Akio Horiguchi1, Masayuki Shinchi2, Kenichiro Ojima2, Ayako Masunaga2, Keiichi Ito2, Tomohiko Asano2, Eiji Takahashi3, Fumihiro Kimura3, Ryuichi Azuma4. 1. Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. impreza@ndmc.ac.jp. 2. Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. 3. Department of Urology, Nishisaitama-chuo National Hospital, Saitama, Japan. 4. Department of Plastic Surgery, National Defense Medical College, Saitama, Japan.
Abstract
PURPOSE: To better understand our urethroplasty outcome, we translated the English version of a urethral stricture surgery patient-reported outcome measure (USS-PROM) into Japanese and used it to evaluate the effect of urethroplasty for anterior urethral strictures. METHODS: The PROM quantifies lower urinary tract symptoms (LUTS) and health-related quality of life (EQ-5D), and it evaluates overall satisfaction by asking patients to choose "very satisfied", "satisfied", "unsatisfied", or "very unsatisfied". 93 Japanese-speaking male patients with anterior urethral stricture who underwent urethroplasty completed it before (baseline) and 6 months after urethroplasty. The psychometric criteria evaluated in the present study were the PROM's internal consistency, test-retest reliability, criterion validity, and responsiveness. RESULTS: Qmax was negatively correlated with the LUTS-total scores (r = - 0.61). Cronbach's alpha was 0.80 and the test-retest intraclass correlation coefficient for the LUTS-total score was 0.82. 83 patients (89.2%) achieved stricture-free, which was defined as no re-stricture on cystoscopy and no need for additional treatment. The mean total LUTS-score improved from 12.4 at baseline to 3.7 postoperatively (p < 0.0001). The mean EQ-5D visual analogue scores and EQ-5D index improved from 61.2 and 0.76, respectively, at baseline to 77.9 and 0.89 postoperatively (p < 0.0001, p < 0.0001). 55 patients (59.1%) were "very satisfied" with the outcome of their urethroplasty and 33 (35.5%) were "satisfied". CONCLUSIONS: The Japanese version of the USS-PROM has adequate psychometric properties. Urethroplasty improved not only objective data but also voiding symptoms and health-related QOL, and it resulted in a high rate of patient satisfaction.
PURPOSE: To better understand our urethroplasty outcome, we translated the English version of a urethral stricture surgery patient-reported outcome measure (USS-PROM) into Japanese and used it to evaluate the effect of urethroplasty for anterior urethral strictures. METHODS: The PROM quantifies lower urinary tract symptoms (LUTS) and health-related quality of life (EQ-5D), and it evaluates overall satisfaction by asking patients to choose "very satisfied", "satisfied", "unsatisfied", or "very unsatisfied". 93 Japanese-speaking male patients with anterior urethral stricture who underwent urethroplasty completed it before (baseline) and 6 months after urethroplasty. The psychometric criteria evaluated in the present study were the PROM's internal consistency, test-retest reliability, criterion validity, and responsiveness. RESULTS: Qmax was negatively correlated with the LUTS-total scores (r = - 0.61). Cronbach's alpha was 0.80 and the test-retest intraclass correlation coefficient for the LUTS-total score was 0.82. 83 patients (89.2%) achieved stricture-free, which was defined as no re-stricture on cystoscopy and no need for additional treatment. The mean total LUTS-score improved from 12.4 at baseline to 3.7 postoperatively (p < 0.0001). The mean EQ-5D visual analogue scores and EQ-5D index improved from 61.2 and 0.76, respectively, at baseline to 77.9 and 0.89 postoperatively (p < 0.0001, p < 0.0001). 55 patients (59.1%) were "very satisfied" with the outcome of their urethroplasty and 33 (35.5%) were "satisfied". CONCLUSIONS: The Japanese version of the USS-PROM has adequate psychometric properties. Urethroplasty improved not only objective data but also voiding symptoms and health-related QOL, and it resulted in a high rate of patient satisfaction.
Entities:
Keywords:
Patient-reported outcome; Quality of life; Urethroplasty; Validation
Authors: Laura A Bertrand; Bryan B Voelzke; Sean P Elliott; Jeremy B Myers; Benjamin N Breyer; Alex J Vanni; Christopher D McClung; Christopher A Tam; Gareth J Warren; Bradley A Erickson Journal: J Urol Date: 2016-02-18 Impact factor: 7.450
Authors: Matthew J Jackson; John Sciberras; Altaf Mangera; Andrew Brett; Nick Watkin; James M O N'dow; Christopher R Chapple; Daniela E Andrich; Robert S Pickard; Anthony R Mundy Journal: Eur Urol Date: 2011-03-17 Impact factor: 20.096
Authors: Lindsay A Hampson; Sean P Elliott; Bradley A Erickson; Alex J Vanni; Jeremy B Myers; Christopher McClung; Benjamin N Breyer; Thomas G Smith; Judith C Hagedorn; Bryan B Voelzke Journal: J Urol Date: 2016-08-10 Impact factor: 7.450
Authors: E Charles Osterberg; Michael Schulster; Jerry G Blaivas; Avinash Maganty; Daniel J Lee; Rajveer S Purohit Journal: Urology Date: 2016-04-07 Impact factor: 2.649