Purpose of module, The ICIQ-UI Short Form provides a brief and robust This short and simple questionnaire is also of use to general practitioners and. The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire – Short Form (ICIQ-SF) are. The ICIQ-SF questionnaire is used for evaluation of clinical manifestations in patients with urinary incontinence (UI) alone and combination of UI with lower.

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Responsiveness to the Portuguese version of the international consultation on incontinence questionnaire – short form ICIQ-SF after stress urinary incontinence surgery. Tamanini; Miriam Dambros; Carlos A.

We assessed the responsiveness of the ICIQ-SF after surgical procedures for the treatment of stress urinary incontinence. Prospective open label study in 2 tertiary referral centers. Sixty-one patients of both genders 54 female sv 7 male were enrolled. Patients were assessed before surgery and at least 1 month postoperatively using the ICIQ-SF in its translated and validated Portuguese version.

Patients also underwent pre-operative urodynamic tests, Stamey incontinence grading and pad usage assessments. After surgery, patients underwent stress tests, Questiinnaire incontinence grading and pad usage assessments.

The mean age was The results showed icciq responsiveness large effect sizes I and II for the Portuguese version of the ICIQ-SF, indicating that this instrument is suitable for measuring outcomes in clinical trials for Brazilian patients with stress urinary incontinence. Patient-reported outcomes including symptoms, functional status and perceived quality of life QoL are increasingly used alongside objective clinical measurements to monitor the course of urinary incontinence UI and its treatment.

Treatment outcomes, as perceived and reported by patients, complement clinical evidence and judgment of efficacy and effectiveness. The usefulness of instruments designed to measure changes within individuals over time is dependent not only on their reliability and validity, but also on their ability to detect minimal clinically important differences. This psychometric property is called “responsiveness” 6. Responsiveness to the KHQ in its Portuguese version has just been assessed 7.

uciq According to Norman et al. The necessity for distinguishing between responsiveness and validity remains because an instrument can be valid and still fail to detect clinically important changes when they occur 9.

Based on the simple construct that “the goal of any therapy is to effect change in health status”, our aim was to determine whether the Portuguese version of the ICIQ-SF can be considered reliable before and after treatment, and whether it is sensitive to change in continence status over time internal and external responsiveness following surgery to treat genuine stress incontinence GSI.

A total of 61 consecutive patients of both genders complaining of stress urinary incontinence that questionnairf been urodynamically diagnosed before treatment. The patients were chosen from two tertiary referral centers seven male and nine female patients from the first tertiary referral center; 45 female patients from the second tertiary referral center for this prospective questionnare label study.

Eligibility criteria included patients aged over 18 years old who were undergoing surgery for stress urinary incontinence with at least one iiq of follow up.

ICIQ | Urinary Incontinence Form

Patients who were pregnant or currently breastfeeding or who had clinically severe cognitive dysfunction were not enrolled in the study.

If patient stated no leakage at all during the postoperative period, no further urodynamic testing was performed. Stress urinary incontinence was defined as the involuntary leakage of urine during coughing, sneezing or physical exertion. To assess objective outcomes such as stress test after surgical procedure, all the patients were in standing position with the physiological bladder filled to maximum vesical capacity strong desire or sensation to void without urge. Patients were asked to perform repeated coughing and Valsalva maneuvers.

Any transurethral urine leakage even drops was recorded as an objective failure of the surgical procedure and the patients underwent urodynamic testing. It is comprised of 3 questions regarding frequency, severity and QoL impact of the UI along with an eight-item scale, which assess the possible causes or situations related to UI. Cronbach’s alpha was calculated by using pre- and post-treatment data to assess internal consistency, which is considered the degree of association between the items and scale scores.


A minimum value of 0. Responsiveness refers to an instrument’s ability to detect change improvement or deterioration that occurs as a result of therapy or disease progression. Participants who have an indication of clinical change, whether improvement or deterioration, should have a parallel change in their scale scores, while participants who show no change should have stable scale scores Internal responsiveness is questionbaire ability of a measurement to change over a particular pre-specified time frame.

External responsiveness reflects the extent to which changes in a measurement over a specified time frame relate to corresponding changes in a reference measurement of health status The assessment of internal responsiveness involves statistical estimation of the size of the effect; i.

The Queshionnaire test was used to assess significant changes between proportions. Wilcoxon’s signed rank test was used to compare the scores between follow-up and baseline. The statistical analysis was based on recommendations by Husted et al. All the participants signed the informed consent statement before being included in this study. The mean length of follow-up was 7.

The great majority of the patients 58 or A total of 54 out of 61 patients After the procedure only 4 6. Nevertheless, 57 patients Similar results were found from the study of external responsiveness when the post-treatment final score was compared with an external variable such as pad usage and stress test Table Although it was not our icjq goal, we questionnaiee now compared the results from the ICIQ-SF responsiveness study with the results from the just-published paper assessing the responsiveness of the Portuguese version of the King’s Health Questionnaire.

