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Abu-Huwaij R, Al-Shalabi R, Alkhader E, Almasri FN. Urinary Incontinence and Quality of Life in Women of Central Jordan: A Cross-Sectional Study. Clin Pract 2024; 14:1921-1930. [PMID: 39311302 PMCID: PMC11417880 DOI: 10.3390/clinpract14050152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2024] [Revised: 08/29/2024] [Accepted: 09/05/2024] [Indexed: 09/26/2024] Open
Abstract
BACKGROUND Considering the high prevalence of UI in the rural areas of Jordan and the limited clinical data on its occurrence in central Jordan, this study aims to investigate the prevalence, risk factors, and impact of urinary incontinence (UI) on the quality of life (QoL) of women in central Jordan. METHOD This cross-sectional study was conducted from September to December 2022, using online the Incontinence Impact Questionnaire short form (IIQ-7) and Urogenital Distress Inventory short form (UDI-6). Participation was voluntary, and anonymous. Internal consistency was assessed using Cronbach's α. RESULTS A total of 128 women participated in the study. More than half of the participants (54.33%, N = 69) experienced UI symptoms. Body mass index was the sole statistically significant factor linked to UI. Obese patients had the highest risk (OR 35, CI 95% 2.577-475.308, p < 0.05) compared to those with a healthy weight. Multivariate regression indicated significant associations of severe UI with smoking and vaginal births with a moderate impact of UI on QoL. CONCLUSIONS The study's findings emphasize the need for women's health centers in the center of Jordan to develop comprehensive UI prevention and management programs to improve women's health and well-being.
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Affiliation(s)
- Rana Abu-Huwaij
- College of Pharmacy, Amman Arab University, Amman 11953, Jordan
| | - Rolla Al-Shalabi
- Department of Toxicology, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Gelugor 11700, Malaysia;
| | - Enas Alkhader
- Faculty of Pharmacy, Middle East University, Amman 11831, Jordan;
| | - Farah N. Almasri
- Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan;
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Piernicka M, Ossowski Z, Kortas J, Bojar D, Labun J, Szumilewicz A. Can We Improve the Technique of Pelvic Floor Muscle Exercises in Postmenopausal Women Using a Single Electromyography Biofeedback Session? An Experimental Study. J Clin Med 2024; 13:3062. [PMID: 38892773 PMCID: PMC11172777 DOI: 10.3390/jcm13113062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 05/13/2024] [Accepted: 05/21/2024] [Indexed: 06/21/2024] Open
Abstract
Background: The aim of this study was to assess the effect of a single session of EMG biofeedback in a group of postmenopausal women on improving technique in pelvic floor muscle (PFM) contractions (exercises). Methods: Sixty-two women aged 60 to 85 years (69 ± 4; mean ± SD) participated in the study. We assessed the technique of PFM exercises via surface electromyography (EMG) using a vaginal probe. A single assessment sequence consisted of 11 exercises involving the conscious contraction of the PFM, during which the order of activation for selected muscles was determined. We then awarded scores for exercise technique on a scale from 0 to 4, where 4 represented the best technique and 0 represented no activation of PFMs. In the second assessment, we used a biofeedback method to teach PFM exercise technique. Results: In total, 32% (n = 20) of the participants were unable to correctly perform the first PFM contraction, scoring 0.9 ± 0.79. After a single EMG biofeedback session, these women received 1.7 ± 1.08 scores (p = 0.003). In the tenth exercise, there was also a statistically significant improvement between the first (baseline) and second assessment (1.7 ± 1.34 and 2.15 ± 1.09, respectively; p = 0.037). For the remaining exercises, the results were not statistically significant, but we observed a positive trend of change. Conclusions: The use of a single EMG biofeedback session is an effective method of improving technique in PFM exercises in a group of women who initially performed them incorrectly.
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Affiliation(s)
- Magdalena Piernicka
- Faculty of Physical Culture, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland; (Z.O.); (J.K.); (D.B.); (J.L.); (A.S.)
