Correlation between Lower Urinary Tract Scoring System, Behavior Check List, and Bladder Sonography in Children with Lower Urinary Tract Symptoms
Hooman Nakysa, Hallaji Farideh, Mostafavi Seyed-Hassan, Mohsenifar Setareh, Otukesh Hasan, Moradi-Lakeh Maziar,
소속 상세정보
( Hooman Nakysa )
Tehran University of Medical Sciences Ali-Asghar Children Hospital Department of Pediatric Nephrology
( Hallaji Farideh )
Tehran University of Medical Sciences Ali-Asghar Children Hospital Department of Radiology
( Mostafavi Seyed-Hassan )
Tehran University of Medical Sciences Ali-Asghar Children Hospital Department of Radiology
( Mohsenifar Setareh )
Tehran University of Medical Sciences Iranian National Center of Addiction Studies
( Otukesh Hasan )
Tehran University of Medical Sciences Ali-Asghar Children Hospital Department of Pediatric Nephrology
( Moradi-Lakeh Maziar )
Tehran University of Medical Sciences Department of Community Medicine
KMID : 0358320110520030210
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.
키워드
Enuresis; Pediatrics; Questionnaires; Ultrasonography; Urinary bladder
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