Validation of use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for impairment rating: A transversal retrospective study of 120 patients

Aims A urinary incontinence impairment rating must be a highly accurate, non‐invasive exploration of the condition using International Classification of Functioning (ICF)‐based assessment tools. The objective of this study was to identify the best evaluation test and to determine an impairment ratin...

Full description

Saved in:
Bibliographic Details
Published in:Neurourology and urodynamics 2013-09, Vol.32 (7), p.974-979
Main Authors: Timmermans, Luc, Falez, Freddy, Mélot, Christian, Wespes, Eric
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Cross-Sectional Studies
cystometry
Female
Humans
ICF
ICIQ-UI-SF
impairment rating
Incontinence Pads
Likelihood Functions
Logistic Models
Male
Middle Aged
Models, Biological
Multivariate Analysis
Odds Ratio
Predictive Value of Tests
Prognosis
Reproducibility of Results
Retrospective Studies
Severity of Illness Index
Surveys and Questionnaires
Time Factors
Urinary Bladder - physiopathology
urinary incontinence
Urinary Incontinence - diagnosis
Urinary Incontinence - physiopathology
Urodynamics
weighing pad test
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aims A urinary incontinence impairment rating must be a highly accurate, non‐invasive exploration of the condition using International Classification of Functioning (ICF)‐based assessment tools. The objective of this study was to identify the best evaluation test and to determine an impairment rating model of urinary incontinence. Methods In performing a cross‐sectional study comparing successive urodynamic tests using both the International Consultation on Incontinence Questionnaire‐Urinary Incontinence‐Short Form (ICIQ‐UI‐SF) and the 1‐hr pad‐weighing test in 120 patients, we performed statistical likelihood ratio analysis and used logistic regression to calculate the probability of urodynamic incontinence using the most significant independent predictors. Subsequently, we created a template that was based on the significant predictors and the probability of urodynamic incontinence. Results The mean ICIQ‐UI‐SF score was 13.5 ± 4.6, and the median pad test value was 8 g. The discrimination statistic (receiver operating characteristic) described how well the urodynamic observations matched the ICIQ‐UI‐SF scores (under curve area (UDA):0.689) and the pad test data (UDA: 0.693). Using logistic regression analysis, we demonstrated that the best independent predictors of urodynamic incontinence were the patient's age and the ICIQ‐UI‐SF score. The logistic regression model permitted us to construct an equation to determine the probability of urodynamic incontinence. Using these tools, we created a template to generate a probability index of urodynamic urinary incontinence. Conclusions Using this probability index, relative to the patient and to the maximum impairment of the whole person (MIWP) relative to urinary incontinence, we were able to calculate a patient's permanent impairment. Neurourol. Urodynam. 32: 974–979, 2013. © 2012 Wiley Periodicals, Inc.
ISSN:0733-2467
1520-6777
DOI:10.1002/nau.22363