{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:35:49Z","timestamp":1787027749241,"version":"build-2736575974"},"reference-count":35,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Zorgverzekeraars Nederland (ZN)","award":["Z69118123"],"award-info":[{"award-number":["Z69118123"]}]},{"name":"Kwaliteitsgelden Medisch Specialisten (SKMS)","award":["Z69118123"],"award-info":[{"award-number":["Z69118123"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>The use of healthcare insurance claims data for urinary incontinence (UI) pads has the potential to serve as an objective measure for assessing post-radical prostatectomy UI rates, but its validity for this purpose has not been established. The aim of this study is to correlate claims data with Patient Reported Outcome Measures (PROMs) for UI pad use. Patients who underwent RP in the Netherlands between September 2019 and February 2020 were included. Incontinence was defined as the daily use of \u22651 pad(s). Claims data for UI pads at 12\u201315 months after RP were extracted from a nationwide healthcare insurance database in the Netherlands. Participating hospitals provided PROMS data. In total, 1624 patients underwent RP. Corresponding data of 845 patients was provided by nine participating hospitals, of which 416 patients were matched with complete PROMs data. Claims data and PROMs showed 31% and 45% post-RP UI (\u22651 pads). UI according to claims data compared with PROMs had a sensitivity of 62%, specificity of 96%, PPV of 92%, NPV of 75% and accuracy of 81%. The agreement between both methods was moderate (\u03ba = 0.60). Claims data for pads moderately align with PROMs in assessing post-prostatectomy urinary incontinence and could be considered as a conservative quality indicator.<\/jats:p>","DOI":"10.3390\/cancers15245740","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T05:57:08Z","timestamp":1701928628000},"page":"5740","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Validation of Claims Data for Absorbing Pads as a Measure for Urinary Incontinence after Radical Prostatectomy, a National Cross-Sectional Analysis"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0505-4449","authenticated-orcid":false,"given":"Diederik J. H.","family":"Baas","sequence":"first","affiliation":[{"name":"Department of Urology, Canisius Wilhelmina Hospital, 6532 SZ Nijmegen, The Netherlands"},{"name":"Prosper Prostate Cancer Clinics, 6532 SZ Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2919-8626","authenticated-orcid":false,"given":"Jan","family":"Reitsma","sequence":"additional","affiliation":[{"name":"Zorgverzekeraars Nederland, 3700 AM Zeist, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lieke van","family":"Gerwen","sequence":"additional","affiliation":[{"name":"Vektis Intelligence, Vektis, 3700 AS Zeist, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaron","family":"Vleghaar","sequence":"additional","affiliation":[{"name":"Vektis Intelligence, Vektis, 3700 AS Zeist, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3805-5093","authenticated-orcid":false,"given":"Jolanda M. L. G.","family":"Gehlen","sequence":"additional","affiliation":[{"name":"CZ Zorgverzekeringen, 5038 KE Tilburg, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathelijne M. P.","family":"Ziedses des Plantes","sequence":"additional","affiliation":[{"name":"Zilveren Kruis, 3833 LB Leusden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Paul A.","family":"van Basten","sequence":"additional","affiliation":[{"name":"Department of Urology, Canisius Wilhelmina Hospital, 6532 SZ Nijmegen, The Netherlands"},{"name":"Prosper Prostate Cancer Clinics, 6532 SZ Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick C. N.","family":"van den Bergh","sequence":"additional","affiliation":[{"name":"Department of Urology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Max","family":"Bruins","sequence":"additional","affiliation":[{"name":"Department of Urology, Zuyderland Medical Center, 6419 PC Heerlen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eelco R. P.","family":"Collette","sequence":"additional","affiliation":[{"name":"Department of Urology, Bravis Hospital, 4624 VT Bergen op Zoom, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Hoekstra","sequence":"additional","affiliation":[{"name":"Prosper Prostate Cancer Clinics, 6532 SZ Nijmegen, The Netherlands"},{"name":"Department of Urology, Catharina Hospital Eindhoven, 5623 EJ Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben C.","family":"Knipscheer","sequence":"additional","affiliation":[{"name":"Department of Urology, Treant Zorggroep, 7824 AA Emmen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pim J.","family":"van Leeuwen","sequence":"additional","affiliation":[{"name":"Department of Urology, Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"Luijendijk-de Bruin","sequence":"additional","affiliation":[{"name":"Department of Urology, Martini Hospital, 9728 NT Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joep G. H.","family":"van Roermund","sequence":"additional","affiliation":[{"name":"Department of Urology, Maastricht University Medical Center+, 6229 HX Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3768-7374","authenticated-orcid":false,"given":"J. P. Michiel","family":"Sedelaar","sequence":"additional","affiliation":[{"name":"Prosper Prostate Cancer Clinics, 6532 SZ Nijmegen, The Netherlands"},{"name":"Department of Urology, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommy G. W.","family":"Speel","sequence":"additional","affiliation":[{"name":"Department of Urology, Leeuwarden Medical Center, 8934 AD Leeuwarden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia P.","family":"Stomps","sequence":"additional","affiliation":[{"name":"Department of Urology, Ziekenhuisgroep Twente, 7609 PP Almelo, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl J.","family":"Wijburg","sequence":"additional","affiliation":[{"name":"Department of Urology, Rijnstate Hospital, 6815 AD Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0213-6127","authenticated-orcid":false,"given":"Rob P. W. F.","family":"Wijn","sequence":"additional","affiliation":[{"name":"Department of Urology, Jeroen Bosch Hospital, 5223 GZ Hertogenbosch, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igle Jan","family":"de Jong","sequence":"additional","affiliation":[{"name":"Department of Urology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5277-6586","authenticated-orcid":false,"given":"Diederik M.","family":"Somford","sequence":"additional","affiliation":[{"name":"Department of Urology, Canisius Wilhelmina Hospital, 6532 SZ Nijmegen, The Netherlands"},{"name":"Prosper Prostate Cancer Clinics, 6532 SZ Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.3390\/nursrep13030092","article-title":"Quality of Life after Radical Prostatectomy: A Longitudinal Study","volume":"13","year":"2023","journal-title":"Nurs. 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