The Use of a Scoring System to Diagnose Voiding Dysfunction in the Pediatric Population

The Use of a Scoring System to Diagnose Voiding Dysfunction in the Pediatric Population
PropertyValue
Title:The Use of a Scoring System to Diagnose Voiding Dysfunction in the Pediatric Population
Author/Abstract:
<p>Luzcielo M. Roxas, MD and David T. Bolong, MD, DPBU</p>
<p>Section of Urology, Department of Surgery, University of Santo Tomas HospitalS</p>
<p>Objective: Voiding dysfunction is a common occurrence in the pediatric population and is currently diagnosed using its various symptoms. There are few studies which objectively assessed these symptoms. The authors validated a scoring system using a questionnaire in Filipino and English form to quantitatively assess the symptoms of voiding dysfunction in the pediatric population.</p>
<p>Materials and Methods: Fourteen questions were formulated based on the symptoms of voiding dysfunction with corresponding severity and score. One hundred forty six questionnaires were obtained from 180 patients suspected of having voiding dysfunction and 69 questionnaires from a normal population. Receiver operator characteristic curve was then used to determine the ideal cutoff to diagnose voiding dysfunction.</p>
<p>Results: Using a cutoff score of &gt;7, the symptom scoring system had a specificity of 92.75% and a sensitivity of 70.55%. The positive predictive value was at 95.37% and the negative predictive value was 59.81%.</p>
<p>Conclusion: The questionnaire is a valid tool to objectively diagnose voiding dysfunction. This tool can also be used to monitor the treatment response of the patients and as a follow-up tool.</p>
<p>Key words: voiding dysfunction</p>
Filesize: 62.75 kB
Filetype:pdf (Mime Type: application/pdf)