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Related Experiment Video

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Development of a short form and scoring algorithm from the validated actionable bladder symptom screening tool.

David Bates1, Jack Burks, Denise Globe

  • 1Department Neurology, RVI, University of Newcastle, Newcastle on Tyne NE1 4LP, England.

BMC Neurology
|July 11, 2013
PubMed
Summary
This summary is machine-generated.

A new short form of the Actionable Bladder Symptom Screening Tool (ABSST) effectively identifies multiple sclerosis (MS) patients needing urological evaluation for bladder dysfunction. This validated screening tool aids in timely diagnosis and treatment for neurogenic detrusor overactivity (NDO).

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Area of Science:

  • Urology
  • Neurology
  • Psychometrics

Background:

  • Lower urinary tract dysfunction, often due to neurogenic detrusor overactivity (NDO), affects most multiple sclerosis (MS) patients.
  • Urinary incontinence is a significant quality of life issue for MS patients.
  • Urological care access is limited for MS patients despite high rates of NDO.

Purpose of the Study:

  • To adapt the Actionable Bladder Symptom Screening Tool (ABSST) into a brief, clinically applicable short form.
  • To develop a scoring algorithm for the ABSST short form to guide diagnosis and treatment decisions.
  • To evaluate the psychometric properties and clinical validity of the shortened ABSST in MS patients.

Main Methods:

  • A multi-center, observational study involving 151 MS patients with and without NDO.
  • Utilized mixed psychometric methods, including classical statistics and item response theory (Rasch model).
  • Clinicians identified key items and responses indicative of the need for urological referral or treatment.

Main Results:

  • A total of 151 MS patients were evaluated by 28 clinicians.
  • Approximately 41% of patients reported current or past urinary incontinence or urgency.
  • A total score of ≥6 on the short form ABSST demonstrated 85% sensitivity and 93% specificity for identifying patients needing urological referral.

Conclusions:

  • The short form ABSST maintains the psychometric integrity of the original tool.
  • The instrument shows concurrent and predictive validity, supporting its clinical utility.
  • This validated screening tool can facilitate earlier diagnosis, treatment, and specialist referral for bladder issues in MS patients.