{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:44:47Z","timestamp":1791171887343,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":5211,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1996,10]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> Kauppila and co\u2010workers published in 1982 a detrusor instability score (DIS) for women with urinary incontinence. The aim of this study was to determine the validity of the DIS in an outpatient clinic for urogynecology.<\/jats:p><jats:p><jats:italic>Methods.<\/jats:italic> The DIS questionnaire was incorporated as part of an independent history at the first consultation. The DIS was compared with clinical diagnosis in 250 patients consecutively referred for evaluation. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and overall accuracy of the DIS in diagnosing genuine stress incontinence (GSI) were calculated using the gynecologist's clinical diagnosis based on urodynamic findings as the gold standard. An ROC\u2010curve was constructed for determining the optimum cut\u2010off point for the DIS for women with GSI.<\/jats:p><jats:p><jats:italic>Results.<\/jats:italic> A cut\u2010off point at 7 for the DIS, yielded sensitivity=0.77, specificity=0.52, PPV=0.74, NPV=0.52 and an overall accuracy=0.68. Optimum cut\u2010off point for GSI according to the ROC\u2010curve was at a DIS\u2010value of 5, yielding sensitivity=0.60, specificity=0.77, PPV=0.82, NPV=0.52 and overall accuracy=0.66.<\/jats:p><jats:p><jats:italic>Conclusions.<\/jats:italic> A cut\u2010off point at 7 diagnosed 159 women (64%) as having GSI, 41 of them (16% of 250) having a false positive DIS. Similarly, a cut\u2010off point at 5 diagnosed 112 women (45%) as having GSI, 20 of them (8% of 250) having a false positive DIS. These women, if otherwise feasible and indicated, might perhaps undergo continence surgery without preoperative urodynamics. A lower cut\u2010off point than originally proposed ought therefore to be used if the DIS is to become a useful preoperative tool for this kind of surgery.<\/jats:p>","DOI":"10.3109\/00016349609055032","type":"journal-article","created":{"date-parts":[[2007,11,22]],"date-time":"2007-11-22T00:49:33Z","timestamp":1195692573000},"page":"941-945","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Validity of a scored urological history in detecting detrusor instability in female urinary incontinence"],"prefix":"10.1111","volume":"75","author":[{"given":"Atle","family":"Klovning","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steinar","family":"Hunskaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjarne Chr. 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