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Gonzalez G, Arora A, Choi E, Bresee C, Perley J, Anger JT. Outcomes of the Supris® Sling in an Urban Latina Population. Urology 2021; 163:3-7. [PMID: 34637838 DOI: 10.1016/j.urology.2021.07.054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 06/20/2021] [Accepted: 07/23/2021] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To analyze patient reported outcomes, safety, and efficacy of the Supris® mid-urethral sling in a diverse population. METHODS A retrospective chart review of 101 women who underwent a mid-urethral Supris® sling procedure was conducted. Baseline characteristics and peri-operative parameters were collected. Post-operative results and patient reported outcomes were collected at an average follow-up time of 19 months using the Urogenital Distress Inventory-6 (UDI-6) and Patient Global Impression of Improvement (PGI-I) validated questionnaires. Subjective cure rates were compared using the nonparametric Wilcoxon Rank Sum Test. RESULTS The median age of women was 57 years old, and 86.1% identified as Latina. 28% and 72% of women had a SUI and MUI diagnosis, respectively. Women, on average, used two pads pre-operatively and none post-operatively. There was a 3% surgical revision rate. 80 women completed the questionnaires. 82% of the MUI group reported being very much improved or much better. The SUI group reported being 94% very much improved or much better. The UDI-6 questions related to urgency and leakage of small amounts of urine were significantly different between the MUI and SUI groups (p = 0.002 and p = 0.044). CONCLUSIONS In our primarily Latina patient population, the majority of whom had MUI, the Supris® retropubic sling greatly improved symptoms. Although reported outcomes were excellent in both groups, those with pre-operative urge incontinence were more likely to experience urge symptoms post-operatively. Despite persistent urge symptoms, patients reported improvement of their overall symptoms.
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Affiliation(s)
- Gabriela Gonzalez
- Department of Urology, University of California, Davis School of Medicine, Sacramento, CA
| | - Aman Arora
- University of California, Davis School of Medicine, Sacramento, CA
| | - Eunice Choi
- Department of Surgery, Division of Urology, Cedars-Sinai Medical Center, Beverly Hills, CA
| | - Catherine Bresee
- Department of Statistics, Cedars Sinai Medical Center, Los Angeles, CA
| | | | - Jennifer T Anger
- Department of Surgery, Division of Urology, Cedars-Sinai Medical Center, Beverly Hills, CA.
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Analysis of the Readability of Questionnaires on Symptoms of Pelvic Floor Dysfunctions Adapted to Spanish. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910320. [PMID: 34639619 PMCID: PMC8507699 DOI: 10.3390/ijerph181910320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 09/09/2021] [Accepted: 09/24/2021] [Indexed: 11/16/2022]
Abstract
Questionnaires are tools of interest in the evaluation of pelvic floor dysfunctions, but their success depends on their readability. Evaluating symptoms associated with such dysfunctions through questionnaires validated in Spanish with adequate readability indices will be useful for subsequent therapeutic work with these patients. The objective of this study is to evaluate the readability of symptomatology questionnaires on pelvic floor dysfunctions adapted to Spanish. This descriptive study included a total of 19 questionnaires, whose readability was analyzed according to four indices: Fernández-Huerta, Szigriszt-Pazos, Inflesz and readability µ (mu). In total, 50% of the questionnaires for fecal incontinence symptoms were found to have inadequate scores in terms of readability, according to the Inflesz index. If we take the readability mu index as a reference, the number of questionnaires that do not meet the minimum readability limit are as follows: 20% in urinary incontinence, 50% in fecal incontinence, 66.6% in sexual function, 100% in general pelvic floor, 25% in overactive bladder and 100% in benign prostatic hyperplasia. Therefore, it is necessary to review and adapt health questionnaires on pelvic floor dysfunctions to improve their readability and ease of understanding by conducting studies with the people who fill out these questionnaires.
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Monticone M, Frigau L, Mola F, Rocca B, Giordano A, Foti C, Franchignoni F. Italian versions of the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7: translation and validation in women with urinary incontinence. Disabil Rehabil 2020; 43:2930-2936. [DOI: 10.1080/09638288.2020.1720319] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Marco Monticone
- Department of Medical Sciences and Public Health, Physical Medicine and Rehabilitation, University of Cagliari, Cagliari, Italy
- Department of Neuroscience and Rehabilitation, Neurorehabilitation Unit, G. Brotzu Hospital, Cagliari, Italy
| | - Luca Frigau
- Department of Economics and Business Science, University of Cagliari, Cagliari, Italy
| | - Francesco Mola
- Department of Economics and Business Science, University of Cagliari, Cagliari, Italy
| | - Barbara Rocca
- ICS Maugeri, IRCCS, Institute of Lissone, Lissone, Italy
| | - Andrea Giordano
- Bioengineering Unit, ICS Maugeri IRCCS, Institute of Veruno, Veruno, Italy
| | - Calogero Foti
- Physical and Rehabilitation Medicine, University of Rome Tor Vergata, Rome, Italy
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Ghroubi S, El Fani N, Elarem S, Alila S, Ben Ayed H, Borgi O, Chmak J, Elleuch MH. Arabic (Tunisian) translation and validation of the Urogenital Distress Inventory short form (UDI-6) and Incontinence Impact Questionnaire short form (IIQ-7). Arab J Urol 2019; 18:27-33. [PMID: 32082631 PMCID: PMC7006668 DOI: 10.1080/2090598x.2019.1678000] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Accepted: 09/02/2019] [Indexed: 10/25/2022] Open
