title: The American Urological Association Symptom Index for Benign Prostatic Hyperplasia.
abstract: A symptom index for benign prostatic hyperplasia (BPH) was developed and validated by a multidisciplinary measurement committee of the American Urological Association (AUA). Validation studies were conducted involving a total of 210 BPH patients and 108 control subjects. The final AUA symptom index includes 7 questions covering frequency, nocturia, weak urinary stream, hesitancy, intermittence, incomplete emptying and urgency. On revalidation, the index was internally consistent (Cronbach's α = 0.86) and the score generated had excellent test-retest reliability (r = 0.92). Scores were highly correlated with subjects' global ratings of the magnitude of their urinary problem (r = 0.65 to 0.72) and powerfully discriminated between BPH and control subjects (receiver operating characteristic area 0.85). Finally, the index was sensitive to change, with preoperative scores decreasing from a mean of 17.6 to 7.1 by 4 weeks after prostatectomy (p <0.001). The AUA symptom index is clinically sensible, reliable, valid and responsive. It is practical for use in practice and for inclusion in research protocols.
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Barry
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Floyd J
authors.initials: FJ
authors.lastname: Fowler
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Michael P
authors.initials: MP
authors.lastname: O'leary
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Reginald C
authors.initials: RC
authors.lastname: Bruskewitz
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: H Logan
authors.initials: HL
authors.lastname: Holtgrewe
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Winston K
authors.initials: WK
authors.lastname: Mebust
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
authors.forename: Abraham T K
authors.initials: AT
authors.lastname: Cockett
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Center for Survey Research, University of Massachusetts, Boston, Massachusetts; Department of Urology, Tufts University School of Medicine, Boston, Massachusetts; Department of Urology, University of Wisconsin at Madison, Madison, Wisconsin; Department of Urology, Johns Hopkins University, Baltimore, Maryland; Department of Urology, University of Rochester Medical Center, Rochester, New York; Section of Urology, The University of Kansas Medical Center, Kansas City, Kansas, and the American Urological Association.
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000175:diagnosis* / Q000503:physiopathology; D011788:Quality of Life; D012372:ROC Curve; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D012955:Societies, Medical; D014481:United States; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology; D014572:Urology; D055815:Young Adult
keywords: prostatic diseases; prostatic hypertrophy; statistics