493 DOES THE AUA SYMPTOM SCORE CORRELATE WITH THE URINARY PORTION OF THE EPIC SURVEY?

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness II1 Apr 2010493 DOES THE AUA SYMPTOM SCORE CORRELATE WITH THE URINARY PORTION OF THE EPIC SURVEY? Bishoy Gayed and MD Ronald BenoitMD Bishoy GayedBishoy Gayed More articles by this author and Ronald BenoitRonald Benoit More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.568AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Lower urinary tract symptoms (LUTS) have been measured using patient completed surveys. The AUA symptom score (AUA Sx) is the most commonly used instrument for this purpose. The Expanded Prostate Cancer Index Composite (EPIC) evaluates health related quality of life in men with prostate cancer. The EPIC is a more detailed evaluation of LUTS as it includes a summary score and subscales measuring function, bother, incontinence, and irritative/obstructive symptoms. The present study investigates the correlation between the AUA Sx and the EPIC-urinary survey. METHODS Men undergoing prostate brachytherapy at our institution completed the AUA Sx and the EPIC urinary survey pre-operatively. The total AUA Sx, the irritative and obstructive components of the survey, and the degree of bother wer compared to the EPIC-urinary summary. The AUA Sx was stratified into obstructive and irritative components, and these scores were correlated with the EPIC-urinary summary scores as well as the EPIC-urinary subscales. The degree of bother from the AUA Sx was also compared to EPIC-urinary outcomes. Spearmen correlation was used to measure the correlation between values. Patients were stratified into those with mild, moderate, and severe LUTS by AUA Sx; and the EPIC-urinary summary and subscales scores were compared among these groups. RESULTS One hundred eighty one patients completed both surveys. AUA total scores correlated with EPIC-urinary summary, function, bother, incontinence, and irritative/obstructive with a Spearman rho coefficient of 0.732, 0.455, 0.742, 0.419, and 0.713, respectively. All correlations were significant at p<.001. Additionally, correlations between AUA bother, AUA obstructive, and AUA irritative scores were all correlated at p<.001 with EPIC-urinary summary and all subscales. One hundred seventeen patients had mild LUTS by AUA Sx while 57 had moderate LUTS and 7 had severe LUTS. EPIC-urinary summary scores were 92.3, 78.2, and 72.4 for those patients with mild, moderate, and severe urinary symptoms, respectively. The differences between EPIC-urinary summary and all subscales in men with mild and moderate LUTS were statistically significant at p<.001. CONCLUSIONS The AUA Sx is highly correlated with the EPIC-urinary survey. Although the EPIC-urinary survey contains more questions and assesses a wider variety of urinary symptoms, both the AUA Sx and the EPIC-urinary survey seem to measure the degree of LUTS in a similar fashion. Pittsburgh, PA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e194-e195 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bishoy Gayed More articles by this author Ronald Benoit More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...