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Reliability and normal ranges for the Patient’s Perception of Intensity of Urgency Scale in asymptomatic women
Author(s) -
Cartwright Rufus,
Panayi Demetri,
Cardozo Linda,
Khullar Vik
Publication year - 2010
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2009.08846.x
Subject(s) - nocturia , medicine , intraclass correlation , asymptomatic , lower urinary tract symptoms , physical therapy , overactive bladder , population , prospective cohort study , urinary system , psychometrics , clinical psychology , environmental health , pathology , cancer , prostate , alternative medicine
Study Type – Symptom prevalence (prospective cohort)
Level of Evidence 1b OBJECTIVE To measure the test‐retest reliability of a 7‐day bladder diary incorporating the Patient’s Perception of Intensity of Urgency Scale (PPIUS), and to establish the normal values of the scale in a population of asymptomatic women. SUBJECTS AND METHODS Women volunteers, aged ≥18 years, were screened with the International Consultation on Incontinence Modular Questionnaire – Female Lower Urinary Tract Symptoms Long Form, to exclude those with bothersome lower urinary tract symptoms. Participants completed two separate 7‐day bladder diaries with a 1‐week interval between. Reliability was assessed using intraclass correlation, Spearman’s correlation, and Student’s t ‐test. RESULTS Forty volunteers were recruited. Most (67.5%) reported no urgency episodes. Convenience voids accounted for 26.8% of all voids. There was a significant positive effect of age ( r = 0.34, P = 0.034) on urgency episodes, but no effect on mean urge scores ( r = −0.03, P = 0.843). The reliability of assessment of frequency (0.86), nocturia (0.84), and the mean urge scores (0.85), were better than the reliability of assessment of urgency episodes (0.56), which occurred infrequently. The 95th centile for daily urinary frequency was 7.27 and for weekly urgency episodes was 2.00. CONCLUSION The PPIUS is a reliable tool for assessing urinary urge sensation in women. Inclusion of this measure in bladder diaries does not compromise the recording of other variables.