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Open AccessArticle

Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in Pediatric Serbian Population

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Faculty of Medicine, Unviersity of Belgrade, 11000 Belgrade, Serbia
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Department of Physical Medicine and Rehabilitation, University Childrens Hospital, 11000 Belgrade, Serbia
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Department of Radiology, University Childrens Hospital, 11000 Belgrade, Serbia
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Department of Pediatric Surgery, University Childrens Hospital, 11000 Belgrade, Serbia
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Clinical Centre of Montenegro, 81000 Podgorica, Montenegro
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(4), 100; https://doi.org/10.3390/medicina55040100
Received: 18 January 2019 / Revised: 21 March 2019 / Accepted: 9 April 2019 / Published: 11 April 2019
Background and objective: Dysfunctional voiding (DV) presents relatively frequent problem in pediatric urologist practice. The necessity for implementation of DV evaluation in the pediatric population is of particular importance, since there is no clear consensus on the clinical assessment of such condition. The aims of our study were to evaluate the test/retest reliability and reproducibility of dysfunctional voiding and incontinence scoring system: Serbian version (DVISSSR) in patients with voiding and incontinence dysfunctions without structural deformities, and to estimate cut-off value for DVISSSR. Methods: The cross-sectional study included 57 children with voiding and incontinence dysfunctions and 30 healthy pediatric controls. For the evaluation of voiding and incontinence dysfunction we used DVISS. The forward–backward method was applied for translation of the DVISS questionnaire from English into Serbian language. Reproducibility was analyzed by Interclass Correlation Coefficient (ICC). Sensitivity and specificity of DVISSSR scores was done by receiver operating curve (ROC) curve. Results: There was a significant difference in DVISSSR score between patients and controls (p < 0.001). For reliability and reproducibility of the questionnaire, there was no significant difference between repeated measurements (p = 0.141), and strong reliability (ICC = 0.957; p < 0.001). Conclusion: We have demonstrated successful translation and validation of the DVISSSR score. Moreover, a reliable scoring system of children with voiding dysfunctions should include evaluations of symptom scoring systems at the multicentric level. View Full-Text
Keywords: dysfunctional voiding; incontinence; validation; questionnaire; children dysfunctional voiding; incontinence; validation; questionnaire; children
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Cirovic, D.; Petronic, I.; Stojkovic, J.; Soldatovic, I.; Pavicevic, P.; Bizic, M.; Bokan-Mirkovic, V.; Knezevic, T.; Nikolic, D. Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in Pediatric Serbian Population. Medicina 2019, 55, 100.

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