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Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in

Dragana Cirovic1,2, Ivana Petronic3,4, Jasna Stojkovic5,6

  • 1Faculty of Medicine, Unviersity of Belgrade, 11000 Belgrade, Serbia. cirovicdragana@yahoo.com.

Medicina (Kaunas, Lithuania)
|April 14, 2019
PubMed

Insights

The Serbian version of the Dysfunctional Voiding and Incontinence Scoring System (DVISS_SR) is a reliable tool for assessing voiding dysfunction in children. This validated questionnaire aids in diagnosing and managing pediatric incontinence and voiding issues.

Area of Science:

  • Pediatric Urology
  • Clinical Assessment
  • Medical Diagnostics

Background:

  • Dysfunctional voiding (DV) is a common issue in pediatric urology.
  • A clear consensus on clinical assessment for pediatric DV is lacking.
  • Standardized evaluation tools are needed for accurate diagnosis.

Purpose of the Study:

  • To evaluate the test/retest reliability and reproducibility of the Serbian version of the Dysfunctional Voiding and Incontinence Scoring System (DVISS_SR).
  • To estimate a cut-off value for DVISS_SR in pediatric patients.
  • To validate the DVISS_SR for use in children with voiding and incontinence dysfunctions.

Main Methods:

  • Cross-sectional study involving 57 children with voiding dysfunction and 30 healthy controls.
  • Translation of the DVISS questionnaire into Serbian using the forward-backward method.
  • Analysis of reproducibility using the Interclass Correlation Coefficient (ICC) and receiver operating curve (ROC) for sensitivity and specificity.

Main Results:

  • A significant difference in DVISS_SR scores was observed between patients and controls (p < 0.001).
  • The questionnaire demonstrated strong reliability and reproducibility, with no significant difference between repeated measurements (ICC = 0.957, p < 0.001).
  • The study successfully translated and validated the DVISS_SR.

Conclusions:

  • The DVISS_SR is a reliable and validated scoring system for assessing pediatric voiding and incontinence dysfunctions.
  • Implementation of reliable symptom scoring systems at a multicentric level is recommended for children with voiding dysfunctions.

Keywords:
childrendysfunctional voidingincontinencequestionnairevalidation

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