E-Posters-10078

10078_lozo

Pdf Summary

This review article examines the correlation between patient-reported urinary incontinence symptoms and physician-assessed diagnosis. The study included 432 patients who presented with complaints of urinary incontinence between January 2014 and August 2016. The patients completed the Incontinence Questionnaire-Short Form (ICIQ-SF) during their initial visit, and the answers were reviewed and confirmed by the physician. The final diagnosis used for evaluation was derived from coded diagnosis for billing and review of the office final diagnosis after the first visit.<br /><br />The results showed a discrepancy between patient-reported symptoms and physician-diagnosed conditions. Of the patients diagnosed with urinary urgency incontinence (UUI), only 61% self-identified as having this condition based on ICIQ question #6. Similarly, for patients diagnosed with stress urinary incontinence (SUI), only 66% self-identified as having SUI symptoms.<br /><br />The study also found that a significant number of patients diagnosed with insensible urine loss, post-micturition dribbling, and nocturnal enuresis did not self-identify as having these conditions. Furthermore, some patients who reported never leaking urine were later identified as having at least one of the six aforementioned diagnoses upon further questioning.<br /><br />The conclusion of the study is that there is a need for physician validation of symptoms identified on patient questionnaires in order to better understand the actual clinical diagnosis of patients. The discrepancy between patient-reported symptoms and physician-assessed diagnoses highlights the importance of combining patient-reported information with clinical assessment for accurate diagnosis and treatment planning.<br /><br />Overall, this study emphasizes the importance of effective communication between patients and physicians in order to ensure accurate diagnosis and appropriate management of urinary incontinence.

Keywords

patient-reported urinary incontinence symptoms

physician-assessed diagnosis

correlation

Incontinence Questionnaire-Short Form (ICIQ-SF)

discrepancy

urinary urgency incontinence (UUI)

stress urinary incontinence (SUI)

physician validation

clinical diagnosis

communication