Evidence map›Paper›PMID 26386565›Full record

Trial reportInternational urogynecology journal2016

Clinical validation of the Bladder Health Survey for urinary incontinence in a population sample of women.

Vatché A Minassian, Xiaowei S Yan, Haiyan Sun, Raissa O Platte, Walter F Stewart

Abstract readClinical TrialValidation Study
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Vatché A MinassianDepartment of OB/GYN, Brigham and Women's Hospital, 75 Francis Street, ASB1 3 -Room 073, Boston, MA, 02115, USA. vminassian@partners.org.
Xiaowei S YanGeisinger Health System, Danville, PA, USA.
Haiyan SunGeisinger Health System, Danville, PA, USA.
Raissa O PlatteFemale Pelvic Medicine & Reconstructive Surgery Institute of Michigan, Grand Rapids, MI, USA.
Walter F StewartSutter Health System, Sacramento, CA, USA.

Funding

Natural History of Stress, Urge and Mixed Urinary Incontinence in WomenR01DK082551 · NIDDK · GEISINGER CLINIC · PI YAN, XIAOWEI SHERRY · 2009 to 2013
$2.6M
NIDDK NIH HHS R01 DK082551NIDDK NIH HHS R01DK082551
6 · The paper itself

Abstract

introduction and hypothesisOur aim was to clinically validate the Bladder Health Survey (BHS) for detecting urinary incontinence (UI) in population-based surveys.

methodsA random sample of women ≥40 years was recruited from primary care practices. We assessed the BHS content validity with an expert advisory board. Test-retest reliability of UI questions was measured. BHS UI definitions included noncases, active (more than three symptoms in the prior 6 months), inactive (past but no current symptoms), and incident (new onset over the past 2 years) cases. To assess criterion validity, we compared BHS diagnosis to an expert clinical diagnosis using structured history, pelvic exam, voiding diary, and urodynamics (if needed). Construct validity was assessed comparing the BHS UI score and case status to Sandvik's score.

resultsAmong 322 patients, the BHS identified 17 % as noncases, 70 % as active, 10 % as inactive, and 3 % as incident cases. Using the clinical diagnosis as the gold standard, the percent of true-positive UI cases was 98 % (active), 84 % (inactive), and 80 % (incident). A total of 75 % of BHS noncases were true negatives. The receiver operating characteristic c-statistic was 0.86. Sensitivity and specificity of the BHS were 91 % and 84 %, respectively. The Sandvik score for active cases (median = 4) was significantly greater than it was for inactive (median = 1), incident (median = 1), and noncases (median = 0) (p < 0.001). The BHS UI score was significantly correlated with the Sandvik severity score (r = 0.68, p < 0.01).

conclusionThe BHS is highly reliable, with robust content and construct validity for detecting UI for use in population samples.

Indexed as

AdultAgedFemaleHumansMiddle AgedReproducibility of ResultsSurveys and QuestionnairesUrinary IncontinenceMixed urinary incontinenceStressSurveyUrgencyUrinary incontinenceValidity

Identifiers

PMID26386565

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.