Abstract
Objective: To translate and validate an Arabic (Tunisian) version of the Urogenital Distress Inventory short form (UDI-6) and Incontinence Impact Questionnaire short form (IIQ-7), which can be used reliably in daily practice and clinical research for Tunisian and Arabic populations. Patients and methods: This cross-sectional study was conducted from January to June 2018. The UDI-6 assesses the presence of urinary incontinence (UI) and the degree of impairment that it causes, whilst the IIQ-7 evaluates women's life quality with lower urinary tract symptoms. As UI is a relatively common condition in middle-aged and older women these tools are utilised worldwide. The Arabic (Tunisian) translation and cultural adaptation of the UDI-6 and IIQ-7 was achieved via the forward/backward method and comprehension test within a group of 15 patients. Psychometric validation included testing the questionnaire on a group of 35 patients. Intra-rater reliability was evaluated by calculation of the intraclass correlation coefficient (ICC) for each item of the questionnaires. Cronbach's α was used to assess internal consistency. The International Consultation on Incontinence Modular Questionnaire short form (ICIQ-SF), in its Arabic version, was used as the 'gold standard'. Results: For the UDI-6, the ICC was 0.98 demonstrating excellent intra-rater reliability and Cronbach's α was 0.99 (>0.9), confirming an excellent correlation between the different items. Internal consistency (Cronbach's α 0.99) and test-retest reliability of the IIQ-7 (ICC 0.98) were very good. For both questionnaires, the κ values for each item ranged from 0.77 to 0.96. Conclusions: We found that the UDI-6 and IIQ-7 questionnaires were valid tools that can be used reliably in daily practice and clinical research for Tunisian and Arabic women with UI. Abbreviations: ICC: intraclass correlation coefficient; ICIQ-SF: Incontinence Modular Questionnaire short form; IIQ-7: Incontinence Impact Questionnaire short form; QoL: quality of life; UDI-6: Urogenital Distress Inventory short form; UI: urinary incontinence.
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Affiliation(s)
- Sameh Ghroubi
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Nedra El Fani
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Soumaya Elarem
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Samar Alila
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Houda Ben Ayed
- Department of Epidemiology and Community Medicine, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
| | - Ons Borgi
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Jihen Chmak
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
| | - Mohamed Habib Elleuch
- Department of Physical Medicine and Rehabilitation, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia
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Shakir NA, Wang C, Singla N, Alhalabi F, Christie A, Lemack GE, Zimmern PE. Challenges of Multidimensional Outcome Reporting after Suburethral Mid Urethral Sling Removal. J Urol 2018; 199:1577-1583. [PMID: 29307687 DOI: 10.1016/j.juro.2017.12.059] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE We sought to determine the types and frequency of presenting symptoms in women undergoing suburethral mid urethral sling removal to improve outcome reporting after removal. MATERIALS AND METHODS Following institutional review board approval women who underwent suburethral mid urethral sling removal of 1 mid urethral sling were evaluated for their presenting symptoms and correlation with the UDI-6 (Urogenital Distress Inventory-Short Form) questionnaire. Demographic data were recorded. Patient reported presenting symptoms were categorized into 5 domains, including storage symptoms, voiding symptoms, pain, recurrent urinary tract infections or urinary incontinence. The UDI-6 was reviewed preoperatively and 6 to 12 months postoperatively. We also calculated an ideal outcome, defined as resolution of incontinence, pain, resumption of sexual activity and no need for further anti-incontinence procedures. RESULTS A total of 230 women from 2006 to 2017 met study inclusion criteria, including 116 who completed the UDI-6 postoperatively. Of the women 80% had 3 or more presenting symptoms with pain as the most common symptom. The most common combination of symptoms was all 5 domains, which was noted in 46 of the 230 women (20%). An increasing number of symptoms correlated with the total preoperative UDI-6 score. Symptom domains were associated with the corresponding UDI-6 subdomain questions. Domains not covered by the UDI-6, ie recurrent urinary tract infections and dyspareunia, accounted for 27% of reported symptoms. Due to limited data on sexual activity an ideal outcome was reached in 10% of patients but this rate was 40% after sexual activity information was excluded. CONCLUSIONS In this series the presenting symptoms were manifold in women undergoing suburethral mid urethral sling removal. The UDI-6 questionnaire correlated with many of these complaints. It may be used in outcome analysis in conjunction with self-reported symptoms.
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Affiliation(s)
- Nabeel A Shakir
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Connie Wang
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Nirmish Singla
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Feras Alhalabi
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Alana Christie
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Gary E Lemack
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas
| | - Philippe E Zimmern
- Department of Urology and Division of Biostatistics, Simmons Comprehensive Cancer Center (AC), University of Texas Southwestern Medical Center, Dallas, Texas.
