Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy
Purpose Continence assessment is an essential component of follow-up after radical prostatectomy (RP). Several methods exist to assess the severity of urinary incontinence (UI). Our study examined the relationship and degree of agreement between International Consultation on Incontinence Questionnai...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Continence Society
2020-06-01
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| Series: | International Neurourology Journal |
| Subjects: | |
| Online Access: | http://www.einj.org/upload/pdf/inj-1938116-058.pdf |
| _version_ | 1818161628588277760 |
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| author | Antonio Tienza Petra L. Graham Jose E. Robles Fernando Diez-Caballero David Rosell Juan I. Pascual Manish I. Patel Sean F. Mungovan |
| author_facet | Antonio Tienza Petra L. Graham Jose E. Robles Fernando Diez-Caballero David Rosell Juan I. Pascual Manish I. Patel Sean F. Mungovan |
| author_sort | Antonio Tienza |
| collection | DOAJ |
| description | Purpose Continence assessment is an essential component of follow-up after radical prostatectomy (RP). Several methods exist to assess the severity of urinary incontinence (UI). Our study examined the relationship and degree of agreement between International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores and the number of pads used in a 24-hour period in the assessment of UI following RP. Methods Continence was prospectively assessed in 746 men from a Spanish urology clinic 12 months after RP using the ICIQ-SF and pad usage. The relationship between ICIQ-SF scores and pad usage was assessed using Spearman rank correlation coefficients. The Jonckheere-Terpstra trend test was used to determine whether the ICIQ-SF score and the component question scores increased with increasing pad usage. The Bonferroni-corrected pairwise Wilcoxon rank-sum test was used to determine which pairs of pad usage levels differed. The weighted kappa was used to evaluate the agreement between pad usage levels and ICIQ-SF questions. Results The continence rate was 82% using the “no pad usage” definition of continence versus 78% using the definition of an ICIQ-SF score of 0 (P<0.001). Strong positive correlations were observed between the number of pads and the ICIQ-SF total and component question scores (rs>0.85, P<0.001). The ICIQ-SF total and component question scores increased significantly with increasing pad usage (P<0.001). The ICIQ-SF scores (P<0.018) for all pairs of pad usage levels (0, 1, 2, or 3 or more) differed significantly. The agreement between the ICIQ-SF leakage amount question and pad usage was very good (rs=0.861, P<0.001). Conclusions At 12 months post-RP, 24-hour pad usage was closely correlated with ICIQ-SF, although the continence rate differed depending on the definition used. Higher levels of pad usage were associated with higher questionnaire scores, more leakage, and poor quality of life (interference with everyday life). |
| first_indexed | 2024-12-11T16:20:48Z |
| format | Article |
| id | doaj.art-94a8893a23764bf6bc0362d4e6aa61d7 |
| institution | Directory Open Access Journal |
| issn | 2093-4777 2093-6931 |
| language | English |
| last_indexed | 2024-12-11T16:20:48Z |
| publishDate | 2020-06-01 |
| publisher | Korean Continence Society |
| record_format | Article |
| series | International Neurourology Journal |
| spelling | doaj.art-94a8893a23764bf6bc0362d4e6aa61d72022-12-22T00:58:51ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312020-06-0124215616210.5213/inj.1938116.058855Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical ProstatectomyAntonio Tienza0Petra L. Graham1Jose E. Robles2Fernando Diez-Caballero3David Rosell4Juan I. Pascual5Manish I. Patel6Sean F. Mungovan7 Department of Urology, Clinica Universidad de Navarra, Pamplona, Spain Centre for Economic Impacts of Genomic Medicine (GenIMPACT), Macquarie University, Sydney, Australia Department of Urology, Clinica Universidad de Navarra, Pamplona, Spain Department of Urology, Clinica Universidad de Navarra, Pamplona, Spain Centre for Economic Impacts of Genomic Medicine (GenIMPACT), Macquarie University, Sydney, Australia Department of Urology, Clinica Universidad de Navarra, Pamplona, Spain Discipline of Surgery, Sydney Medical School, The University of Sydney, Sydney, Australia Westmead Private Physiotherapy Services, Westmead Private Hospital Sydney, Sydney, AustraliaPurpose Continence assessment is an essential component of follow-up after radical prostatectomy (RP). Several methods exist to assess the severity of urinary incontinence (UI). Our study examined the relationship and degree of agreement between International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores and the number of pads used in a 24-hour period in the assessment of UI following RP. Methods Continence was prospectively assessed in 746 men from a Spanish urology clinic 12 months after RP using the ICIQ-SF and pad usage. The relationship between ICIQ-SF scores and pad usage was assessed using Spearman rank correlation coefficients. The Jonckheere-Terpstra trend test was used to determine whether the ICIQ-SF score and the component question scores increased with increasing pad usage. The Bonferroni-corrected pairwise Wilcoxon rank-sum test was used to determine which pairs of pad usage levels differed. The weighted kappa was used to evaluate the agreement between pad usage levels and ICIQ-SF questions. Results The continence rate was 82% using the “no pad usage” definition of continence versus 78% using the definition of an ICIQ-SF score of 0 (P<0.001). Strong positive correlations were observed between the number of pads and the ICIQ-SF total and component question scores (rs>0.85, P<0.001). The ICIQ-SF total and component question scores increased significantly with increasing pad usage (P<0.001). The ICIQ-SF scores (P<0.018) for all pairs of pad usage levels (0, 1, 2, or 3 or more) differed significantly. The agreement between the ICIQ-SF leakage amount question and pad usage was very good (rs=0.861, P<0.001). Conclusions At 12 months post-RP, 24-hour pad usage was closely correlated with ICIQ-SF, although the continence rate differed depending on the definition used. Higher levels of pad usage were associated with higher questionnaire scores, more leakage, and poor quality of life (interference with everyday life).http://www.einj.org/upload/pdf/inj-1938116-058.pdfurinary incontinenceradical prostatectomyquestionnairesassessment |
| spellingShingle | Antonio Tienza Petra L. Graham Jose E. Robles Fernando Diez-Caballero David Rosell Juan I. Pascual Manish I. Patel Sean F. Mungovan Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy International Neurourology Journal urinary incontinence radical prostatectomy questionnaires assessment |
| title | Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy |
| title_full | Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy |
| title_fullStr | Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy |
| title_full_unstemmed | Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy |
| title_short | Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy |
| title_sort | daily pad usage versus the international consultation on incontinence questionnaire short form for continence assessment following radical prostatectomy |
| topic | urinary incontinence radical prostatectomy questionnaires assessment |
| url | http://www.einj.org/upload/pdf/inj-1938116-058.pdf |
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