Concordance between one-hour pad test and subjective assessment of stress incontinence
| Autor: | Y. Lavy, Ora Paltiel, D. Shveiky, D. Hochner-Celnikier, Orly Manor, Michal Liebergall-Wischnitzer |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Time Factors Endpoint Determination Urology Concordance Urinary Incontinence Stress Urination Urinary incontinence Pilot Projects Motor Activity Incontinence pads Young Adult Urinary Leakage Quality of life Predictive Value of Tests Incontinence Pads medicine Humans Aged Clinical Trials as Topic business.industry Middle Aged medicine.disease Surgery Clinical trial Predictive value of tests Physical therapy Quality of Life Female medicine.symptom business |
| Zdroj: | Urology. 76(6) |
| ISSN: | 1527-9995 |
| Popis: | OBJECTIVES To examine the concordance among the 1-hour pad test results, subjective questions regarding incontinence, and a quality-of-life questionnaire to assess the role of the pad test as a noninvasive measurement tool in clinical trials. The 1-hour nonstandard pad test is one of several quantitative tools used to measure urinary incontinence; however, its utility has been questioned. METHODS The study subjects were women participating in 2 clinical trials evaluating noninvasive interventions: circular muscle exercises versus pelvic floor muscle training for urinary incontinence. The quantity of urinary leakage according to the pad test and questions regarding subjective urinary leakage from the quality-of-life questionnaire were evaluated for all study subjects combined and in subgroups. RESULTS A total of 731 clinical pad tests were evaluated from the 2 trials. Significant associations were found between several questions regarding subjective leakage and the pad test results in the study subgroups. A significant correlation was seen between the pad test results and the quality-of-life questionnaire scores (r = 0.14 before intervention and r = 0.42 after intervention in the combined studies; P < .05). CONCLUSIONS The 1-hour pad test demonstrated concordance with subjective assessment tools for urinary incontinence and should be considered a part of the armamentarium for assessing the severity of this condition. |
| Databáze: | OpenAIRE |
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