title: Validation of a two-item quantitative questionnaire for the triage of women with urinary incontinence.
abstract: OBJECTIVE
  To evaluate the reproducibility, construct validity, and preferences for the 2-item Stress/Urge Incontinence Questionnaire.
  
  
  METHODS
  The questionnaire asks a patient to recall the number of stress urinary incontinence and urge urinary incontinence episodes she experienced during the preceding week. The 4-week prospective study included 3 office visits and enrolled women with stress, urge, or mixed urinary incontinence symptoms. The test-retest reproducibility was assessed after 3 days, and the construct validity of the questionnaire was evaluated against a diary and other measures of incontinence severity and effect. The bother associated with completing (patients) or analyzing (physicians) the diary was assessed. Both groups also reported their time requirements and preferences for the questionnaire or diary.
  
  
  RESULTS
  Reproducibility for the classification of symptoms was moderately strong (kappa = .536). Test-retest agreement was good (64-80%) for all but balanced mixed incontinence (38%). Intraclass correlations revealed good reproducibility for the number of stress (.694), urge (.703), and total (.726) incontinence episodes. Significant (P < .01) correlations with other measures of incontinence established construct validity. Patients and physicians reported it took less time to complete the questionnaire than the diary, but the majority said the completion or analysis of the diary was of little or no bother and preferred the diary.
  
  
  CONCLUSIONS
  The Stress/Urge Incontinence Questionnaire is a valid tool that can be used in clinical practice to differentiate between symptoms of stress and urge urinary incontinence to make an initial diagnosis, especially in primary care where incontinence is not a focus of the practice.
authors.affiliation: Greater Baltimore Medical Center, Baltimore, Maryland, USA.
authors.forename: Alfred E
authors.initials: AE
authors.lastname: Bent
authors.forename: Angelo E
authors.initials: AE
authors.lastname: Gousse
authors.forename: Susan L
authors.initials: SL
authors.lastname: Hendrix
authors.forename: Carl G
authors.initials: CG
authors.lastname: Klutke
authors.forename: Ash K
authors.initials: AK
authors.lastname: Monga
authors.forename: Chui Kin
authors.initials: CK
authors.lastname: Yuen
authors.forename: Eric S
authors.initials: ES
authors.lastname: Meadows
authors.forename: Ilker
authors.initials: I
authors.lastname: Yalcin
authors.forename: David
authors.initials: D
authors.lastname: Muram
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D010820:Physicians / Q000523:psychology; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014218:Triage; D014550:Urinary Incontinence, Stress / Q000175:diagnosis*