전립선비대증/하부요로증상 환자에서 1일 배뇨일지의 신뢰도 = The Reliability of 1-Day Frequency-Volume Charts in Assessing Lower Urinary Tract Symptoms in Patients with Benign Prostate Hyperplasia

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to evaluate the reliability of 1-day frequency-volume charts in assessing lower urinary tract symptoms (LUTS) in patients with benign prostate hyperplasia (BPH).
Materials and Methods: Between Jan. 2006 and Dec. 2006, we retrospectively analyzed the medical records of men with LUTS due to BPH who visited our out-patient department. All of 70 men completed 3-days frequency-volume chart for the initial evaluation of their LUTS. We compared mean values of variables with values from respective days. Test-retest reliability was evaluated by calculating intraclass correlation coefficient.
Results: The mean age was 66.7 years, mean prostate size was 33.6ml, mean IPSS was 18, and mean maximal flow rate was 13.8ml/s. The mean total voided volume was 1716.3ml/day, mean number of voids was 9.2/day, mean number of daytime voids was 7.1, and mean number of nocturnal voids was 2.0. No significant differences were found between the three 24-hr periods for the variables from the charts by ANOVA test. The intraclass correlation coefficients were mostly 0.7-0.9. But nocturnal bladder capacity was slightly less reliable than other variables, 0.557. Mean voiding volume, total voiding number, and daytime frequencyhad the high reliability.
Conclusions: A 1-day frequency-volume charts can be sufficiently reliable to provide an insight into a patient’s voiding behavior. But more research of high quality is required, especially into the relationship of frequency-volume charts duration with compliance. (J Korean Continence Soc 2009;13:61-66)

참고문헌 (Reference)

• 1 Ku JH, "Voiding diary for the evaluation of urinaryincontinence and lower urinary tract symptoms: prospective assessment of patient compliance and burden" 22 : 331-335, 2004
• 2 Barry MJ, "Using repeated measures of symptom score, uroflometry and prostate specific antigen in the clinical management of prostate disease. Benign Prostatic Hyperplasia Treatment Out- comes Study Group" 153 : 99-103, 1995
• 3 Yap TL, "The reliability of the frequency-volume chart in assessing lower urinary tract symptoms" 100 : 111-115, 2007
• 4 Yap TL, "The relationship between objective frequency-volume chart data and the I-PSS in men with lower urinary tract symptoms" 52 : 811-818, 2007
• 5 van Haarst EP, "The 24-h frequency-volume chart in adults reporting no voiding complaints: defining reference values and analyzing variables" 93 : 1257-1261, 2004
• 6 Yoshimura K, "Symptom-specific quality of life in patients with benign prostatic hyperplasia" 9 : 485-490, 2002
• 7 Naoemova I, "Reliability of the 24-h sensation-related bladder diary in women with urinary incontinence" 19 : 955-959, 2008
• 8 van Melick HH, "One 24-hour frequency-volume chart in a woman with objective urinary motor urge in-continence is sufficient" 58 : 188-192, 2001
• 9 Staskin D, "Initial assessment of incontinence. In: Incontinence" Editions 21 485-518, 2005
• 10 Speakman MJ, "Guideline for the primary care management of male lower urinary tract symptoms" 93 : 985-990, 2004
• 11 Schick E, "Frequency-volume chart: the minimum number of days required to obtain reliable results" 22 : 92-96, 2003
• 12 Cho KS, "Epidemiologic survey using Interna- tional Prostate Symptom Score (I-PSS) of lower urinary tract symptoms (LUTS) in elderly men above 40 years old in Seoul area" 42 : 840-848, 2001
• 13 Dmochowski RR, "Bladder-health diaries: an assessment of 3-day vs 7-day entries" 96 : 1049-1054, 2005
• 14 Gisolf KW, "Analysis and reliability of data from 24-hour frequency-volume charts in men with lower urinary tract symptoms due to benign prostatic hyperplasia" 38 : 45-52, 2000
• 15 Yap TL, "A systematic review of the reliability of frequency-volume charts in urological research and its implications for the optimum chart duration" 99 : 9-16, 2007