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A Screening Tool for Clinically Relevant Urinary Incontinence #MMPMID24464849
Suskind AM; Dunn RL; Morgan DM; DeLancey JOL; Rew KT; Wei JT
Neurourol Urodyn 2015[Apr]; 34 (4): 332-5 PMID24464849show ga
Aims: The Michigan Incontinence Symptom Index (M-ISI) is a validated measure for urinary incontinence. This study evaluates the M-ISI as a screening tool for clinically relevant urinary incontinence in a population-based sample of women. Methods: The Establishing the Prevalence of Incontinence (EPI) Study is a case-control, population-based study that enrolled women ages 35?64, with and without urinary incontinence. The M-ISI is a validated questionnaire with subdomains for stress and urgency urinary incontinence. Two hundred and fourteen EPI subjects underwent a clinical evaluation and urodynamic testing to establish the presence and type of urinary incontinence, and also completed the M-ISI. The M-ISI scores were evaluated using receiver operating characteristic (ROC) curves to determine the optimal diagnostic threshold scores above which women were likely to have clinically relevant urinary incontinence. Results: The optimal M-ISI diagnostic threshold scores were determined to be ? 3 for the stress urinary incontinence subdomain (area under the curve of 0.79), ? 5 for the urgency urinary incontinence subdomain (area under the curve of 0.88), and ? 7 for the Total M-ISI score (area under the curve of 0.89). The sensitivity and specificity of the M-ISI questionnaire for stress, urgency, and total urinary incontinence were 77% and 73%, 86% and 76%, and 84% and 75%, respectively. Conclusions: The M-ISI may be used to screen for clinically relevant urinary incontinence with high sensitivity and specificity among women ages 35?64. A brief, self-administered tool such as the M-ISI can help health care providers identify and manage women with urinary incontinence.