Ureteral Stent Symptom Questionnaire: Development and Validation of a Multidimensional Quality of Life Measure

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Mar 2003Ureteral Stent Symptom Questionnaire: Development and Validation of a Multidimensional Quality of Life Measure H.B. JOSHI, N. NEWNS, A. STAINTHORPE, R.P. MacDONAGH, F.X. KEELEY, and A.G. TIMONEY H.B. JOSHIH.B. JOSHI More articles by this author , N. NEWNSN. NEWNS More articles by this author , A. STAINTHORPEA. STAINTHORPE More articles by this author , R.P. MacDONAGHR.P. MacDONAGH More articles by this author , F.X. KEELEYF.X. KEELEY More articles by this author , and A.G. TIMONEYA.G. TIMONEY More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000049198.53424.1dAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We developed the ureteral stent symptom questionnaire (USSQ), a psychometrically valid measure to evaluate symptoms and impact on quality of life of ureteral stents. Materials and Methods: A total of 309 patients were asked to participate during different phases of our study. In phase 1 a structured literature search, 9 patient interviews and studies of 90 patients using existing instruments formed the foundation for the initial draft of our new questionnaire. In phase 2 the USSQ was pilot tested, reviewed by experts and field tested in 40 patients to produce a final 38-item draft. In phase 3 formal validation studies were performed in 55 patients to assess validity, reliability and sensitivity to change. Discriminant validation was performed by administering the questionnaire to 3 groups of patients without stents. Results: The final draft addressed various domains of health (6 sections and 38 items) affected by stents covering urinary symptoms, pain, general health, work performance, sexual matters and additional problems. The validation studies showed the questionnaire to be internally consistent (Cronbach’s α >0.7) with good test-retest reliability (Pearson’s coefficient >0.84). The questionnaire demonstrated good construct validity and sensitivity to change shown by significant changes in the score with and after removal of stents. The new USSQ discriminated patients with stents from healthy controls (p <0.001) and patients with urinary calculi without stents and lower urinary tract symptoms. Conclusions: Indwelling ureteral stents have a significant impact on health related quality of life. The new USSQ is a valid and reliable instrument that is expected to become a standard outcome measure to evaluate the impact and compare different types of stents. References 1 : Ureteral stents. Indications, variations, and complications. Urol Clin North Am1988; 15: 481. Google Scholar 2 : Symptoms arising from double-J ureteral stents. J Urol1988; 139: 37. 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Volume 169Issue 3March 2003Page: 1060-1064 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsstentsquestionnairesuretertreatment outcomequality of lifeMetricsAuthor Information H.B. JOSHI More articles by this author N. NEWNS More articles by this author A. STAINTHORPE More articles by this author R.P. MacDONAGH More articles by this author F.X. KEELEY More articles by this author A.G. TIMONEY More articles by this author Expand All Advertisement PDF downloadLoading ...