The Comprehensive Assessment of Self-Reported Urinary Symptoms

A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms

LURN Study Group

Research output: Contribution to journalArticle

Abstract

PURPOSE: To improve the potential for finding clinically important subtypes of patients with lower urinary tract symptoms we developed the CASUS (Comprehensive Assessment of Self-reported Urinary Symptoms). We used it to present data on the experiences of lower urinary tract symptoms in treatment seeking women and men from a prospective observational cohort. MATERIALS AND METHODS: We created an initial list of lower urinary tract symptoms that were confirmed in 22 qualitative interviews with providers, and 88 qualitative interviews with care seeking and noncare seeking women and men with lower urinary tract symptoms. Items from extant measures were adopted and revised, and new items were developed. All items were evaluated for understanding in 64 cognitive interviews. Items were administered to a prospective cohort of female and male patients with lower urinary tract symptoms who were seeking care. Analyses were done to describe item response distributions and correlations among item responses separately for women and men. RESULTS: A total of 444 males and 372 females provided responses to the CASUS. Several sets of items showed different relationships for women compared to men. In particular the associations between sensation related items and incontinence related items were generally positive among females but often negative among males. CONCLUSIONS: After using an intensive development process the CASUS addresses a wide range of lower urinary tract symptoms. It should help identify clinically important subtypes of patients. Further, item collection can provide the foundation for shorter measures for use in the clinic and as trial end points.

Original languageEnglish (US)
Pages (from-to)1177-1183
Number of pages7
JournalThe Journal of urology
Volume201
Issue number6
DOIs
StatePublished - Jun 1 2019

Fingerprint

Lower Urinary Tract Symptoms
Research
Interviews
Process Assessment (Health Care)

Keywords

  • lower urinary tract symptoms
  • patient acceptance of health care
  • patient reported outcome measures
  • surveys and questionnaires
  • urinary bladder

ASJC Scopus subject areas

  • Urology

Cite this

@article{50e49e0aec724189821b2c3f55f4976d,
title = "The Comprehensive Assessment of Self-Reported Urinary Symptoms: A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms",
abstract = "PURPOSE: To improve the potential for finding clinically important subtypes of patients with lower urinary tract symptoms we developed the CASUS (Comprehensive Assessment of Self-reported Urinary Symptoms). We used it to present data on the experiences of lower urinary tract symptoms in treatment seeking women and men from a prospective observational cohort. MATERIALS AND METHODS: We created an initial list of lower urinary tract symptoms that were confirmed in 22 qualitative interviews with providers, and 88 qualitative interviews with care seeking and noncare seeking women and men with lower urinary tract symptoms. Items from extant measures were adopted and revised, and new items were developed. All items were evaluated for understanding in 64 cognitive interviews. Items were administered to a prospective cohort of female and male patients with lower urinary tract symptoms who were seeking care. Analyses were done to describe item response distributions and correlations among item responses separately for women and men. RESULTS: A total of 444 males and 372 females provided responses to the CASUS. Several sets of items showed different relationships for women compared to men. In particular the associations between sensation related items and incontinence related items were generally positive among females but often negative among males. CONCLUSIONS: After using an intensive development process the CASUS addresses a wide range of lower urinary tract symptoms. It should help identify clinically important subtypes of patients. Further, item collection can provide the foundation for shorter measures for use in the clinic and as trial end points.",
keywords = "lower urinary tract symptoms, patient acceptance of health care, patient reported outcome measures, surveys and questionnaires, urinary bladder",
author = "{LURN Study Group} and Weinfurt, {Kevin P.} and Griffith, {James W} and Flynn, {Kathryn E.} and David Cella and Tamara Bavendam and Wiseman, {Jonathan B.} and Andreev, {Victor P.} and Lai, {H. Henry} and Liu, {Alice B.} and Ziya Kirkali and Cameron, {Anne P.} and Bradley, {Catherine S.}",
year = "2019",
month = "6",
day = "1",
doi = "10.1097/JU.0000000000000140",
language = "English (US)",
volume = "201",
pages = "1177--1183",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "6",

}

The Comprehensive Assessment of Self-Reported Urinary Symptoms : A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms. / LURN Study Group.