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Arlandis Guzmán S, Martínez Cuenca E, Martínez García R, Bonillo García MA, Rejas J, Broseta-Rico E. Cultural adaptation to Spanish (Spain) of the "Overactive Bladder - Family Impact Measure (OAB-FIM)" questionnaire. Actas Urol Esp 2017; 41:324-332. [PMID: 28202287 DOI: 10.1016/j.acuro.2016.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Revised: 12/07/2016] [Accepted: 12/23/2016] [Indexed: 12/13/2022]
Abstract
OBJECTIVE The OAB-FIM was developed as a measure of the impact of an overactive bladder (OAB) on relatives who live with the patient. The objective of this study was conduct a cultural adaptation to Spanish (Spain) of the OAB-FIM questionnaire. METHODS The adaptation included a conceptual and linguistic validation phase, as well as a phase for measuring the psychometric properties in 25 relatives [mean age, 63.0 years (SD, 14.3); 44% women] who regularly live with patients with OAB, who are of either sex and 18 years of age or older. We measured conceptual and linguistic equivalence, internal reliability, construct validity and content validity. We assessed the applicability and administration load. RESULTS The OAB-FIM was conceptually and linguistically equivalent to the original, maintaining its 6 domains: social, travel, worry, irritability, sleep and sex. The interagreement correctly placed all items in their domain, except for number 10, which was placed more in worry than in irritability, motivates its reformulation. Some 2.95% of the items were missing. The floor and ceiling effects of the items varied, respectively, between 20-28%, and 0-16%. The mean time for completing the questionnaire was 5.2minutes (SD, 2.8), and 24% of the participants required some type of assistance. The α-Cronbach coefficient varied between 0.948-0.839. The correlations with similar scales in the family were moderate-high (0.407-0.753) or small-moderate with those administered to the patient (0.004-0.423). CONCLUSION We obtained a Spanish (Spain) version of the OAB-FIM that was conceptually and linguistically equivalent to the original. The questionnaire showed good internal consistency, content and construct validity and applicability.
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Affiliation(s)
- S Arlandis Guzmán
- Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España.
| | - E Martínez Cuenca
- Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España
| | - R Martínez García
- Servicio de Urología, Hospital Clínico Universitario, Valencia, España
| | - M A Bonillo García
- Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España
| | - J Rejas
- Departamento de Investigación de Resultados en Salud y Farmacoeconomía, Pfizer, Alcobendas, Madrid, España
| | - E Broseta-Rico
- Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España
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Garcia-Gordillo MA, Collado-Mateo D, Olivares PR, Adsuar JC. Application of EQ-5D-5L questionnaire in patients suffering from urinary incontinence. Actas Urol Esp 2016; 40:457-62. [PMID: 26975979 DOI: 10.1016/j.acuro.2016.01.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2015] [Revised: 01/22/2016] [Accepted: 01/22/2016] [Indexed: 11/17/2022]
Abstract
BACKGROUND Urinary incontinence is associated with reduced quality of life and given the high prevalence of people with this condition, it could be useful to know the impact of having urinary incontinence on physical, psychological and social aspects. The Spanish value set of EQ-5D was used to assign single scores to the EQ-5D-5L health states. EQ-5D-5L is a health-related quality of life questionnaire, which allows assessing health status. The aim of this study was to provide normative values of EQ-5D-5L in a population sample with urinary incontinence. STUDY DESIGN Cross-sectional study. METHODS A total of 965 people with urinary incontinence (297 men and 668 women) were included in this study. EQ-5D-5L index, VAS and health status are showed in the current study considering gender, age group, region, marital status, smoking status, net monthly incomes of household and educational level. RESULTS Higher prevalence was observed in women (69.22%) compared with men (30.78%). Mean (SD) EQ-5D-5L utility index and VAS score were 0.58 (0.40) and 53.91 (22.16), respectively, for overall population. The 16.1% (155 people) reported perfect health status (11111). The utility equivalent to set values 55555 was not reported by anyone. CONCLUSION This study provides normative values of EQ-5D-5L in a Spanish population sample with urinary incontinence.
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Affiliation(s)
- M A Garcia-Gordillo
- Departamento de Economía, Universidad de Extremadura, Badajoz, España; Departamento de Economía Aplicada, Universidad de Murcia, Murcia, España.
| | - D Collado-Mateo
- Facultad de Ciencias del Deporte, Universidad de Extremadura, Cáceres, España
| | - P R Olivares
- Instituto de Actividad Física y Salud, Universidad Autonoma de Chile, Talca, Chile
| | - J C Adsuar
- Departamento de Economía Aplicada, Universidad de Murcia, Murcia, España; Facultad de Ciencias del Deporte, Universidad de Extremadura, Cáceres, España
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Dominguez-Lara S. Secrets of coefficient alpha. Actas Urol Esp 2016; 40:471. [PMID: 27168501 DOI: 10.1016/j.acuro.2016.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 04/06/2016] [Indexed: 10/21/2022]
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