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Is There Any Difference Between Questionnaires on Pediatric Lower Urinary Tract Dysfunction?

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The Dysfunctional Voiding and Incontinence Symptoms Score (DVISS) best diagnoses lower urinary tract symptoms in children. All three scoring systems effectively track treatment response in pediatric patients.

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Area of Science:

  • Pediatric Urology
  • Diagnostic Accuracy
  • Lower Urinary Tract Symptoms

Background:

  • Lower urinary tract symptoms (LUTS) are common in children.
  • Accurate diagnostic tools are crucial for effective management.
  • Several scoring systems exist to evaluate LUTS in pediatric populations.

Purpose of the Study:

  • To compare the diagnostic properties of three scoring systems: Dysfunctional Voiding Symptom Score (DVSS), Dysfunctional Voiding and Incontinence Symptoms Score (DVISS), and Incontinence Symptom Index-Pediatric (ISI-P).
  • To evaluate the utility of these scores in assessing treatment response in children with LUTS.

Main Methods:

  • Eighty-four children were assessed using history, physical examination, DVSS, DVISS, ISI-P, ultrasonography, and uroflowmetry.
  • Urologists blinded to questionnaire data stratified participants into healthy or LUTS groups.
  • Patients were reassessed after 3 months of treatment, and diagnostic properties were calculated.

Main Results:

  • DVISS demonstrated the highest diagnostic accuracy (89%), followed by ISI-P (82%) and DVSS (76%).
  • For children over 11 years, DVISS also showed superior accuracy (87%) compared to ISI-P (82%) and DVSS (78%).
  • All three scoring systems correlated well with subjective parental ratings of symptom improvement post-treatment.

Conclusions:

  • DVISS is the most accurate tool for diagnosing LUTS in children.
  • While DVISS excels in diagnosis, DVSS, DVISS, and ISI-P are all suitable for monitoring treatment response.
  • These validated scoring systems aid in the clinical evaluation and management of pediatric LUTS.