title: The 3-day bladder diary is a feasible, reliable and valid tool to evaluate the lower urinary tract symptoms in women.
abstract: OBJECTIVE
  To evaluate the feasibility (% of completion), reliability (test-retest and inter-observer) and validity (convergent vs. questionnaires and vs. urodynamic study-UDS) of the 3-day bladder diary (3dBD) in women with lower urinary tract symptoms (LUTS).
  
  
  METHODS
  Epidemiological, descriptive, cross-sectional and prospective study. Fourteen Functional Urology and Urodynamic Units participated. One hundred thirty-six women with mean age (SD) 55.2 (13.8) years with LUTS, without bladder catheterization and who were able to fill in the 3dBD were included. An UDS was performed. They filled in the 3dBD in two times separated by 15 days (test and retest), the International Consultation on Incontinence-Short Form (ICIQ-UI SF) and the Bladder Control Self-Assessment Questionnaire (BSAQ).
  
  
  RESULTS
  One hundred ten women completed 3dBD for test and retest. Feasibility: each 3dBD has 42 variables, 77.2% women completed 80%. Test-retest reliability: there were not differences in the proportion of patients classified as positive for each symptom (urgency: P = 0.3173; incontinence: P = 1; nocturia: P = 0.0522; frequency: P = 0.4386). The Intraclass Correlation Coefficient (ICC) ranged from 0.67 to 0.92, except for night time VVmax which was lower (0.54). Inter-observer reliability: ICC ranged from 0.64 to 0.99, except for day time VVmax (0.29) and the number of urgency episodes (0.45).
  
  
  RESULTS
  Spearman correlation coefficients for ICIQ-UI SF and BSAQ ranged from 0.4 to 0.6 (P < 0.0001) and for UDS were lower (P < 0.05).
  
  
  CONCLUSIONS
  The 3dBD showed good feasibility, reliability and validity to be used in the assessment of LUTS in women.
authors.affiliation: Department of Urology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Jimenez-Cidre
authors.forename: Luis
authors.initials: L
authors.lastname: Lopez-Fando
authors.forename: Manuel
authors.initials: M
authors.lastname: Esteban-Fuertes
authors.forename: Luis
authors.initials: L
authors.lastname: Prieto-Chaparro
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Llorens-Martinez
authors.forename: Jesus
authors.initials: J
authors.lastname: Salinas-Casado
authors.forename: David
authors.initials: D
authors.lastname: Castro-Diaz
authors.forename: Carlos
authors.initials: C
authors.lastname: Müller-Arteaga
authors.forename: Jose M
authors.initials: JM
authors.lastname: Adot-Zurbano
authors.forename: Fernando
authors.initials: F
authors.lastname: Rodriguez-Escobar
authors.forename: Cristina
authors.initials: C
authors.lastname: Gutierrez
authors.forename: Salvador
authors.initials: S
authors.lastname: Arlandis-Guzman
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Bonillo-Garcia
authors.forename: Blanca
authors.initials: B
authors.lastname: Madurga-Patuel
authors.forename: Manuel
authors.initials: M
authors.lastname: Leva-Vallejo
authors.forename: Agustin
authors.initials: A
authors.lastname: Franco de Castro
authors.forename: Lluis
authors.initials: L
authors.lastname: Peri-Cusi
authors.forename: Joan
authors.initials: J
authors.lastname: Conejero-Sugrañes
authors.forename: Jesus
authors.initials: J
authors.lastname: Jimenez-Calvo
authors.forename: Pablo
authors.initials: P
authors.lastname: Rebollo
authors.forename: Ana
authors.initials: A
authors.lastname: Mora
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015994:Incidence; D059411:Lower Urinary Tract Symptoms / Q000453:epidemiology / Q000503:physiopathology*; D008499:Medical Records / Q000706:statistics & numerical data; D008875:Middle Aged; D015588:Observer Variation; D011446:Prospective Studies; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology / Q000503:physiopathology; D014554:Urination / Q000502:physiology*; D014563:Urodynamics / Q000502:physiology*
keywords: bladder diary; lower urinary tract symptoms-LUTS; patient reported outcome measures-PROM; women