Nowadays, Quality of Life questionnaires are considered to be one of the most important outcome measures in many clinical studies. Traditionally, there is a consensus that newly developed instruments should be tested for validity and reliability before they can be used in clinical trials.

For evaluative instruments designed to measure longitudinal changes in health-related quality of life over time, responsiveness has been quesionnaire as a third requirement KHQ was designed for female patients only and assesses the impact of UI in eight domains of the patients’ lives.

The more comprehensive instrument is, more detailed is the health profile it provides 2. Furthermore, it is not gender-specific like the KHQ and is intended to be universal applicable for use in individuals of all ages, genders, backgrounds, patient groups, diagnoses and cultures.

A further disadvantage of the KHQ is that it does not attempt to determine clearly the severity of incontinence in terms of the frequency or amount of leakage. In addition, the KHQ has received limited use outside of clinical settings. Conversely, the ICIQ-SF is intended to be brief yet comprehensive enough for use in assessing incontinence and serves as an outcome measure in clinical trials and other research to assess the efficacy of interventions.

Moreover, it is suitable for use as an epidemiological tool to determine the distribution of incontinence in populations around the world, allowing international multi-center studies to be made 4. One of the criticisms of the QoL assessment by ICIQ-SF is that the QoL construct is based on one question in a item scale to quantify the burden of urinary incontinence in the perceived quality of a patient’s questionjaire.

It is to be used as a visual analog scale VAS where questionnnaire patients can choose the lciq of interference from UI in their lives by ticking or circling a number on a scale ranging from zero to ten when zero is considered “not interfere at all” and 10 represents “interfere a lot”. According to De Boer et al.


Based on their results, they recommend its use as a global quality of life measure in clinical trials. The criticisms of these questionnaires are that they are time-consuming and difficult to use outside clinical settings. Contrarily, the brevity of the ICIQ-SF qyestionnaire it to be used without greatly increasing the burden on the respondents.

[ICIQ-SF questionnaire in women with urinary incontinence].

As shown in Table-110 patients According to data from the Census 18the illiteracy rate for Brazilian people of both sexes aged 15 or over is Comparing the mean level of schooling of our population sample with the literacy questionnaaire for the whole Iclq population, it can be seen that our sample had almost the same overall rate of literacy. These patients were considered unable to understand the questions, so we chose to have the questionnaire read out loud without explanation of the questions by a nursing professional who was trained for this task.

In our environment, such a procedure is normal, especially in studies that utilize scales. It should be added that, after comparing different methods of administering questionnaires, Weinberger et al. Reliability as measured by Cronbach’s Alpha showed a good to excellent degree of association between the scale scores before and after treatment. This study highlighted that ICIQ-SF was strongly sensitive to change, enabling it to be used as an important tool questipnnaire clinical practice or research.

As shown in Table-3 external responsiveness studythere was a good correlation between the ICIQ-SF general score after treatment regarding pad usage analysis. These results are in line to the responsiveness study of KHQ, which yielded good results from the assessed parameters, for both internal and external responsiveness, apart from having excellent reliability 7. There are three axes questions underlying the new classification system: So, a questionnaire could, thus, be described as being “responsive to” a given category in this new taxonomy.

The present study demonstrates the relevance of quality of life to the assessed clinical condition. The performance of the ICIQ-SF in this clinical trial suggests that it can be an important addition to the compendium of outcome measures used to assess UI and its treatment. Our next aim is to check ICIQ-SF sensitivity in a large community-based population epidemiological study, as it is also intended to be used.

Although brief, it seemed to be robust in the whole study of responsiveness, showing large effect qhestionnaire and excellent correlation with clinical and surgical outcome. Quality of life of women with urinary incontinence: A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. Validation of the Portuguese version of the King’s Health Questionnaire for urinary incontinent women.

Validation of a new questionnaire for incontinence: Measuring change over time: Concurrent validity, internal consistency and responsiveness of the Portuguese version of the King’s Health Questionnaire KHQ in women after stress urinary incontinence surgery. Int Braz J Urol. Methodological problems in the retrospective computation of responsiveness to change: Responsiveness and validity in health status measurement: Urinary Incontinence in the Female. Campbell’s Urology, 4th ed.

Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women. A health related quality of life measure for use in patients wht urge urinary incontinence: Methods for assessing responsiveness: Contingency Tables and the Use of Ranks. On assessing responsiveness of questionhaire quality iclq life instruments: Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life?

Demographic Aspects – General Information. Are health-related quality of life measures affected by the mode of administration? A taxonomy for responsiveness.