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Correlation between Lower Urinary Tract Scoring System, Behavior Check List, and Bladder Sonography in Children with Lower Urinary Tract Symptoms.

Hooman N, Hallaji F, Mostafavi SH, Mohsenifar S, Otukesh H, Moradi-Lakeh M - Korean J Urol (2011)

Bottom Line: Chi-square test and likelihood ratio were used to compare frequencies, receiver operating curve (ROC) analysis was used to evaluate the correlation, and Cohen's kappa was used to measure the agreement between variables. p-values <0.05 were considered significant.The frequency of thick, thin, and normal BVWIs did not differ significantly in the two groups (p>0.05).The PLUTSS by itself was the best predictor of LUTS.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Nephrology, Ali-Asghar Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT

Purpose: The Pediatric Lower Urinary Tract Scoring System (PLUTSS) is a standardized questionnaire used for screening and evaluation of the response of children with lower urinary tract symptoms (LUTS) to therapy. We presumed that adding the Child Behavior Check List (CBCL) and bladder volume wall index (BVWI) to the PLUTSS would increase its validity in the detection of children with LUTS.

Materials and methods: One hundred twenty-two children aged 5 to 15 years with LUTS were enrolled in the study. Seventy-two healthy, age-matched children without urinary complaints were considered as controls. The PLUTSS and CBCL were filled out for all children. Sonography was performed to measure BVWI. Chi-square test and likelihood ratio were used to compare frequencies, receiver operating curve (ROC) analysis was used to evaluate the correlation, and Cohen's kappa was used to measure the agreement between variables. p-values <0.05 were considered significant.

Results: Behavior problems were significantly more common in children with LUTS than in healthy children (p<0.05). The frequency of thick, thin, and normal BVWIs did not differ significantly in the two groups (p>0.05). ROC analysis showed that there was no correlation between PLUTSS, CBCL, and BVWI in either the LUTS subgroup or in the controls (p>0.05). The PLUTSS had the highest sensitivity and specificity, and adding the two other tests decreased its validity for the diagnosis of children with LUTS.

Conclusions: The PLUTSS by itself was the best predictor of LUTS. The CBCL and BVWI were not helpful in making a diagnosis; however, the CBCL was useful in the detection of behavior problems in children with non-monosymptomatic enuresis.

No MeSH data available.


Related in: MedlinePlus

Receiver operating curve (ROC) curve for the pediatric lower urinary tract scoring system (PLUTSS), Child Behavior Check List (CBCL), and bladder volume wall index (BVWI) for children with lower urinary tract symptoms compared with controls. The table shows area under the curve.
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Figure 2: Receiver operating curve (ROC) curve for the pediatric lower urinary tract scoring system (PLUTSS), Child Behavior Check List (CBCL), and bladder volume wall index (BVWI) for children with lower urinary tract symptoms compared with controls. The table shows area under the curve.

Mentions: There was no agreement between BVWI and PLUTSS (p>0.05); poor agreement between PLUTSS, INTS (kappa=0.16, p=0.019), and EXTS (kappa=0.19, p=0.002); and fair agreement with TCS T-value >63 (kappa=0.3, p<0.001). It was shown that PLUTSS had the highest sensitivity and specificity and area under the curve (AUC) (Fig. 2) for diagnosis of children with LUTS. By using ROC analysis, there was no correlation between the number of UTIs, the age of toilet training, the presence of vesicoureteral reflux, the report of BVWI, or the score of the questionnaires (p>0.05). Table 2 shows the domain of behavior problems in each subgroup of cases.


Correlation between Lower Urinary Tract Scoring System, Behavior Check List, and Bladder Sonography in Children with Lower Urinary Tract Symptoms.

Hooman N, Hallaji F, Mostafavi SH, Mohsenifar S, Otukesh H, Moradi-Lakeh M - Korean J Urol (2011)

Receiver operating curve (ROC) curve for the pediatric lower urinary tract scoring system (PLUTSS), Child Behavior Check List (CBCL), and bladder volume wall index (BVWI) for children with lower urinary tract symptoms compared with controls. The table shows area under the curve.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3065135&req=5

Figure 2: Receiver operating curve (ROC) curve for the pediatric lower urinary tract scoring system (PLUTSS), Child Behavior Check List (CBCL), and bladder volume wall index (BVWI) for children with lower urinary tract symptoms compared with controls. The table shows area under the curve.
Mentions: There was no agreement between BVWI and PLUTSS (p>0.05); poor agreement between PLUTSS, INTS (kappa=0.16, p=0.019), and EXTS (kappa=0.19, p=0.002); and fair agreement with TCS T-value >63 (kappa=0.3, p<0.001). It was shown that PLUTSS had the highest sensitivity and specificity and area under the curve (AUC) (Fig. 2) for diagnosis of children with LUTS. By using ROC analysis, there was no correlation between the number of UTIs, the age of toilet training, the presence of vesicoureteral reflux, the report of BVWI, or the score of the questionnaires (p>0.05). Table 2 shows the domain of behavior problems in each subgroup of cases.

Bottom Line: Chi-square test and likelihood ratio were used to compare frequencies, receiver operating curve (ROC) analysis was used to evaluate the correlation, and Cohen's kappa was used to measure the agreement between variables. p-values <0.05 were considered significant.The frequency of thick, thin, and normal BVWIs did not differ significantly in the two groups (p>0.05).The PLUTSS by itself was the best predictor of LUTS.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Nephrology, Ali-Asghar Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT

Purpose: The Pediatric Lower Urinary Tract Scoring System (PLUTSS) is a standardized questionnaire used for screening and evaluation of the response of children with lower urinary tract symptoms (LUTS) to therapy. We presumed that adding the Child Behavior Check List (CBCL) and bladder volume wall index (BVWI) to the PLUTSS would increase its validity in the detection of children with LUTS.

Materials and methods: One hundred twenty-two children aged 5 to 15 years with LUTS were enrolled in the study. Seventy-two healthy, age-matched children without urinary complaints were considered as controls. The PLUTSS and CBCL were filled out for all children. Sonography was performed to measure BVWI. Chi-square test and likelihood ratio were used to compare frequencies, receiver operating curve (ROC) analysis was used to evaluate the correlation, and Cohen's kappa was used to measure the agreement between variables. p-values <0.05 were considered significant.

Results: Behavior problems were significantly more common in children with LUTS than in healthy children (p<0.05). The frequency of thick, thin, and normal BVWIs did not differ significantly in the two groups (p>0.05). ROC analysis showed that there was no correlation between PLUTSS, CBCL, and BVWI in either the LUTS subgroup or in the controls (p>0.05). The PLUTSS had the highest sensitivity and specificity, and adding the two other tests decreased its validity for the diagnosis of children with LUTS.

Conclusions: The PLUTSS by itself was the best predictor of LUTS. The CBCL and BVWI were not helpful in making a diagnosis; however, the CBCL was useful in the detection of behavior problems in children with non-monosymptomatic enuresis.

No MeSH data available.


Related in: MedlinePlus