Obstetrics and gynecology · 2005
Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinence.
Сравнительное исследованиеОценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tapp Karen, Connolly Annamarie, Visco Anthony G
Аннотация
OBJECTIVE: To compare the predictive abilities of the Aa point of the pelvic organ prolapse quantification examination and the cotton-tipped swab test straining angle to diagnose urodynamic stress incontinence.
METHODS: A case-control study was conducted between June 1997 and February 2003. Cases were defined as patients with urodynamic stress incontinence (n = 352). Controls were patients who also underwent urodynamic testing but who did not have a diagnosis of urodynamic stress incontinence (n = 245). Independent variables were defined as Aa point, Aa point of 0 or greater, straining cotton-tipped swab angle, and straining cotton-tipped swab angle of 30 degrees or greater. Logistic regression estimated the odds ratio of stress incontinence in women based on Aa values and cotton-tipped swab straining angle measurements, controlling for other variables commonly associated with stress incontinence.
RESULTS: The mean (+/- standard deviation) age of the cases was 55.9 +/- 13.4 and of controls was 55.3 +/- 14.8, (P = .6). The median parity of the cases was 2 (range 0-10) and of controls, 2 (range 0-9) (P = .7). The Aa point was not associated with a diagnosis of stress incontinence (odds ratio 1.01, 95% confidence interval (CI) 0.83-1.23). The adjusted odds ratios of having an Aa value of 0 or greater was 0.49 (95% CI 0.26-0.92), and of having a cotton-tipped swab angle of 30 degrees or greater was 3.1 (95% CI 1.09-5.07), in a model that adjusted for age, parity, race, and postmenopausal and hormonal replacement status.
CONCLUSION: Aa point is not associated with a diagnosis of stress incontinence. However, a cotton-tipped swab angle of 30 degrees or greater is positively associated with stress incontinence.
METHODS: A case-control study was conducted between June 1997 and February 2003. Cases were defined as patients with urodynamic stress incontinence (n = 352). Controls were patients who also underwent urodynamic testing but who did not have a diagnosis of urodynamic stress incontinence (n = 245). Independent variables were defined as Aa point, Aa point of 0 or greater, straining cotton-tipped swab angle, and straining cotton-tipped swab angle of 30 degrees or greater. Logistic regression estimated the odds ratio of stress incontinence in women based on Aa values and cotton-tipped swab straining angle measurements, controlling for other variables commonly associated with stress incontinence.
RESULTS: The mean (+/- standard deviation) age of the cases was 55.9 +/- 13.4 and of controls was 55.3 +/- 14.8, (P = .6). The median parity of the cases was 2 (range 0-10) and of controls, 2 (range 0-9) (P = .7). The Aa point was not associated with a diagnosis of stress incontinence (odds ratio 1.01, 95% confidence interval (CI) 0.83-1.23). The adjusted odds ratios of having an Aa value of 0 or greater was 0.49 (95% CI 0.26-0.92), and of having a cotton-tipped swab angle of 30 degrees or greater was 3.1 (95% CI 1.09-5.07), in a model that adjusted for age, parity, race, and postmenopausal and hormonal replacement status.
CONCLUSION: Aa point is not associated with a diagnosis of stress incontinence. However, a cotton-tipped swab angle of 30 degrees or greater is positively associated with stress incontinence.