Assessment of pediatric bowel and bladder dysfunction: a critical appraisal of the literature
| Autor: | Jonathan C. Routh, Ruiyang Jiang, Maryellen S. Kelly |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Pediatrics Constipation Psychometrics Urology 030232 urology & nephrology Validation Studies as Topic 03 medical and health sciences 0302 clinical medicine Dysfunctional Elimination Syndrome Lower Urinary Tract Symptoms Lower urinary tract symptoms medicine Criterion validity Humans Child business.industry Gold standard Construct validity Syndrome medicine.disease Pediatric urology Critical appraisal 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Self Report medicine.symptom Symptom Assessment business Forecasting |
| Zdroj: | Journal of pediatric urology. 14(6) |
| ISSN: | 1873-4898 |
| Popis: | Summary Objective Bowel and bladder dysfunction (BBD) is a clinical syndrome defined by the coexistence of constipation and lower urinary tract symptoms. Although BBD is a common condition in pediatric urology and can cause significant stress to patients/parents, clinical diagnosis of BBD has not been standardized. Bowel and bladder dysfunction instruments have gained popularity over the past decade to aid in diagnosis. In this review, the currently published BBD symptom questionnaires were summarized and an analysis on their psychometric validation process was provided. Subjects/patients PubMed was searched for articles on BBD symptom questionnaires/instruments/surveys since 2000. Two investigators (R.Y.J. & M.S.K.) conducted the search in duplicate. The search was limited to English language. The included search terms were ‘dysfunctional elimination syndrome’, ‘bowel and bladder dysfunction’, ‘dysfunctional voiding’, ‘voiding dysfunction symptom score’, and ‘dysfunctional voiding symptom scale’. Reference lists of included studies were screened for missed studies. Unpublished abstracts presented at the following scientific meetings were also manually searched for: the American Urological Association, the Society for Pediatric Urology, and the American Academy of Pediatrics Section on Urology. Exclusion criteria included articles in languages other than English, articles not related to BBD questionnaires, and articles not pertaining to pediatric patients. Results After initial search, a total of 54 articles were obtained. Of the seven questionnaires reviewed, only one did not measure sensitivity or specificity. Almost all questionnaires showed excellent discriminative property with an Area under the curve (AUC) >0.85. Criterion validity was not reported in any of the questionnaires. Known-group validation was used as a common method to evaluate construct validity. Internal consistency was reported in 2 studies, and only 1 study measured questionnaire responsiveness during initial validation. Conclusions Although BBD is a common pediatric urology condition; a large amount of heterogeneity exists in the questionnaires' psychometric testing and validation process. To further improve the diagnosis and management of BBD in pediatric patients, there is a need for consensus on the gold standard questionnaire measure. |
| Databáze: | OpenAIRE |
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