Bristol UTraQ: A proposed system for scoring the technical quality of urodynamic traces.

audit quality traces urodynamics

Journal

Neurourology and urodynamics
ISSN: 1520-6777
Titre abrégé: Neurourol Urodyn
Pays: United States
ID NLM: 8303326

Informations de publication

Date de publication:
02 2022
Historique:
revised: 09 12 2021
received: 09 11 2021
accepted: 25 12 2021
pubmed: 16 1 2022
medline: 25 3 2022
entrez: 15 1 2022
Statut: ppublish

Résumé

To develop and test a scoring system for the technical quality of a urodynamic trace METHODS: Rasch analysis was used to select the most discriminating questions relating to good urodynamic practices. The questions were taken from International Continence Society standard documents and tested on 60 traces of varying quality and from different sources. Twenty-five questions were selected by this process. These were tested with 10 traces by seven scorers, and with 60 traces by a single scorer. A pass quality score of 75% resulted in good discrimination between good and poor traces. Further editing and clarification resulted in a final score sheet of 23 Yes/No questions. A proposed scoring system, "Bristol UTraQ," for the technical quality of urodynamic traces has been developed and tested. We suggest a score above 75% indicates acceptable trace technical quality. High technical quality is the essential first step in ensuring that urodynamic studies can answer the urodynamic questions for every patient. Plans for further validation are outlined.

Identifiants

pubmed: 35032349
doi: 10.1002/nau.24872
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

672-678

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Gammie A, Almeida F., Drake M., et al. Is the value of urodynamics undermined by poor technique?: ICI-RS 2018. Neurourol Urodyn. 2019;38(S5):S35-S39. doi:10.1002/nau.23978
Arlandis S, et al. Uroflowmetry quality evaluation in seven urodynamic departments: far from the excellence? Neurourol Urodyn. 2013;32(6):754-755.
Aiello M, Jelski J., Lewis A., et al. Quality control of uroflowmetry and urodynamic data from two large multicenter studies of male lower urinary tract symptoms. Neurourol Urodyn. 2020;39(4):1170-1177. doi:10.1002/nau.24337
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Gammie A, Clarkson B., Constantinou C., et al. International Continence Society guidelines on urodynamic equipment performance. Neurourol Urodyn. 2014;33(4):370-379. doi:10.1002/nau.22546
Boone WJ. Rasch analysis for instrument development: why, when, and how? CBE Life Sci Ed. 2016;15(4):rm4. doi:10.1187/cbe.16-04-0148
Working Group of the United Kingdom Continence Society, Abrams P., Eustice S., et al. United Kingdom Continence Society: Minimum standards for urodynamic studies, 2018. Neurourol Urodyn. 2019;38(2):838-856. doi:10.1002/nau.23909

Auteurs

Andrew Gammie (A)

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Hashim Hashim (H)

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Paul Abrams (P)

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

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