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The Comprehensive Assessment of Self-Reported Urinary Symptoms: A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms

2019; Lippincott Williams & Wilkins; Volume: 201; Issue: 6 Linguagem: Inglês

10.1097/ju.0000000000000140

1527-3792

Kevin P. Weinfurt, James W. Griffith, Kathryn E. Flynn, David Cella, Tamara Bavendam, Jonathan B. Wiseman, Victor P. Andreev, H. Henry Lai, Alice B. Liu, Ziya Kırkalı, Anne P. Cameron, Catherine S. Bradley,

Urinary Tract Infections Management

No AccessJournal of UrologyAdult Urology1 Jun 2019The Comprehensive Assessment of Self-Reported Urinary Symptoms: A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms Kevin P. Weinfurt, James W. Griffith, Kathryn E. Flynn, David Cella, Tamara Bavendam, Jonathan B. Wiseman, Victor P. Andreev, H. Henry Lai, Alice B. Liu, Ziya Kirkali, Anne P. Cameron, and Catherine S. Bradley Kevin P. WeinfurtKevin P. Weinfurt *Correspondence: Department of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Box 104023, Durham, North Carolina 27705 (telephone: 919-668-8019; email: E-mail Address: [email protected]). Duke University Medical Center, Durham, North Carolina , James W. GriffithJames W. Griffith Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois , Kathryn E. FlynnKathryn E. Flynn Medical College of Wisconsin, Milwaukee, Wisconsin , David CellaDavid Cella Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois , Tamara BavendamTamara Bavendam National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland , Jonathan B. WisemanJonathan B. Wiseman Arbor Research Collaborative for Health, Ann Arbor, Michigan , Victor P. AndreevVictor P. Andreev Arbor Research Collaborative for Health, Ann Arbor, Michigan , H. Henry LaiH. Henry Lai Washington University School of Medicine, St. Louis, Missouri , Alice B. LiuAlice B. Liu University of Washington, Seattle, Washington , Ziya KirkaliZiya Kirkali National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland , Anne P. CameronAnne P. Cameron University of Michigan, Ann Arbor, Michigan , and Catherine S. BradleyCatherine S. Bradley Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa for the LURN Study Group View All Author Informationhttps://doi.org/10.1097/JU.0000000000000140AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: To improve the potential for finding clinically important subtypes of patients with lower urinary tract symptoms we developed the CASUS (Comprehensive Assessment of Self-reported Urinary Symptoms). We used it to present data on the experiences of lower urinary tract symptoms in treatment seeking women and men from a prospective observational cohort. Materials and Methods: We created an initial list of lower urinary tract symptoms that were confirmed in 22 qualitative interviews with providers, and 88 qualitative interviews with care seeking and noncare seeking women and men with lower urinary tract symptoms. Items from extant measures were adopted and revised, and new items were developed. All items were evaluated for understanding in 64 cognitive interviews. Items were administered to a prospective cohort of female and male patients with lower urinary tract symptoms who were seeking care. Analyses were done to describe item response distributions and correlations among item responses separately for women and men. Results: A total of 444 males and 372 females provided responses to the CASUS. Several sets of items showed different relationships for women compared to men. In particular the associations between sensation related items and incontinence related items were generally positive among females but often negative among males. Conclusions: After using an intensive development process the CASUS addresses a wide range of lower urinary tract symptoms. It should help identify clinically important subtypes of patients. Further, item collection can provide the foundation for shorter measures for use in the clinic and as trial end points. References 1. : Symptoms of lower urinary tract dysfunction research network. J Urol 2016; 196: 146. Link, Google Scholar 2. : The American Urological Association Symptom Index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992; 148: 1549. Link, Google Scholar 3. : Moving towards a comprehensive assessment of lower urinary tract symptoms (LUTS). Neurourol Urodyn 2012; 31: 448. Google Scholar 4. : The international Consultation on Incontinence Modular Questionnaire: www.iciq.net. J Urol 2006; 175: 1063. Link, Google Scholar 5. 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Lutz, Florida: PAR 2006. Google Scholar 11. : Baseline lower urinary tract symptoms in patients enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN): a prospective, observational cohort study. J Urol 2018; 199: 1023. Link, Google Scholar 12. : Variation in genetic architecture of calling song among populations of Allonemobius socius, A. fasciatus, and a hybrid population: drift or selection?Evolution 1999; 53: 216. Google Scholar 13. : Prevalence and characteristics of urinary incontinence in a treatment seeking male prospective cohort: results from the LURN study. J Urol 2018; 200: 397. Link, Google Scholar The corresponding author certifies that, when applicable, a statement(s) has been included in the manuscript documenting institutional review board, ethics committee or ethical review board study approval; principles of Helsinki Declaration were followed in lieu of formal ethics committee approval; institutional animal care and use committee approval; all human subjects provided written informed consent with guarantees of confidentiality; IRB approved protocol number; animal approved project number. Supported by NIDDK cooperative agreements (Grants DK097780, DK097772, DK097779, DK099932, DK100011, DK100017, DK097776, DK099879), NIDDK Grant K23-DK110417 and in part by NIH (National Institutes of Health) NCATS (National Center for Advancing Translational Sciences) Grant UL1TR001422. This is publication number 15 of the LURN. