PMID- 37787589
OWN - NLM
STAT- Publisher
LR  - 20231207
IS  - 1911-6470 (Print)
IS  - 1920-1214 (Electronic)
IS  - 1911-6470 (Linking)
VI  - 17
IP  - 12
DP  - 2023 Aug 29
TI  - Bladder bowel dysfunction scoring system (BBDSS): A novel, illustrated 
      questionnaire for evaluation of voiding dysfunction in children.
PG  - 411-6
LID - 10.5489/cuaj.8326 [doi]
AB  - INTRODUCTION: We sought to evaluate the reliability and validity of a new, 
      illustrated questionnaire, the bladder bowel dysfunction symptom score (BBDSS) in 
      the assessment of overactive bladder (OAB) and bladder bowel dysfunction (BBD). 
      METHODS: The BBDSS questionnaire consisted of 12 structured questions. This pilot 
      study was designed with two principal groups of questions: one group to assess 
      bladder symptoms and the other to assess bowel dysfunction during the preceding 
      month. Each question had three possible answers, with each answer being assigned 
      a severity score. We prospectively collected previously untreated patients 
      referred to our voiding dysfunction clinic for the first time. A control group of 
      healthy children was recruited to assess the reliability of the BBDSS 
      questionnaire. The provisional diagnosis was collected from patients' charts at 
      the time of presentation. RESULTS: The questionnaire was administered to 92 
      children (44 in the affected group and 48 in the control group). The age at 
      presentation was similar in both groups (17 months or nine years, nine months). 
      The mean total score for the affected group was 8.7 (3-14) while it was 1.19 
      (0-5) for the control group (p<0.001). There was a strong correlation, between 
      the total BBDSS score and both groups (r=0.88, p<0.001). Using the ROC curve, the 
      BBDSS was found to be an excellent tool in differentiating normal from affected 
      patients (area under the curve [AUC]=0.98, p<0.001). When the total BBDSS score 
      was >/=6, the positive predictive value was 1, with a negative predictive value of 
      0.89. The defecation part of the BBDSS was a good tool in differentiating OAB 
      from BBD patients (AUC=0.89, p<0.001). No patient with OAB had a bowel score >3. 
      CONCLUSIONS: The BBDSS is a reliable and valid instrument in the diagnosis of 
      voiding dysfunction. The questionnaire was easily administered by parents or 
      children. Moreover, it can differentiate between OAB and BBD.
FAU - Hodhod, Amr
AU  - Hodhod A
AD  - Division of Urology, Department of Pediatric Surgery, Montreal Children's 
      Hospital, McGill University, Montreal, QC, Canada.
FAU - Hoang, Tuan
AU  - Hoang T
AD  - Division of Urology, Department of Pediatric Surgery, Montreal Children's 
      Hospital, McGill University, Montreal, QC, Canada.
FAU - El-Sherbiny, Mohamed
AU  - El-Sherbiny M
AD  - Division of Urology, Department of Pediatric Surgery, Montreal Children's 
      Hospital, McGill University, Montreal, QC, Canada.
FAU - Capolicchio, John-Paul
AU  - Capolicchio JP
AD  - Division of Urology, Department of Pediatric Surgery, Montreal Children's 
      Hospital, McGill University, Montreal, QC, Canada.
FAU - Jednak, Roman
AU  - Jednak R
AD  - Division of Urology, Department of Pediatric Surgery, Montreal Children's 
      Hospital, McGill University, Montreal, QC, Canada.
LA  - eng
PT  - Journal Article
DEP - 20230829
PL  - Canada
TA  - Can Urol Assoc J
JT  - Canadian Urological Association journal = Journal de l'Association des urologues 
      du Canada
JID - 101312644
PMC - PMC10697707
COIS- COMPETING INTERESTS: The authors do not report any competing personal or 
      financial interests related to this work.
EDAT- 2023/10/03 12:46
MHDA- 2023/10/03 12:46
PMCR- 2023/12/01
CRDT- 2023/10/03 09:24
PHST- 2023/10/03 12:46 [medline]
PHST- 2023/10/03 12:46 [pubmed]
PHST- 2023/10/03 09:24 [entrez]
PHST- 2023/12/01 00:00 [pmc-release]
AID - cuaj.8326 [pii]
AID - cuaj-12-411 [pii]
AID - 10.5489/cuaj.8326 [doi]
PST - aheadofprint
SO  - Can Urol Assoc J. 2023 Aug 29;17(12):411-6. doi: 10.5489/cuaj.8326.