Abstract
Background and objective: Dysfunctional voiding (DV) presents relatively frequent problem in pediatric urologist practice. The necessity for implementation of DV evaluation in the pediatric population is of particular importance, since there is no clear consensus on the clinical assessment of such condition. The aims of our study were to evaluate the test/retest reliability and reproducibility of dysfunctional voiding and incontinence scoring system: Serbian version (DVISSSR) in patients with voiding and incontinence dysfunctions without structural deformities, and to estimate cut-off value for DVISSSR. Methods: The cross-sectional study included 57 children with voiding and incontinence dysfunctions and 30 healthy pediatric controls. For the evaluation of voiding and incontinence dysfunction we used DVISS. The forward–backward method was applied for translation of the DVISS questionnaire from English into Serbian language. Reproducibility was analyzed by Interclass Correlation Coefficient (ICC). Sensitivity and specificity of DVISSSR scores was done by receiver operating curve (ROC) curve. Results: There was a significant difference in DVISSSR score between patients and controls (p < 0.001). For reliability and reproducibility of the questionnaire, there was no significant difference between repeated measurements (p = 0.141), and strong reliability (ICC = 0.957; p < 0.001). Conclusion: We have demonstrated successful translation and validation of the DVISSSR score. Moreover, a reliable scoring system of children with voiding dysfunctions should include evaluations of symptom scoring systems at the multicentric level.
Highlights
Dysfunctional voiding (DV) presents relatively frequent problem in pediatric urologist practice [1]
Several questionnaires were proposed in the evaluation of DV in the pediatric population
It was stated that the dysfunctional voiding and incontinence scoring system (DVISS) has the highest accuracy compared to DVSS and the Incontinence Symptom
Summary
Dysfunctional voiding (DV) presents relatively frequent problem (around 40%) in pediatric urologist practice [1]. Bearing in mind that there are few studies dealing with symptom scoring in pediatric patients with functional voiding problems [3], there is a need. In Serbia, the dysfunctional voiding symptom score (DVSSSR ) has been validated and successfully implemented in practice. It was stated that the dysfunctional voiding and incontinence scoring system (DVISS) has the highest accuracy compared to DVSS and the Incontinence Symptom. The aims of our study were to evaluate the test/retest reliability and reproducibility of dysfunctional voiding and incontinence scoring system: Serbian version (DVISSSR ) in patients with voiding and incontinence dysfunctions without structural deformities, and to estimate cut-off value for DVISSSR. Methods: The cross-sectional study included 57 children with voiding and incontinence dysfunctions and 30 healthy pediatric controls.
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