Questionnaire to Distinguish between Stress and Urge Urinary Incontinence
Authors: Steven A. Rich
Journal: Annals of Internal Medicine (2006)

Letters19 December 2006Questionnaire to Distinguish between Stress and Urge Urinary IncontinenceSteven A. Rich, MDSteven A. Rich, MDFrom ViaHealth–Rochester General Hospital, Rochester, New York.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-12-200612190-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: I disagree with Brown and colleagues' conclusions in their study (1) on the use of the 3IQ test to diagnose and treat urinary incontinence. I recommend against implementing this technique in primary care.Their use of an extended evaluation as the gold standard for determining the type of urinary incontinence is not the accepted standard for such research. Although urodynamic studies are not justifiable as routine testing in all urinary incontinence, they are the accepted gold standard for research (2). Therefore, Brown and colleagues' estimates of sensitivity and specificity cannot be considered accurate.The generalizability of the ...References1. Brown JS, Bradley CS, Subak LL, Richter HE, Kraus SR, Brubaker L, et al. The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Intern Med. 2006;144:715-23. [PMID: 16702587] LinkGoogle Scholar2. Glazener CM, Lapitan MC. Urodynamic investigations for management of urinary incontinence in adults. Cochrane Database Syst Rev. 2002;:CD003195. [PMID: 12137680] MedlineGoogle Scholar3. Rich SA, Pannill FC. Urinary incontinence.. In: Black ER, Bordley DR, Tape TG, Panzer RJ, eds. Diagnostic Strategies for Common Medical Problems. 2nd ed. Philadelphia: American Coll Physicians; 1999:527-39. Google Scholar4. Black ER, Bordley DR, Tape TG, Panzer RJ, eds. Diagnostic Strategies for Common Medical Problems. 3rd ed. Philadelphia: American Coll Physicians. [In press]. Google Scholar Author, Article, and Disclosure InformationAuthors: Steven A. Rich, MDAffiliations: From ViaHealth–Rochester General Hospital, Rochester, New York.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Sensitivity and Specificity of a Simple Test To Distinguish between Urge and Stress Urinary Incontinence Jeanette S. Brown , Catherine S. Bradley , Leslee L. Subak , Holly E. Richter , Stephen R. Kraus , Linda Brubaker , Feng Lin , Eric Vittinghoff , and Deborah Grady , for the Diagnostic Aspects of Incontinence Study (DAISy) Research GroupQuestionnaire to Distinguish between Stress and Urge Urinary Incontinence Jeanette S. Brown , Eric Vittinghoff , and Leslee L. Subak Questionnaire to Distinguish between Stress and Urge Urinary Incontinence Shriprakash Kalantri Questionnaire to Distinguish between Stress and Urge Urinary Incontinence Karel G.M. Moons Metrics 19 December 2006Volume 145, Issue 12Page: 935KeywordsConstipationDeliriumDrugsEvidence based medicineIncontinenceQuestionnairesReflexesSpecificityUrodynamics ePublished: 19 December 2006 Issue Published: 19 December 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...