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. © 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byCella D, Smith A, Griffith J, Kirkali Z, Flynn K, Bradley C, Jelovsek J, Gillespie B, Helfand B, Talaty P and Weinfurt K (2019) A New Brief Clinical Assessment of Lower Urinary Tract Symptoms for Women and Men: LURN SI-10Journal of Urology, VOL. 203, NO. 1, (164-170), Online publication date: 1-Jan-2020.Flynn K, Mansfield S, Smith A, Gillespie B, Bradley C, Cella D, Clemens J, Helmuth M, Lai H, Kirkali Z, Talaty P and Weinfurt K (2019) Can 7 or 30-Day Recall Questions Capture Self-Reported Lower Urinary Tract Symptoms Accurately?Journal of Urology, VOL. 202, NO. 4, (770-778), Online publication date: 1-Oct-2019. Volume 201Issue 6June 2019Page: 1177-1183Supplementary Materials Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.Keywordspatient reported outcome measuressurveys and questionnaireslower urinary tract symptomsurinary bladderpatient acceptance of health careAcknowledgmentsThe following individuals were instrumental in the planning and performance of this study at each of the participating institutions: PIs Cindy Amundsen and Kevin Weinfurt, Co-Is Kathryn Flynn, Matthew O. Fraser, Todd Harshbarger, Eric Jelovsek, Aaron Lentz, Drew Peterson, Nazema Siddiqui (NIDDK Grant K23-DK110417) and Alison Weidner, and Study Coordinators Carrie Dombeck, Robin Gilliam, Akira Hayes and Shantae McLean, Duke University, Durham, North Carolina (NIDDK Grant DK097780); PIs Karl Kreder and Catherine S. Bradley, Co-Is Bradley A. Erickson, Susan K. Lutgendorf, Vince Magnotta, Michael A. O'Donnell and Vivian Sung, and Study Coordinator Ahmad Alzubaidi, University of Iowa, Iowa City, Iowa (NIDDK Grant DK097772); PI David Cella, Co-Is James W. Griffith, Kimberly Kenton, Christina Lewicky-Gaupp, Todd Parrish, Jennie Yufen Chen and Margaret Mueller, Study Coordinators Sarah Buono, Maria Corona, Beatriz Menendez, Alexis Siurek, Meera Tavathia, Veronica Venezuela and Azra Muftic, Northwestern University and PI Brian Helfand, and Study Coordinators Pooja Talaty and Jasmine Nero, NorthShore University HealthSystem, Chicago, Illinois (NIDDK Grant DK097779); PI J. Quentin Clemens, Co-Is Mitch Berger, John DeLancey, Dee Fenner, Rick Harris, Steve Harte, Anne P. Cameron and John Wei, and Study Coordinators Morgen Barroso, Linda Drnek, Greg Mowatt and Julie Tumbarello, University of Michigan Health System (NIDDK Grant DK099932) and PI Robert Merion, Co-Is Victor Andreev, Brenda Gillespie, Gang Liu and Abigail Smith, Project Manager Melissa Fava, Clinical Study Process Manager Peg Hill-Callahan, Clinical Monitor Timothy Buck, Research Analysts Margaret Helmuth and Jon Wiseman, and Project Associate Julieanne Lock, Data Coordinating Center, Arbor Research Collaborative for Health (NIDDK Grants DK097776 and DK099879), Ann Arbor, Michigan; PI Claire Yang, Co-I John L. Gore and Study Coordinators Alice Liu and Brenda Vicars, Washington University in St. Louis, St. Louis, Missouri (NIDDK Grant DK100017); PIs Gerald L. Andriole and H. Henry Lai, Co-I Joshua Shimony and Study Coordinators Susan Mueller, Heather Wilson, Deborah Ksiazek and Aleksandra Klim, University of Washington, Seattle, Washington (NIDDK Grant DK100011); Project Scientist Ziya Kirkali, Project Officer John Kusek and NIH (National Institutes of Health) Personnel Tamara Bavendam, Robert Star and Jenna Norton, Division of Kidney, Urology and Hematology, NIDDK, Bethesda, Maryland.MetricsAuthor Information Kevin P. Weinfurt Duke University Medical Center, Durham, North Carolina *Correspondence: Department of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Box 104023, Durham, North Carolina 27705 (telephone: 919-668-8019; email: E-mail Address: [email protected]). More articles by this author James W. Griffith Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois More articles by this author Kathryn E. Flynn Medical College of Wisconsin, Milwaukee, Wisconsin More articles by this author David Cella Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois More articles by this author Tamara Bavendam National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland More articles by this author Jonathan B. Wiseman Arbor Research Collaborative for Health, Ann Arbor, Michigan More articles by this author Victor P. Andreev Arbor Research Collaborative for Health, Ann Arbor, Michigan More articles by this author H. Henry Lai Washington University School of Medicine, St. Louis, Missouri More articles by this author Alice B. Liu University of Washington, Seattle, Washington More articles by this author Ziya Kirkali National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland More articles by this author Anne P. Cameron University of Michigan, Ann Arbor, Michigan Financial interest and/or other relationship with Medtronic and Wellspect. More articles by this author Catherine S. Bradley Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa More articles by this author Expand All The corresponding author certifies that, when applicable, a statement(s) has been included in the manuscript documenting institutional review board, ethics committee or ethical review board study approval; principles of Helsinki Declaration were followed in lieu of formal ethics committee approval; institutional animal care and use committee approval; all human subjects provided written informed consent with guarantees of confidentiality; IRB approved protocol number; animal approved project number. Supported by NIDDK cooperative agreements (Grants DK097780, DK097772, DK097779, DK099932, DK100011, DK100017, DK097776, DK099879), NIDDK Grant K23-DK110417 and in part by NIH (National Institutes of Health) NCATS (National Center for Advancing Translational Sciences) Grant UL1TR001422. This is publication number 15 of the LURN. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. Advertisement PDF downloadLoading ...