The Standard 1-hour Pad Test: Does It Have Any Value in Clinical Practice?

Mohamed Abdel-Fattah, J W Barrington, M Youssef

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVES: The aim of this study was to determine whether self subjective assessment of urinary incontinence as perceived by female patients could replace the standard 1-hour pad test in clinical practice.
DESIGN: Prospective cohort study.
SETTING: District General Hospital, South West of England.
METHODS: Ninety women awaiting surgical treatment for urodynamic stress incontinence were recruited. They underwent 160 pad tests; on each test women were asked to classify themselves on a four point scale into one category (0: totally continent to urine, 1: mild/occasional urinary incontinence (UI), 2: moderate UI, 3: severe UI), to complete the King's Health Questionnaire (KHQ) and carry out the standard International Continence Society 1-hour pad test. A pad gain >1 gm was considered a positive result.
MAIN OUTCOME MEASURES: Women perception for severity of UI, 1-hour pad gain, KHQ scores.
RESULTS: Self subjective assessment of UI (continent vs. incontinent) had good correlation (r = 0.88) with the pad test result (negative vs. positive), and correlated well with the KHQ scores (r = 0.79). Poor correlation was seen between the pad gain and the KHQ scores (r = 0.48) and between the pad gain and the self subjective assessment of UI scale (r = 0.48). The self subjective assessment of UI (incontinent vs. continent) had sensitivity 95.65% and specificity 93.33% to detect the pad test results (positive vs. negative).
CONCLUSION: This study suggest that, in either the pre- or postoperative phase, simply asking a woman if she is continent for urine or not was as good as doing the pad test and correlated better with the patient quality of life.
Original languageEnglish
Pages (from-to)377-380
JournalEuropean Urology
Volume46
Issue number3
Early online date8 May 2004
DOIs
Publication statusPublished - Sep 2004

Fingerprint

Urinary Incontinence
Health
Urine
District Hospitals
Urodynamics
General Hospitals
England
Cohort Studies
Quality of Life
Prospective Studies
Sensitivity and Specificity
Surveys and Questionnaires
Self-Assessment

Keywords

  • pad test
  • urology
  • incontinence
  • continence
  • urine
  • urogynaecology

Cite this

The Standard 1-hour Pad Test: Does It Have Any Value in Clinical Practice? / Abdel-Fattah, Mohamed; Barrington, J W; Youssef, M.

In: European Urology, Vol. 46, No. 3, 09.2004, p. 377-380.

Research output: Contribution to journalArticle

Abdel-Fattah, Mohamed ; Barrington, J W ; Youssef, M. / The Standard 1-hour Pad Test: Does It Have Any Value in Clinical Practice?. In: European Urology. 2004 ; Vol. 46, No. 3. pp. 377-380.
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abstract = "OBJECTIVES: The aim of this study was to determine whether self subjective assessment of urinary incontinence as perceived by female patients could replace the standard 1-hour pad test in clinical practice. DESIGN: Prospective cohort study. SETTING: District General Hospital, South West of England. METHODS: Ninety women awaiting surgical treatment for urodynamic stress incontinence were recruited. They underwent 160 pad tests; on each test women were asked to classify themselves on a four point scale into one category (0: totally continent to urine, 1: mild/occasional urinary incontinence (UI), 2: moderate UI, 3: severe UI), to complete the King's Health Questionnaire (KHQ) and carry out the standard International Continence Society 1-hour pad test. A pad gain >1 gm was considered a positive result. MAIN OUTCOME MEASURES: Women perception for severity of UI, 1-hour pad gain, KHQ scores. RESULTS: Self subjective assessment of UI (continent vs. incontinent) had good correlation (r = 0.88) with the pad test result (negative vs. positive), and correlated well with the KHQ scores (r = 0.79). Poor correlation was seen between the pad gain and the KHQ scores (r = 0.48) and between the pad gain and the self subjective assessment of UI scale (r = 0.48). The self subjective assessment of UI (incontinent vs. continent) had sensitivity 95.65{\%} and specificity 93.33{\%} to detect the pad test results (positive vs. negative). CONCLUSION: This study suggest that, in either the pre- or postoperative phase, simply asking a woman if she is continent for urine or not was as good as doing the pad test and correlated better with the patient quality of life.",
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