What Is a Clinician To Do-Believe the Patient or her Urinary Diary?

Kimberly Kenton*, Mary Pat FitzGerald, Linda Brubaker

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Purpose: We determined if patient recall of incontinence episodes correlates with urinary diary record. Materials and Methods: Women with 1 or more urge incontinence episode per week completed 2, 7-day diaries, the Urinary Distress Inventory and Incontinence Impact Questionnaire, and responded to 2 recall questions. Results: The median number of incontinence episodes participants recalled (6.5, 5) was higher than those recorded in the diary (1.9, 1.1) at both points. Incontinence episodes in 2, 7-day diaries correlated strongly (ρ = 0.921, p <0.005) while participant recall of incontinence episodes correlated weakly (ρ = 0.309, p <0.059). When subjects reported being only slightly or not bothered by urge incontinence, recall and diary record correlated strongly (ρ = 0.812, p = 0.014). With increasing bother (moderate or great), recall and diary were not significantly correlated (ρ = 0.528, p = 0.115). Conclusions: Women with urge incontinence either overestimate or under record incontinence episode frequency in the urinary diary. This effect is more pronounced in women who are more bothered by incontinence.

Original languageEnglish (US)
Pages (from-to)633-635
Number of pages3
JournalJournal of Urology
Volume176
Issue number2
DOIs
StatePublished - Aug 1 2006

Keywords

  • mental recall
  • signs and symptoms
  • trust
  • urinary incontinence

ASJC Scopus subject areas

  • Urology

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