Validation of the bladder control self‐assessment questionnaire (B‐SAQ) in men. (May 2014)

• Record Type: Journal Article
• Authors: Sahai, Arun; Dowson, Christopher; Cortes, Eduardo; Seth, Jai; Watkins, Jane; Khan, Muhammed Shamim; Dasgupta, Prokar; Cardozo, Linda; Chapple, Christopher; De Ridder, Dirk; Wagg, Adrian; Kelleher, Cornelius
• Is Part Of: BJU international. Volume 113:Number 5(2014:May)
• Page Start: 783
• Page End: 788
• Publication Date: 2014-05
• Subjects: Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.12521
• Languages: English
• ISSNs: 1464-4096

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bju12521-sec-0001" sec-type="section"> <title>Objective</title> <p> <list id="bju12521-list-0001" list-type="bullet"> <list-item> <p>To validate the Bladder Control Self‐Assessment Questionnaire (B‐SAQ), a short screener to assess lower urinary tract symptoms (LUTS) and overactive bladder (OAB) in men.</p> </list-item> </list> </p> </sec> <sec id="bju12521-sec-0002" sec-type="section"> <title>Patients and Methods</title> <p> <list id="bju12521-list-0002" list-type="bullet"> <list-item> <p>This was a prospective, single‐centre study including 211 patients in a urology outpatient setting.</p> </list-item> <list-item> <p>All patients completed the B‐SAQ and Kings Health Questionnaire (KHQ) before consultation, and the consulting urologist made an independent assessment of LUTS and the need for treatment.</p> </list-item> <list-item> <p>The psychometric properties of the B‐SAQ were analysed.</p> </list-item> </list> </p> </sec> <sec id="bju12521-sec-0003" sec-type="section"> <title>Results</title> <p> <list id="bju12521-list-0003" list-type="bullet"> <list-item> <p>A total of 98% of respondents completed all items correctly in <5 min.</p> </list-item> <list-item> <p>The mean B‐SAQ scores were 12 and 3.3, respectively for cases (<italic>n</italic> = 101) and controls (<italic>n</italic> = 108) (<italic>P</italic> < 0.001).</p> </list-item> <list-item> <p>Good correlation was evident between the B‐SAQ and the KHQ.</p> </list-item> <list-item> <p>The agreement percentages between the individual B‐SAQ items and the KHQ symptom severity scale were 86, 85, 84 and 79% for frequency, urgency, nocturia and urinary incontinence, respectively.</p> </list-item> <list-item> <p>Using a B‐SAQ symptom score threshold of ≥4 alone had sensitivity, specificity and positive predictive values for detecting LUTS of 75, 86 and 84%, respectively, with an area under the curve of 0.88; however, in combination with a bother score threshold of ≥1 these values changed to 92, 46 and 86%, respectively.</p> </list-item> </list> </p> </sec> <sec id="bju12521-sec-0004" sec-type="section"> <title>Conclusions</title> <p> <list id="bju12521-list-0004" list-type="bullet"> <list-item> <p>The B‐SAQ is an easy and quick valid case‐finding tool for LUTS/OAB in men, but appears to be less specific in men than in women.</p> </list-item> <list-item> <p>The B‐SAQ has the potential to raise awareness of LUTS.</p> </list-item> <list-item> <p>Further validation in a community setting is required.</p> </list-item> </list> </p> </sec> </abstract>