{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:19:49Z","timestamp":1788358789891,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To define mild, moderate and severe symptom categories of the neurogenic bladder symptom score (NBSS) and NBSS\u2010short form (SF), and to calculate the minimal clinically important difference (MCID) of the NBSS\u2010SF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used existing datasets from the original NBSS validation study (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009230 patients with spinal cord injury (SCI), multiple sclerosis, and spina bifida), and a large cross\u2010sectional study of people with SCI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091479) who completed the NBSS. We used the previously validated mild\u2010moderate\u2010severe categories of the ICIQ\u2010UI, IPSS, and the SCI\u2010QOL Bladder complications scale to define patients with mild, moderate or severe symptoms, and mapped these to the NBSS scores for the related NBSS domains of incontinence, storage\/voiding, and consequences, respectively. We validated these NBSS score categories using four data sets, and by examining the global bladder problem rating. An anchor\u2010based MCID of the NBSS\u2010SF was determined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Using the median\/interquartile range of the associated NBSS domain score of people who were in the moderate category of the ICIQ\u2010UI, IPSS, and the SCI\u2010QOL Bladder complications, we calculated the severity categories for the NBSS total score: 0\u201332 (mild), 33\u201348 (moderate), and 49\u201374 (severe). These score categories produced significantly different NBSS scores in 29\/32 comparisons in four different study populations. The global bladder problem had good agreement with each domain's categorical scale. Finally, the group\u2010level MCID of the NBSS\u2010SF total score was calculated as an improvement of 1.8.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We have determined interpretability ranges for the NBSS and NBSS\u2010SF. This can help interpret patient and clinical study results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70338","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:58:39Z","timestamp":1781261919000},"page":"1336-1342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Interpretability of the Neurogenic Bladder Symptom Score"],"prefix":"10.1002","volume":"45","author":[{"given":"Jeremy","family":"Dai","sequence":"first","affiliation":[{"name":"Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6713-1679","authenticated-orcid":false,"given":"Rose","family":"Khavari","sequence":"additional","affiliation":[{"name":"Department of Urology Houston Methodist Hospital Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Moreno\u2010Palacios","sequence":"additional","affiliation":[{"name":"Divisi\u00f3n de Investigaci\u00f3n, UMAE Hospital de Especialidades CMN SXXI, IMSS Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano M.","family":"Gomes","sequence":"additional","affiliation":[{"name":"University of Sao Paulo School of Medicine  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Myers","sequence":"additional","affiliation":[{"name":"Department of Surgery (Urology) University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T.","family":"Stoffel","sequence":"additional","affiliation":[{"name":"Department of Urology University of Michigan Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Urology University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara M.","family":"Lenherr","sequence":"additional","affiliation":[{"name":"Department of Surgery (Urology) University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-558X","authenticated-orcid":false,"given":"Blayne","family":"Welk","sequence":"additional","affiliation":[{"name":"Department of Surgery Western University London Ontario Canada"},{"name":"Department of Epidemiology and Biostatistics Western University London 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