Polish version of the Acute Cystitis Symptom Score for patients with acute uncomplicated cystitis

Kurt G Naber; Jakhongir F Alidjanov; Tomasz Blicharski; Magdalena Cerska; Waldemar Gadzinski; Jan Kawecki; Wojciech Krajewski; Pawel Miotla; Piotr Napora; Maciej Paszkowski; Slawomir Poletajew; Marcin Sieczkowski; Marcin Zaremba; Adrian Pilatz; Florian M E Wagenlehner

doi:10.5173/ceju.2023.120

Polish version of the Acute Cystitis Symptom Score for patients with acute uncomplicated cystitis

Cent European J Urol. 2023;76(2):144-154. doi: 10.5173/ceju.2023.120. Epub 2023 Mar 31.

Authors

Affiliations

¹ Department of Urology, Technical University of Munich, Munich, Germany.
² Clinic for Urology, Pediatric Urology and Andrology, Justus-Liebig University of Giessen, Giessen, Germany.
³ Department and Clinic of Rehabilitation and Orthopedics, Medical University of Lublin, Lublin, Poland.
⁴ First Department of Urology, Medical University of Lodz, Lodz, Poland.
⁵ DAN-MED NZOZ Lomzynska Clinic, Bydgoszcz, Poland.
⁶ NZOZ Specialist Hospital, Prof. E. Michalowski, Katowice, Poland.
⁷ Department of Minimally Invasive and Robotic Urology, Wroclaw, Poland.
⁸ Second Department of Gynecology, Medical University of Lublin, Lublin, Poland.
⁹ Clinical Research Center, Wroclaw, Poland.
¹⁰ Third Chair and Department of Gynecology, Medical University of Lublin, Lublin, Poland.
¹¹ Second Department of Urology, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹² Lux Med Medical Center, Gdansk, Poland.
¹³ Independent Public Multidisciplinary Health Care Center of the Ministry of Interior and Administration, Bydgoszcz, Poland.

Abstract

Introduction: The Acute Cystitis Symptom Score (ACSS) is a self-reporting questionnaire to evaluate the symptoms and quality of life in women with uncomplicated acute cystitis (AC). The aim of the current study was the additional cognitive and clinical validation of the Polish version.

Material and methods: Professional forward and backward translations from original Russian to Polish were performed by Mapi SAS. For cognitive assessment, women with different ages and educational levels were asked to comment on each item of the Polish ACSS to establish the final study version. The clinical validation was performed as a prospective, non-interventional cohort study. Women with AC (Patients) and those without (Controls) filled in the Polish ACSS during their visits to a physician's office and at a follow-up visit. Statistical analysis included ordinary descriptive values, calculation of reliability, validity, discriminative ability, responsiveness (sensitivity, specificity), and comparative analysis.

Results: The cognitive assessment was performed in 60 women with a median (range) age of 44.5 (21-88) years and different educational levels: grade school (n = 8), high school (n = 25), college (n = 22), and postgraduate education (n = 5). Forty-three patients were recruited for the clinical validation study along with 34 controls. Statistical analyses resulted in excellent values of internal consistency, discriminative ability, and validity for diagnosis of AC. At a summary score of 6 and higher in the ´Typical´ domain, positive and negative predictive values were 97% and 79%, and sensitivity and specificity were 79% and 97%, respectively.

Conclusions: The Polish version of the ACSS has demonstrated benefits for diagnosis and patient-reported outcome assessment. It is objective, fast, and cost-effective, and it may help to easily confirm the accurate diagnosis of AC. The Polish ASCSS can now be recommended for use in clinical and epidemiological studies, in clinical practice, or for self-diagnosis and patient-reported outcome in women with symptoms of AC.

Keywords: acute cystitis; acute cystitis symptom score; clinical results; clinical study; patient-reported outcome; questionnaire.

Copyright by Polish Urological Association.