Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Results of the Systematic Review: Evaluation of UI Treatment-Monitoring Methods (1 of 2)
The CER included an analysis of UI treatment monitoring tools to determine their validity, which is the ability to measure what the test intends to measure, and reliability, meaning the reproducibility of the test results.
Outcomes included symptom bother, screening, quality of life, and patient satisfaction. Nine instruments were evaluated for reliability and validity in measuring symptom bother. Six were both valid and reliable; three were valid but not reliable. Eight screening instruments were evaluated; six were both valid and reliable, one was valid but not reliable, and one (the Three Incontinence Questions [3 IQ] test) was neither valid nor reliable. Twenty instruments measuring quality of life were evaluated; 17 were both valid and reliable, and 2 were valid but not reliable. One instrument, the Incontinence Bothersomeness Scale (IBS), a simple visual analog scale, was neither valid nor reliable. Six instruments measuring patient satisfaction were evaluated. Two were both valid and reliable, and four were valid but not reliable.
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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