Concurrent validity, internal consistency and responsiveness of the portuguese version of the king's health questionnaire (KHQ) in women after stress urinary incontinence surgery



Document title: Concurrent validity, internal consistency and responsiveness of the portuguese version of the king's health questionnaire (KHQ) in women after stress urinary incontinence surgery
Journal: International braz j urol
Database: PERIÓDICA
System number: 000296602
ISSN: 1677-5538
Authors: 1
2







Institutions: 1Universidade de Sao Paulo, Departamento de Urologia, Sao Paulo. Brasil
2Universidade Estadual de Campinas, Escola de Medicina, Campinas, Sao Paulo. Brasil
Year:
Season: Nov-Dic
Volumen: 30
Number: 6
Pages: 479-486
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, analítico
English abstract OBJECTIVE: To evaluate the concurrent validity, internal consistency and responsiveness of King's Health Questionnaire (KHQ) in patients who underwent sling procedures for the treatment of stress urinary incontinence. MATERIALS AND METHODS: We performed a prospective open label multicenter study in 4 tertiary referral centers. Sixty-eight female patients were enrolled with urodynamically diagnosed urinary stress incontinence. Patients were treated using surgical procedures, mostly (73%) with the synthetic sling procedure, which has been considered one of the gold standard methods for the treatment of urinary incontinence. The patients were assessed before and after one month of postoperative follow up, using the KHQ in its validated Portuguese version. Patients also underwent preoperative urodynamic test, Stamey incontinence grading, pad usage and the assessment of number of pads used per day. After surgery, patients underwent stress test, Stamey incontinence grading pad usage and the assessment of number of pads used per day. RESULTS: The concurrent validity showed good correlations in some domains of KHQ to clinical parameters. The internal consistency was higher after treatment compared to preoperative values. Objective parameters, such as pad usage and the assessment of number of pads used per day, had significant correlation with changes in post-treatment scores on KHQ. The responsiveness expressed in terms of standardized effect size (SES) and standardized response mean (SRM) was large. CONCLUSION: The results showed moderate
Disciplines: Medicina
Keyword: Cirugía,
Incontinencia urinaria,
Calidad de vida,
Cuestionarios,
Estrés,
Validación
Keyword: Medicine,
Surgery,
Urinary incontinence,
Quality of life,
Questionnaires,
Stress,
Validation
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