Use of the short form of King's Health Questionnaire to measure quality of life in patients with an overactive bladder

The objektive of the research was to assess the health related quality of life and productivity of women with overactive bladder. Methods: A cross-sectional survey was performed in 5 outpatient centers. General health status (EQ-5D), disease-specific quality of life (King’s Health Questionnaire) and productivity (Work Productivity and Activity Impairment) were assessed. Results: Sixty-one women with mean age of 57.7 (SD = 11.6) years have had symptoms for 6.6 (SD = 6.2) years and 57 (93%) had incontinence. The EQ-5D (mean 0.668, SD = 0.314) was not significantly lower than that of the average population (p>0.05). The impact of incontinence and physical limitation (mean 70.5 and 68.9, respectively) were significant, the King’s Health Questionnaire-utility was 0.932 (SD = 0.029). Productivity scores of involved patients were: absenteeism 0.04% (SD = 0.11), presenteeism 43.64% (SD = 28.54), overall work impairment 40.97% (SD = 26.91), and other activities 47.72% (SD = 27.24). Conclusions: Applicability of the EQ-5D and King’s Health Questionnaire as utility measures in overactive bladder deserve further research. Presenteeism should be considered in the evaluation of the therapy. Orv. Hetil., 2012, 153, 1068–1076.

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Assessing the impact of urinary incontinence on quality of life: systematic review of instruments in Portuguese.

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2014.12.201 ◽

2014 ◽

Vol 12 ◽

pp. 201

Author(s):

Raquel Eleine Wolpe ◽

Ariana Machado Toriy ◽

Gabriella Franzoni Da Silveira ◽

Fernando Luiz Cardoso ◽

Fabiana Flores Sperandio

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Overactive Bladder ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Short Form ◽

International Consultation ◽

King’S Health Questionnaire ◽

The Impact

Introduction: Urinary incontinence (UI) can have a large impact on quality of life (QOL), which can harm social, economic, psychological and sexual aspects. Instruments are used to assess such damages. As it comes to subjective information, questionnaires are suitable tools to measure these variables. Objective: To identify the instruments used to assess the impact of urinary incontinence on quality of life and evaluate them regarding the psychometric properties. Method: A search for articles that used specific questionnaires to assess the impact of urinary incontinence on QOL was conducted using the following descriptors: urinary incontinence, questionnaire, quality of life, in English, Portuguese and Spanish in the following databases: PubMed, SciELO and Scopus, then the validation of questionnaires in Portuguese (Brazil) to classify them as to the process of cross-cultural adaptation and psychometric properties. Results: Seven questionnaires were found: International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), International Consultation on Incontinence Questionnaire - Overactive Bladder (ICIQ-OAB), Overactive Bladder Questionnaires (OAB-q), OAB-q generated the short form (OAB-q SF), Urinary Incontinence - Specific Quality of Life Instrument (I-QOL), King's Health Questionnaire (KHQ) and Qualiveen. Only KHQ, ICIQ-SF and ICIQ-OAB followed all the steps of cultural adaptation. ICIQ-OAB and I-QOL showed higher number of assessed and certified psychometric properties. None of the studies showed results on responsiveness, “floor or ceiling” effects and interpretability. Conclusion: The data collected in this review showed that the instrumentation of UI is being made incomplete and is not respecting the prerequisite of the completion of steps in the process of creation and testing, possibly compromising an effective assessment of quality of life.

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Correlation between the Incontinence Severity Index (ISI) and the quality of life dimensions of the King's Health Questionnaire (KHQ) in German-speaking urinary incontinent women

Journal of Gynecology Obstetrics and Human Reproduction ◽

10.1016/j.jogoh.2021.102288 ◽

2021 ◽

pp. 102288

Author(s):

Florian Brandt ◽

Erich-Franz Solomayer ◽

Panagiotis Sklavounos

Keyword(s):

Quality Of Life ◽

Severity Index ◽

Health Questionnaire ◽

King’S Health Questionnaire ◽

German Speaking

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TOLTERODINE IMPROVES QUALITY OF LIFE IN PATIENTS WITH AN OVERACTIVE BLADDER, WITH OR WITHOUT URINARY INCONTINENCE: A PROSPECTIVE MULTICENTER STUDY

Urogynaecologia ◽

10.4081/uij.2008.1.5 ◽

2010 ◽

Vol 22 (1) ◽

pp. 5

Author(s):

F. Mantovani ◽

G. Bozzini ◽

P. Acquati ◽

S.S. Di Pierro ◽

M.G. Spinelli ◽

...

Keyword(s):

Quality Of Life ◽

Overactive Bladder ◽

Clinical Effects ◽

Health Questionnaire ◽

Prospective Multicenter Study ◽

Study Materials ◽

Trial Entry ◽

The Mean

AIMS: In order to analyse the effect of tolterodine on the Quality of life (QoL) of patients with overactive bladder (OB) we conducted a prospective multicentre clinical study. MATERIALS AND METHODS: Subjects were questioned at entry and 4, 12 and 24 weeks later about the number of micturitions and incontinent and urgency episodes/day, using a micturition diary. The mean volume voided per micturition and the number of pads used per day was also recorded. The QoL was measured using the Kings Health Questionnaire (KHQ) and the Incontinence Impact Questionnaire (IIQ). A total of 179 patients entered the study: 59 dropped out (4 due to lack of efficacy, 10 due to adverse events, 25 because of lack of interest in the study/other reason and 20 were lost at follow up), leaving 120 patients for analysis. One hundred and eight patients (90%) were female, their mean age was 56.5 years (SD 11.2); 87 had never received treatment for OB/UI (80.6%) and their mean weight was 70.0 Kg (SD 12.7). RESULTS: The mean number of micturitions/day was 9.3 at trial entry and it decreased to 6.8 by the end of the study. The corresponding values for the number of urge episodes, incontinence episodes and number of pads used per day were 3.5, 2.7 and 1.2 and 0.8, 0.9 and 0.4 respectively. The mean volume voided per micturition increased from 146 ml. to 178 ml. All the differences between trial entry and end of study values were statistically significant (p<0.05). Considering the results of the KHQ, the values of all the different areas/domini (?) decreased markedly and in a statistically significant way between the start of treatment and the end of study evaluations. Similar findings emerged when we considered values of the IIQ. The decrease was constant and marked during the first three months and remained constant thereafter. CONCLUSIONS: This study, conducted in a population of subjects with dry and wet OB, shows that tolterodine given for six months lowers the frequency of urgency episodes and incontinence episodes without troublesome adverse effects. These clinical effects are mirrored in the QoL, KHQ and IIQ questionnaire scores, which improved by about 50% over the same period.

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