontinence Symptoms in the Clinical Population.
H. Lai (2016)
Measuring the severity of stress urinary incontinence using the Incontinence Impact Questionnaire
V. Handa (2004)
Diagnosis and treatment of voiding symptoms.
M. Takeda (2003)
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