In: The Journal of urology, Vol. 201, No. 6, 01.06.2019, p. 1177-1183.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The Comprehensive Assessment of Self-Reported Urinary Symptoms

T2 - A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms

AU - LURN Study Group

AU - Weinfurt, Kevin P.

AU - Griffith, James W

AU - Flynn, Kathryn E.

AU - Cella, David

AU - Bavendam, Tamara

AU - Wiseman, Jonathan B.

AU - Andreev, Victor P.

AU - Lai, H. Henry

AU - Liu, Alice B.

AU - Kirkali, Ziya

AU - Cameron, Anne P.

AU - Bradley, Catherine S.

PY - 2019/6/1

Y1 - 2019/6/1

N2 - PURPOSE: To improve the potential for finding clinically important subtypes of patients with lower urinary tract symptoms we developed the CASUS (Comprehensive Assessment of Self-reported Urinary Symptoms). We used it to present data on the experiences of lower urinary tract symptoms in treatment seeking women and men from a prospective observational cohort. MATERIALS AND METHODS: We created an initial list of lower urinary tract symptoms that were confirmed in 22 qualitative interviews with providers, and 88 qualitative interviews with care seeking and noncare seeking women and men with lower urinary tract symptoms. Items from extant measures were adopted and revised, and new items were developed. All items were evaluated for understanding in 64 cognitive interviews. Items were administered to a prospective cohort of female and male patients with lower urinary tract symptoms who were seeking care. Analyses were done to describe item response distributions and correlations among item responses separately for women and men. RESULTS: A total of 444 males and 372 females provided responses to the CASUS. Several sets of items showed different relationships for women compared to men. In particular the associations between sensation related items and incontinence related items were generally positive among females but often negative among males. CONCLUSIONS: After using an intensive development process the CASUS addresses a wide range of lower urinary tract symptoms. It should help identify clinically important subtypes of patients. Further, item collection can provide the foundation for shorter measures for use in the clinic and as trial end points.

AB - PURPOSE: To improve the potential for finding clinically important subtypes of patients with lower urinary tract symptoms we developed the CASUS (Comprehensive Assessment of Self-reported Urinary Symptoms). We used it to present data on the experiences of lower urinary tract symptoms in treatment seeking women and men from a prospective observational cohort. MATERIALS AND METHODS: We created an initial list of lower urinary tract symptoms that were confirmed in 22 qualitative interviews with providers, and 88 qualitative interviews with care seeking and noncare seeking women and men with lower urinary tract symptoms. Items from extant measures were adopted and revised, and new items were developed. All items were evaluated for understanding in 64 cognitive interviews. Items were administered to a prospective cohort of female and male patients with lower urinary tract symptoms who were seeking care. Analyses were done to describe item response distributions and correlations among item responses separately for women and men. RESULTS: A total of 444 males and 372 females provided responses to the CASUS. Several sets of items showed different relationships for women compared to men. In particular the associations between sensation related items and incontinence related items were generally positive among females but often negative among males. CONCLUSIONS: After using an intensive development process the CASUS addresses a wide range of lower urinary tract symptoms. It should help identify clinically important subtypes of patients. Further, item collection can provide the foundation for shorter measures for use in the clinic and as trial end points.

KW - lower urinary tract symptoms

KW - patient acceptance of health care

KW - patient reported outcome measures

KW - surveys and questionnaires

KW - urinary bladder

UR - http://www.scopus.com/inward/record.url?scp=85065807426&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065807426&partnerID=8YFLogxK

U2 - 10.1097/JU.0000000000000140

DO - 10.1097/JU.0000000000000140

M3 - Article

VL - 201

SP - 1177

EP - 1183

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 6

ER -