Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Translation and Validation of ICIQ-FLUTS for Tamil speaking Women(Sri Lanka College of Obstetricians & Gynaecologists, 2017) Pieris, T.R.; Ekanayake, C.D.; Basith, F.D.A.; Wickramaratna, D.K.U.; Peries, E.E.; Antonythas, R.; Pathmeswaran, A.; Wijesinghe, P.S.OBJECTIVES: Research in to lower urinary tract symptoms in South Asia is hampered by lack of validated tools. There fore ouraimwas to validate the International Consultation onIncontinencemodular questionnaire on female lower urinary tracts ymptoms (ICIQ-FLUTS) from English toTamil. METHODS: The ICIQ-FLUTS was translated to Tamil and a validation study was carried out among women attending the gynaecology clinic at district general hospital-Mannar. RESULTS: Content validity assessed by the level of missing data was less than 2%. Construct validity was assessed by the ability of the questionnaire to identify patients with incontinence (n=45) from controls (n=93) using the incontinence score (patients=7.7 SD=4.7, controls=1.4 SD=2.2, p<0.001) andthose with symptomatic anterior wall prolapse (n=16) fromcontrols (n=93) using the voiding symptoms score (patients=4.8SD=2.3, controls=0.3 SD=0.8, p<0.001). Internal consistency was assessed using Cronbach’scoefficient alpha score (0.80 (0.77-0.81). Test–retest reliability assessed by weighted kappa (k) ranged from 0.73to0.87. Patients with incontinence (n=30, pre-treatment incontinence score=7.9, SD=4.9 versus post-treatment incontinence score=3.3, SD=3.1) and symptomatic anterior wall prolapse (n=14, pre-operative voiding symptoms score=4.9 SD=2.5 versus post-operative voiding symptoms score=0.9 SD=1.5) showed an improvement with treatment (Wilcoxon matched –pairs signedranktestp<0.001 and p<0.01 respectively). An incontinence score≥3 (sensitivity=86.7%, specificity=78.4%) and a voiding symptoms score≥3 (sensitivity=87.5%, specificity=96.2%) detected any form of incontinence and symptomatic anterior wall prolapse respectively.CONCLUSION: The Tamil translation of ICIQ-FLUTS has retained the psychometric properties of the original English questionnaire and will be an invaluable tool to elicit LUTS among Tamil speaking women.Item Translation and validation of ICIQ-FLUTS for Tamil-speaking women(Springer, 2017) Ekanayake, C.D.; Pathmeswaran, A.; Nishad, A.A.; Samaranayake, K.U.; Wijesinghe, P.S.AIMS: Research in to lower urinary tract symptoms (LUTS) in women in South Asia is hampered by lack of validated tools. Our aim was to validate the International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) from English to Tamil. METHOD: After translation to Tamil, a validation study was carried out among women attending the gynecology clinic at District General Hospital-Mannar. RESULTS: Content validity assessed by the level of missing data was <2%. Construct validity was assessed by the ability of the questionnaire to identify patients with incontinence (n = 45) from controls (n = 93) using the incontinence score [patients = 7.7 standard deviation (SD) = 4.7, controls = 1.4 SD = 2.2, p < 0.001] and those with symptomatic anterior wall prolapse (n = 16) from controls (n = 93) using voiding symptoms score (patients = 4.8 SD = 2.3, controls = 0.3 SD = 0.8, p < 0.001). Internal consistency was assessed using Cronbach's coefficient alpha score [0.80 (0.77-0.81)]. Test-retest reliability assessed by weighted kappa (κ) ranged from 0.73 to 0.87. Patients with incontinence (n = 30, pretreatment incontinence score = 7.9, SD = 4.9 versus posttreatment incontinence score = 3.3, SD = 3.1) and symptomatic anterior wall prolapse (n = 14, preoperative voiding symptoms score = 4.9 SD = 2.5 versus postoperative voiding symptoms score = 0.9 SD = 1.5) showed an improvement with treatment (Wilcoxon matched--pairs signed-rank test p < 0.001 and p < 0.01, respectively). An incontinence score ≥ 3 (sensitivity = 86.7%, specificity = 78.4%) and a voiding symptoms score ≥ 3 (sensitivity = 87.5%, specificity = 96.2%) detected any form of incontinence and symptomatic anterior wall prolapse, respectively. CONCLUSION: Tamil translation of ICIQ-FLUTS retained the psychometric properties of the original English questionnaire and will be an invaluable tool to detect LUTS among Tamil-speaking women.