TY  - BOOK
AU  - Sussman, Rachael D
TI  - Estimation of Urinary Frequency: Does Question Phrasing Matter?
SN  - 0090-4295
PY  - 2021///
KW  - *Interviews as Topic
KW  - *Medical History Taking
KW  - *Urination
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Diaries as Topic
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Nocturia/pp [Physiopathology]
KW  - Prospective Studies
KW  - Prostatism/pp [Physiopathology]
KW  - Reproducibility of Results
KW  - Symptom Assessment/mt [Methods]
KW  - Time Factors
KW  - Urinary Bladder, Overactive/pp [Physiopathology]
KW  - Urinary Incontinence, Stress/pp [Physiopathology]
KW  - Urinary Incontinence, Urge/pp [Physiopathology]
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Urogynecology
KW  - Journal Article
N2  - CONCLUSIONS: When compared to a voiding diary for daytime urinary frequency, asking patients how many times they urinated underestimated, and asking patients how many hours they waited between urinations overestimated the number recorded voids. Regardless of phrasing, patients overestimated nighttime urination. Patients in our functional urology population have limited numeracy, which may impact accuracy of urinary frequency estimation. Copyright (c) 2021. Published by Elsevier Inc; MATERIALS AND METHODS: We conducted a prospective study looking at reliability of a patient interview in assessing urinary frequency. Prior to completing a voiding diary, patients estimated daytime and nighttime frequency in 3 ways: 1) how many times they urinated 2) how many hours they waited in between urinations 3) how many times they urinated over the course of 4 hours. Numeracy was assessed using the Lipkus Numeracy Scale; PURPOSE: To evaluate if question phrasing and patient numeracy impact estimation of urinary frequency; RESULTS: Seventy-one patients completed the study. Correlation of estimates from questions 1, 2 and 3 to the diary were not statistically different. Prediction of nighttime frequency was better than daytime for all questions (correlation coefficients 0.751, 0.754 and 0.670 vs 0.596, 0.575, and 0.460). When compared to the diary, Question 1 underestimated (8.5 vs 9.7, p=0.014) while Question 2 overestimated (11.8 vs 9.7, p=0.027) recorded voids on a diary. All questions overpredicted nighttime frequency with 2.6, 2.9 and 3.9 predicted vs 1.6 recorded voids (p <0.001). Although not statistically significant, for each question, the predicted frequency of numerate patients was more correlated to the diary than those of innumerate patients
UR  - https://dx.doi.org/10.1016/j.urology.2021.04.013
ER  -