Cargando…

The conceptualization and development of a patient-reported neurogenic bladder symptom score

BACKGROUND: There is no single patient-reported instrument that was developed specifically to assess symptoms and bladder-related consequences for neurogenic bladder dysfunction. The purpose of this study was to identify and consolidate items for a novel measurement tool for this population. METHODS...

Descripción completa

Detalles Bibliográficos
Autores principales: Welk, Blayne, Morrow, Sarah A, Madarasz, Wendy, Potter, Patrick, Sequeira, Keith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826942/
https://www.ncbi.nlm.nih.gov/pubmed/24400244
http://dx.doi.org/10.2147/RRU.S51020
_version_ 1782290985376546816
author Welk, Blayne
Morrow, Sarah A
Madarasz, Wendy
Potter, Patrick
Sequeira, Keith
author_facet Welk, Blayne
Morrow, Sarah A
Madarasz, Wendy
Potter, Patrick
Sequeira, Keith
author_sort Welk, Blayne
collection PubMed
description BACKGROUND: There is no single patient-reported instrument that was developed specifically to assess symptoms and bladder-related consequences for neurogenic bladder dysfunction. The purpose of this study was to identify and consolidate items for a novel measurement tool for this population. METHODS: Item generation was based on a literature review of existing instruments, open-ended semistructured interviews with patients, and expert opinion. Judgment-based item reduction was performed by a multidisciplinary expert group. The proposed questionnaire was sent to external experts for review. RESULTS: Eight neurogenic quality of life measures and 29 urinary symptom-specific instruments were identified. From these, 266 relevant items were extracted and used in the creation of the new neurogenic symptom score. Qualitative interviews with 16 adult patients with neurogenic bladder dysfunction as a result of spinal cord injury, multiple sclerosis, or spina bifida were completed. Dominant themes included urinary incontinence, urinary tract infections, urgency, and bladder spasms. Using the literature review and interview data, 25 proposed items were reviewed by 12 external experts, and the questions evaluated based on importance on a scale of 1 (not important) to 5 (very important). Retained question domains had high mean importance ratings of 3.1 to 4.3 and good agreement with answer hierarchy. CONCLUSION: The proposed neurogenic bladder symptom score is a novel patient-reported outcome measure. Further work is underway to perform a data-based item reduction and to assess the validity and reliability of this instrument.
format Online
Article
Text
id pubmed-3826942
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-38269422014-01-07 The conceptualization and development of a patient-reported neurogenic bladder symptom score Welk, Blayne Morrow, Sarah A Madarasz, Wendy Potter, Patrick Sequeira, Keith Res Rep Urol Original Research BACKGROUND: There is no single patient-reported instrument that was developed specifically to assess symptoms and bladder-related consequences for neurogenic bladder dysfunction. The purpose of this study was to identify and consolidate items for a novel measurement tool for this population. METHODS: Item generation was based on a literature review of existing instruments, open-ended semistructured interviews with patients, and expert opinion. Judgment-based item reduction was performed by a multidisciplinary expert group. The proposed questionnaire was sent to external experts for review. RESULTS: Eight neurogenic quality of life measures and 29 urinary symptom-specific instruments were identified. From these, 266 relevant items were extracted and used in the creation of the new neurogenic symptom score. Qualitative interviews with 16 adult patients with neurogenic bladder dysfunction as a result of spinal cord injury, multiple sclerosis, or spina bifida were completed. Dominant themes included urinary incontinence, urinary tract infections, urgency, and bladder spasms. Using the literature review and interview data, 25 proposed items were reviewed by 12 external experts, and the questions evaluated based on importance on a scale of 1 (not important) to 5 (very important). Retained question domains had high mean importance ratings of 3.1 to 4.3 and good agreement with answer hierarchy. CONCLUSION: The proposed neurogenic bladder symptom score is a novel patient-reported outcome measure. Further work is underway to perform a data-based item reduction and to assess the validity and reliability of this instrument. Dove Medical Press 2013-10-10 /pmc/articles/PMC3826942/ /pubmed/24400244 http://dx.doi.org/10.2147/RRU.S51020 Text en © 2013 Welk et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Welk, Blayne
Morrow, Sarah A
Madarasz, Wendy
Potter, Patrick
Sequeira, Keith
The conceptualization and development of a patient-reported neurogenic bladder symptom score
title The conceptualization and development of a patient-reported neurogenic bladder symptom score
title_full The conceptualization and development of a patient-reported neurogenic bladder symptom score
title_fullStr The conceptualization and development of a patient-reported neurogenic bladder symptom score
title_full_unstemmed The conceptualization and development of a patient-reported neurogenic bladder symptom score
title_short The conceptualization and development of a patient-reported neurogenic bladder symptom score
title_sort conceptualization and development of a patient-reported neurogenic bladder symptom score
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826942/
https://www.ncbi.nlm.nih.gov/pubmed/24400244
http://dx.doi.org/10.2147/RRU.S51020
work_keys_str_mv AT welkblayne theconceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT morrowsaraha theconceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT madaraszwendy theconceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT potterpatrick theconceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT sequeirakeith theconceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT welkblayne conceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT morrowsaraha conceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT madaraszwendy conceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT potterpatrick conceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore
AT sequeirakeith conceptualizationanddevelopmentofapatientreportedneurogenicbladdersymptomscore