Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kluth, LA; Dahlem, R; Becker, A; Schmid, M; Soave, A; Rosenbaum, C; Ludwig, TA; Christ, N; Rink, M; Reiss, P; Engel, O; Riechardt, S; Chun, FK; Fisch, M; Ahyai, SA.
Psychometric validation of a German language version of a PROM for urethral stricture surgery and preliminary testing of supplementary ED and UI constructs.
World J Urol. 2016; 34(3):369-75
Doi: 10.1007/s00345-015-1610-8
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Ahyai Sascha
- Leitsmann Marianne
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- Abstract:
- PURPOSE: To validate a German language version of the patient-reported outcome measurement (PROM) following urethral stricture surgery (USS) in a cohort of men undergoing one-stage buccal mucosa graft urethroplasty (BMGU) for urethral stricture. Furthermore, to explore the responsiveness of erectile function (EF) and urinary incontinence (UI) constructs in the context of this intervention. METHODS: The USS-PROM captures voiding symptoms (ICIQ-MLUTS) and health-related quality of life (HRQoL) (EQ-5D). To evaluate EF and UI, the IIEF-5 and ICIQ-UI SF were included. Between March 2012 and April 2013, all patients undergoing BMGU at our institution were prospectively enrolled in this study. Psychometric assessment included internal consistency, test-retest reliability, criterion validity and responsiveness. RESULTS: Ninety-three men completed the USS-PROM before and 3 months after surgery, with 40 (43 %) also completing the USS-PROM 6 months after surgery to assess reliability. Internal consistency: for the ICIQ-MLUTS, Cronbach's α was 0.83. The test-retest intraclass correlation coefficient was 0.94. There was a negative correlation between change in ICIQ-MLUTS total score and change in Q max (r = -0.40). All values exceeded our predefined thresholds. Significant improvements of voiding symptoms and HRQoL demonstrate responsiveness to change (all p values <0.001). While ICIQ-UI scores did not change (p > 0.05), IIEF-5 scores improved significantly (p = 0.048). CONCLUSIONS: The German language USS-PROM shows similar psychometric properties to the English language version. This instrument can be improved by assessing EF by the use of IIEF-5. Further studies with larger patient cohorts are needed to evaluate the significance of measuring UI in urethroplasty patients.
- Find related publications in this database (using NLM MeSH Indexing)
- Follow-Up Studies - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Prospective Studies - administration & dosage
- Psychometrics - methods
- Quality of Life - administration & dosage
- Reconstructive Surgical Procedures - psychology
- Reproducibility of Results - administration & dosage
- Surgical Flaps - administration & dosage
- Surveys and Questionnaires - administration & dosage
- Translations - administration & dosage
- Urethra - surgery
- Urethral Stricture - complications, psychology, surgery
- Urinary Incontinence - etiology, physiopathology, psychology
- Urodynamics - physiology
- Urologic Surgical Procedures, Male - psychology
- Find related publications in this database (Keywords)
- Urethral stricture
- Urethroplasty
- Patient-reported outcome measure (PROM)
- Validation
- Buccal mucosa graft
- Quality of life