Article

Comparison of Two Questionnaires for Assessing the Severity of Urinary Incontinence: The ICIQ-UI SF Versus the Incontinence Severity Index

Department of Public Health and Primary Health Care, Section for General Practice, University of Bergen, Kalfarveien, 31, N-5018, Bergen, Norway.
Neurourology and Urodynamics (Impact Factor: 2.46). 06/2009; 28(5):411-5. DOI: 10.1002/nau.20674
Source: PubMed

ABSTRACT To compare the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) with the Incontinence Severity Index (ISI), and to propose intervals for four severity levels of ICIQ-UI SF.
Cross-sectional, Internet-based study of 1,812 women responding to a general health questionnaire. Four severity levels for the ICIQ-UI SF scores were constructed by iteratively adjusting the ranges for these levels until maximum Kappa scores were obtained when cross-tabulated with the ISI in a random sample of half of the women with urinary incontinence. Using these intervals, weighted Kappa was calculated for the remaining women as a validation process.
Three hundred forty-three women had urinary incontinence, and completed the ISI and the ICIQ-UI SF. A high correlation between the ISI and ICIQ-UI SF scores with versus without the QoL item was found (Spearman's rho = 0.62, P < 0.01 vs. rho = 0.71, P < 0.01, respectively). Maximum Kappa with quadratic weighting was obtained for the following scale for the ICIQ-UI SF: slight (1-5), moderate (6-12), severe (13-18) and very severe (19-21) (Kappa = 0.61), and without the QoL item: slight (1-3), moderate (4-5), severe (6-9) and very severe (10-11) (Kappa = 0.71) in the development sample. Correspondingly, for the validating sample, maximum Kappa with quadratic weighting was 0.61 and 0.74.
A high correlation between the ICIQ-UI SF and the ISI was found. The ICIQ-UI SF may be divided into the following four severity categories: slight (1-5), moderate (6-12), severe (13-18) and very severe (19-21). Neurourol. Urodynam. 28:411-415, 2009. (c) 2009 Wiley-Liss, Inc.

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    • "Outre les informations générales (âge, poids, taille, pratique de sport, niveau d'études, consommation d'alcool et de tabac), étaient publiés sur le site les documents suivants : une information sur les objectifs de l'enquête, un auto-questionnaire de symptômes urinaires et de qualité de vie (QdV) comprenant l'International Consultation on Incontinence Questionnaire dans sa forme simplifiée (ICIQ-UI SF) [11] et le Contilife [12], questionnaires validés en français et recommandés dans la prise en charge de l'IU féminine [13]. Les résultats du score ICIQ-IU SF ont été donnés selon la classification proposée A.C. Pizzoferrato et al. par Klovning et al. regroupant les scores en IU légère, IU modérée, IU sévère et IU très sévère [14]. Les critères d'inclusion de notre population étaient les femmes nullipares de plus de 18 ans, sachant lire et écrire le français. "
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    • "Moreover, storage (questions 2, 4, and 7) and voiding (questions 1, 3, 5, and 6) subscores were provided [18]. The severity of urinary incontinence was graded as suggested by Klovning et al [29]. Specifically, patients with a ICIQ-UI SF score of 0 were considered fully continent; patients with scores ranging from 1 to 5, 6 to 12, 13 to 18, and 19 to 21 defined slight, moderate, severe, and very severe incontinence, respectively. "
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