Abstract
Lower urinary tract symptoms (LUTS) have a detrimental effect on quality-of-life (QoL). However, sufferers are often reluctant to seek help. Screening for LUTS will identify patients with bothersome symptoms who may benefit from treatment and allow patients to self-assess their symptoms and the need for medical intervention, potentially saving costly medical time and reducing long-term morbidity. The aim of this study was to compare the value of two validated questionnaires: the Bladder Control Self Assessment Questionnaire (B-SAQ) and the Overactive Bladder Awareness Tool (OAB-V8) as screening questionnaires in clinical practice. A total of 223 women were recruited prospectively from three centres. Participants completed both questionnaires in the waiting area prior to assessment by a clinician, who completed a symptom evaluation sheet. Data were analysed using receiver operating characteristic curves. Both the B-SAQ and the OAB-V8 performed well in detecting symptoms of OAB and mixed urinary symptoms. The B-SAQ performed better in detecting symptoms of stress incontinence than the OAB-V8. The opportunity to screen for haematuria should never be missed and this is an important omission from the OAB-V8.
Acknowledgements
The authors would like to acknowledge Dr Rajive Mitra and the Lambeth Walk Group Practice for their help in patient recruitment.
Declaration of interest: Ramandeep Basra was involved in the validation of the B-SAQ questionnaire, no other disclosures. Eduard Cortes was involved in the validation of the B-SAQ questionnaire, no other disclosures. Con Kelleher is a member of the European OAB faculty who designed and validated the B-SAQ questionnaire. The European OAB faculty is sponsored by Astellas. Con Kelleher has also worked as a consultant for Lilly, Pfizer and Astellas. Vik Khullar has worked as a consultant for Pfizer, Allergan and Bioxel. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.