Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis.
Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis.
复制标题
疼痛和泌尿系统症状严重程度评估在泌尿系统慢性盆腔疼痛中的可靠性和有效性：MAPP网络分析。
DOI：
10.1097/ju.0000000000002438
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发表时间：
2022-06
影响因子：
6.6
通讯作者：
Landis, J. Richard
中科院分区：
文献类型：
--
作者：
Naliboff, Bruce D.;Locke, Kenneth, Jr.;Schrepf, Andrew D.;Griffith, James W.;Moldwin, Robert;Krieger, John N.;Rodriguez, Larissa V.;Clemens, J. Quentin;Lai, H. Henry;Sutcliffe, Siobhan;Taple, Bayley J.;Williams, David;Pontari, Michael A.;Mullins, Chris;Landis, J. Richard
评估泌尿系统慢性盆腔疼痛综合征（UCPPS）盆腔疼痛和泌尿系统症状严重程度有效评估的可靠性和有效性，UCPPS包括间质性膀胱炎/膀胱疼痛综合征（IC/BPS）和慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS）。在一个月内和基线门诊访视（包括泌尿系统、疼痛和疾病影响指标）期间，使用简短的、经验性的骨盆疼痛严重程度（PPS）和泌尿系统症状严重程度（USS）自我报告量表对578例患者进行了4次评估。在每个维度上的轻度、中度和重度类别进行了测量稳定性和结构效度检查。PPS和USS严重程度分类有足够的可靠性和判别效度（与特定临床和自我报告措施的差异关系）和收敛效度（与非泌尿系统躯体症状的共同关联）。例如，PPS增加与骨盆压痛和广泛的骨盆疼痛有关，而USS与膀胱充盈试验期间的紧迫感和感觉敏感性增加有关。PPS和USS类别与非泌尿系统疼痛和情绪困扰独立相关。描述性分析确定了与中度至重度PPS或USS或两者相关的可能性较高的特征。缺乏性别的相互作用表明，这些措施是可比的IC/BPS和CP/CPPS。女性和男性的UCPPS可以可靠的亚组使用简单的自我报告措施，轻度，中度或重度盆腔疼痛和泌尿系统症状。与广泛的临床变量的比较证明了这些分类的有效性和潜在的临床实用性，包括在临床试验，卫生服务和生物研究中的使用。
To assess reliability and validity of an efficient severity assessment for pelvic pain and urinary symptoms in urologic chronic pelvic pain syndrome (UCPPS), which consists of interstitial cystitis/bladder pain syndrome (IC/BPS) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). 578 patients were assessed using brief, empirically derived self-report scales for Pelvic Pain Severity (PPS) and Urinary Symptoms Severity (USS) four times during a one-month period and baseline clinic visit that included urologic, pain and illness-impact measures. Mild, moderate and severe categories on each dimension were examined for measurement stability and construct validity. PPS and USS severity categories had adequate reliability and both discriminant validity (differential relationships with specific clinical and self-report measures) and convergent validity (common association with non-urological somatic symptoms). For example, increasing PPS was associated with pelvic tenderness and widespread pelvic pain, whereas USS was associated with urgency during a bladder filling test and increased sensory sensitivity. PPS and USS categories were independently associated with non-urological pain and emotional distress. A descriptive analysis identified higher likelihood characteristics associated with having moderate to severe PPS or USS or both. Lack of sex interactions indicated that the measures are comparable in IC/BPS and CP/CPPS. Women and men with UCPPS can be reliably subgrouped using brief self-report measures of mild, moderate or severe pelvic pain and urinary symptoms. Comparisons with a broad range of clinical variables demonstrate the validity and potential clinical utility of these classifications, including use in clinical trials, health services and biological research.