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Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms.

Publication ,  Journal Article
Flynn, KE; Mansfield, SA; Smith, AR; Gillespie, BW; Bradley, CS; Cella, D; Helmuth, ME; Lai, HH; Kirkali, Z; Talaty, P; Griffith, JW ...
Published in: Neurourol Urodyn
September 2020

AIMS: Measurement of self-reported lower urinary tract symptoms (LUTS) typically uses a recall period, for example, "In the past 30 days…." Compared to averaged daily reports, 30-day recall is generally unbiased, but recall bias varies by item. We examined the associations between personal characteristics (eg, age, symptom bother) and 30-day recall of LUTS using items from the Symptoms of Lower Urinary Tract Dysfunction Research Network Comprehensive Assessment of Self-reported Urinary Symptoms questionnaire. METHODS: Participants (127 women and 127 men) were recruited from 6 US tertiary care sites. They completed daily assessments for 30 days and a 30-day recall assessment at the end of the study month. For each of the 18 tested items, representing 10 LUTS, the average of the participant's daily responses was modeled as a function of their 30-day recall, the personal characteristic, and the interaction between the 30-day recall and the characteristic in separate general linear regression models, adjusted for sex. RESULTS: Nine items representing 7 LUTS exhibited under- or overreporting (recall bias) for at least 25% of participants. Bias was associated with personal characteristics for six LUTS. Underreporting of incontinence was associated with older age, lower anxiety, and negative affect; overreporting of other LUTS was associated with, symptom bother, symptom variability, anxiety, and depression. CONCLUSIONS: We identified under- or overreporting that was associated with personal characteristics for six common LUTS. Some cues (eg, less bother and lower anxiety) were related to recall bias in an unexpected direction. Thus, providers should exercise caution when making judgments about the accuracy of a patient's symptom recall based on patient demographic and psychosocial characteristics.

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Published In

Neurourol Urodyn

DOI

EISSN

1520-6777

Publication Date

September 2020

Volume

39

Issue

7

Start / End Page

1939 / 1948

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Self Report
  • Prevalence
  • Middle Aged
  • Male
  • Lower Urinary Tract Symptoms
  • Humans
  • Health Surveys
  • Female
  • Depression
 

Citation

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Flynn, K. E., Mansfield, S. A., Smith, A. R., Gillespie, B. W., Bradley, C. S., Cella, D., … LURN Study Group. (2020). Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms. Neurourol Urodyn, 39(7), 1939–1948. https://doi.org/10.1002/nau.24461
Flynn, Kathryn E., Sarah A. Mansfield, Abigail R. Smith, Brenda W. Gillespie, Catherine S. Bradley, David Cella, Margaret E. Helmuth, et al. “Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms.Neurourol Urodyn 39, no. 7 (September 2020): 1939–48. https://doi.org/10.1002/nau.24461.
Flynn KE, Mansfield SA, Smith AR, Gillespie BW, Bradley CS, Cella D, et al. Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms. Neurourol Urodyn. 2020 Sep;39(7):1939–48.
Flynn, Kathryn E., et al. “Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms.Neurourol Urodyn, vol. 39, no. 7, Sept. 2020, pp. 1939–48. Pubmed, doi:10.1002/nau.24461.
Flynn KE, Mansfield SA, Smith AR, Gillespie BW, Bradley CS, Cella D, Helmuth ME, Lai HH, Kirkali Z, Talaty P, Griffith JW, Weinfurt KP, LURN Study Group. Patient demographic and psychosocial characteristics associated with 30-day recall of self-reported lower urinary tract symptoms. Neurourol Urodyn. 2020 Sep;39(7):1939–1948.
Journal cover image

Published In

Neurourol Urodyn

DOI

EISSN

1520-6777

Publication Date

September 2020

Volume

39

Issue

7

Start / End Page

1939 / 1948

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Self Report
  • Prevalence
  • Middle Aged
  • Male
  • Lower Urinary Tract Symptoms
  • Humans
  • Health Surveys
  • Female
  • Depression