The standard 1-hour pad test: Does it have any value in clinical practice?
The standard 1-hour pad test: Does it have any value in clinical practice?
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DOI：
10.1016/j.eururo.2004.04.018
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发表时间：
2004-09-01
期刊：
影响因子：
23.4
通讯作者：
Youssef, M
中科院分区：
文献类型：
--
作者：
Abdel-Fattah, A;Barrington, JW;Youssef, M
目的：本研究的目的是确定是否自我主观评估的女性患者认为尿失禁可以取代标准的I小时垫测试在临床practice.Design：前瞻性队列研究。设置：区综合医院，西南England.Methods：90名妇女等待手术治疗尿动力压力性尿失禁被招募。她们接受了160次尿垫测试;在每次测试中，要求女性根据四点量表将自己分为一个类别（0：完全尿失禁，1：轻度/偶尔尿失禁（UI），2：中度UI，3：严重UI），以完成国王健康问卷（KHQ）并进行标准的国际尿失禁协会1小时尿垫测试。结果：尿失禁的自我主观评价（控制与失禁）与尿垫试验结果（阴性与阳性）有良好的相关性（r = 0.88），与KHQ评分有良好的相关性（r = 0.79）。垫增益与KHQ评分（r = 0.48）和UI量表自我主观评定（r = 0.48）之间相关性较差。尿失禁的自我主观评价（失禁与大陆）检测垫试验结果（阳性与阴性）的敏感性和特异性分别为95.65%和93.33%。结论：本研究表明，无论是在术前或术后阶段，简单地问一个女人，如果她是大陆尿或不做垫试验和相关性更好，与患者的生活质量。(C)2004 Elsevier B. V.保留所有权利。
Objectives: The aim of this study was to determine whether self subjective assessment of urinary incontinence as perceived by female patients could replace the standard I-hour pad test in clinical practice.Design: Prospective cohort study.Setting: District General Hospital, South West of England.Methods: Ninety women awaiting surgical treatment for urodynamic stress incontinence were recruited. They underwent 160 pad tests; on each test women were asked to classify themselves on a four point scale into one category (0: totally continent to urine, 1: mild/occasional urinary incontinence (UI), 2: moderate UI, 3: severe UI), to complete the King's Health Questionnaire (KHQ) and carry out the standard International Continence Society 1-hour pad test. A pad gain >1 gm was considered a positive result.Main Outcome Measures: Women perception for severity of UI, I-hour pad gain, KHQ scores.Results: Self subjective assessment of UI (continent vs. incontinent) had good correlation (r = 0.88) with the pad test result (negative vs. positive), and correlated well with the KHQ scores (r = 0.79). Poor correlation was seen between the pad gain and the KHQ scores (r = 0.48) and between the pad gain and the self subjective assessment of UI scale (r = 0.48). The self subjective assessment of UI (incontinent vs. continent) had sensitivity 95.65% and specificity 93.33% to detect the pad test results (positive vs. negative).Conclusion: This study suggest that, in either the pre- or postoperative phase, simply asking a woman if she is continent for urine or not was as good as doing the pad test and correlated better with the patient quality of life. (C) 2004 Elsevier B.V. All rights reserved.