title: Predictive value of clinical evaluation of stress urinary incontinence: a summary of the published literature.
abstract: Our objective was to evaluate the symptom and sign of stress incontinence in predicting the presence of urodynamically diagnosed genuine stress incontinence (GSI). The study was a computation of the sensitivity and predictive values from the published literature (1975-1998), evaluating the history and/or physical examination for the diagnosis of GSI, with calculation of efficacy variables. Results show that the isolated symptom of stress incontinence has a positive predictive value (PPV) of 56% for the diagnosis of pure GSI and 79% for GSI with additional abnormalities. The PPV of stress incontinence in association with other symptoms is 77% in detecting GSI (with or without additional abnormalities). A positive cough stress test has a PPV of 55% for detecting pure GSI and 91% for the mixed condition (GSI plus additional diagnosis). When isolated, the symptom or the sign of stress incontinence is a poor predictor of GSI. In combination, the prediction may be more promising.
authors: Brigham & Women's Hospital, Boston, USA.
authors: M A
authors: MA
authors: Harvey
authors: E
authors: E
authors: Versi
mesh_terms: D003371:Cough; D003937:Diagnosis, Differential; D006801:Humans; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000473:pathology; D014563:Urodynamics