Predictive value of clinical history compared with urodynamic study in 1,179 women

Detalhes bibliográficos
Autor(a) principal: Haddad,Jorge Milhem
Data de Publicação: 2016
Outros Autores: Monaco,Helga Elisa Marquesini Gonzales, Kwon,Clarice, Bernardo,Wanderley Marques, Guidi,Homero Gustavo de Campos, Baracat,Edmund Chada
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000100054
Resumo: SUMMARY Objective: to determine the positive predictive value of clinical history in comparison with urodynamic study for the diagnosis of urinary incontinence. Methods: retrospective analysis comparing clinical history and urodynamic evaluation of 1,179 women with urinary incontinence. The urodynamic study was considered the gold standard, whereas the clinical history was the new test to be assessed. This was established after analyzing each method as the gold standard through the difference between their positive predictive values. Results: the positive predictive values of clinical history compared with urodynamic study for diagnosis of stress urinary incontinence, overactive bladder and mixed urinary incontinence were, respectively, 37% (95% CI 31-44), 40% (95% CI 33-47) and 16% (95% CI 14-19). Conclusion: we concluded that the positive predictive value of clinical history was low compared with urodynamic study for urinary incontinence diagnosis. The positive predictive value was low even among women with pure stress urinary incontinence.
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spelling Predictive value of clinical history compared with urodynamic study in 1,179 womenurodynamicspredictive value of testslower urinary tract symptomsurinary incontinencediagnosis.SUMMARY Objective: to determine the positive predictive value of clinical history in comparison with urodynamic study for the diagnosis of urinary incontinence. Methods: retrospective analysis comparing clinical history and urodynamic evaluation of 1,179 women with urinary incontinence. The urodynamic study was considered the gold standard, whereas the clinical history was the new test to be assessed. This was established after analyzing each method as the gold standard through the difference between their positive predictive values. Results: the positive predictive values of clinical history compared with urodynamic study for diagnosis of stress urinary incontinence, overactive bladder and mixed urinary incontinence were, respectively, 37% (95% CI 31-44), 40% (95% CI 33-47) and 16% (95% CI 14-19). Conclusion: we concluded that the positive predictive value of clinical history was low compared with urodynamic study for urinary incontinence diagnosis. The positive predictive value was low even among women with pure stress urinary incontinence.Associação Médica Brasileira2016-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000100054Revista da Associação Médica Brasileira v.62 n.1 2016reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.62.01.54info:eu-repo/semantics/openAccessHaddad,Jorge MilhemMonaco,Helga Elisa Marquesini GonzalesKwon,ClariceBernardo,Wanderley MarquesGuidi,Homero Gustavo de CamposBaracat,Edmund Chadaeng2016-03-18T00:00:00Zoai:scielo:S0104-42302016000100054Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2016-03-18T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Predictive value of clinical history compared with urodynamic study in 1,179 women
title Predictive value of clinical history compared with urodynamic study in 1,179 women
spellingShingle Predictive value of clinical history compared with urodynamic study in 1,179 women
Haddad,Jorge Milhem
urodynamics
predictive value of tests
lower urinary tract symptoms
urinary incontinence
diagnosis.
title_short Predictive value of clinical history compared with urodynamic study in 1,179 women
title_full Predictive value of clinical history compared with urodynamic study in 1,179 women
title_fullStr Predictive value of clinical history compared with urodynamic study in 1,179 women
title_full_unstemmed Predictive value of clinical history compared with urodynamic study in 1,179 women
title_sort Predictive value of clinical history compared with urodynamic study in 1,179 women
author Haddad,Jorge Milhem
author_facet Haddad,Jorge Milhem
Monaco,Helga Elisa Marquesini Gonzales
Kwon,Clarice
Bernardo,Wanderley Marques
Guidi,Homero Gustavo de Campos
Baracat,Edmund Chada
author_role author
author2 Monaco,Helga Elisa Marquesini Gonzales
Kwon,Clarice
Bernardo,Wanderley Marques
Guidi,Homero Gustavo de Campos
Baracat,Edmund Chada
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Haddad,Jorge Milhem
Monaco,Helga Elisa Marquesini Gonzales
Kwon,Clarice
Bernardo,Wanderley Marques
Guidi,Homero Gustavo de Campos
Baracat,Edmund Chada
dc.subject.por.fl_str_mv urodynamics
predictive value of tests
lower urinary tract symptoms
urinary incontinence
diagnosis.
topic urodynamics
predictive value of tests
lower urinary tract symptoms
urinary incontinence
diagnosis.
description SUMMARY Objective: to determine the positive predictive value of clinical history in comparison with urodynamic study for the diagnosis of urinary incontinence. Methods: retrospective analysis comparing clinical history and urodynamic evaluation of 1,179 women with urinary incontinence. The urodynamic study was considered the gold standard, whereas the clinical history was the new test to be assessed. This was established after analyzing each method as the gold standard through the difference between their positive predictive values. Results: the positive predictive values of clinical history compared with urodynamic study for diagnosis of stress urinary incontinence, overactive bladder and mixed urinary incontinence were, respectively, 37% (95% CI 31-44), 40% (95% CI 33-47) and 16% (95% CI 14-19). Conclusion: we concluded that the positive predictive value of clinical history was low compared with urodynamic study for urinary incontinence diagnosis. The positive predictive value was low even among women with pure stress urinary incontinence.
publishDate 2016
dc.date.none.fl_str_mv 2016-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000100054
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000100054
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-9282.62.01.54
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.62 n.1 2016
reponame:Revista da Associação Médica Brasileira (Online)
instname:Associação Médica Brasileira (AMB)
instacron:AMB
instname_str Associação Médica Brasileira (AMB)
instacron_str AMB
institution AMB
reponame_str Revista da Associação Médica Brasileira (Online)
collection Revista da Associação Médica Brasileira (Online)
repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
repository.mail.fl_str_mv ||ramb@amb.org.br
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