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Specific questionnaires: UROLOGIC DISEASES PDF Print E-mail

Name of questionnaires

Author(s)

Original language

Countries concerned
Benign Prostatic Hyperplasia (UROLIFE©) Sanofi-Aventis French Argentina (Spanish), Denmark, Finland, Germany, Israel, Italy, Lebanon (Arabic), The Netherlands, Norway, Portugal, Spain, Sweden, Turkey, UK (English), US (English)
Benign Prostatic Hypertrophy Impact Index (BPHII) Michael Barry English (USA) Australia, Austria, Argentina, Belgium (Dutch, French), Brazil, Bulgaria, Canada (French), China (Mandarin), Chile, Colombia, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Israel, Italy, Japan, Korea, Latvia, Lithuania, Mexico, The Netherlands, New Zealand, Norway, Philippines, Poland, Portugal, Puerto Rico, Romania, Russia, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland (French, German, Italian), Taiwan, Thailand, Turkey, UK (English), Ukraine, US (Spanish)
Bladder Control Self-Assessment Questionnaire (BCSQ) European OAB Faculty English (UK) Belgium (Dutch, French), Czech Republic, Denmark, Finland, France, Germany, Greece, Italy, The Netherlands, Norway, Poland, Portugal, Spain, Sweden
Danish Prostate Symptom Score 1 (DANPSS1) Jørgin Nordling Danish Finland, France, Hungary, Norway, Poland, Russia, Sweden, Thailand, UK (English)
Danish Prostate Symptom Score 1-sexual questions (SEXDANPSS) Jørgin Nordling Danish Belgium (Dutch, French), France, Germany, Greece, Israel, Hungary, Lithuania, Poland, Portugal, Russian, Spanish, The Netherlands, South Africa (Afrikaans, English), Thailand, Turkey
Incontinence QoL Questionnaire (I-QOL) COAT,
D. Patrick,
HRA,
P.C		 English (USA) Australia, Belgium (Dutch), Canada (French) (8 items), Denmark, Finland, France, Germany, Italy, The Netherlands, Norway, South Africa (Afrikaans and English), Spain, Sweden (8 items), UK (English)
Incontinence Questionnaire, Short Form (ICIQ-SF) Dr Avery English (UK) Australia, Belgium (Dutch, French), Bulgaria, Czech Republic, Estonia, France, Hungary, Italy, New Zealand, Poland, Romania, Russia, South Africa (Afrikaans, English), Sweden, Ukraine, US (Spanish)
Incontinence questionnaire : Bristol Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) Kerry Avery and the ICIQ group English (UK)

Austria, Belgium (Dutch and French), Canada (French), Czech Republic, France, Finland, Germany, Hungary, Italy, Japan, Netherlands, Norway, Spain, Sweden, USA (English, Spanish)
International Consultation on Incontinence Questionnaire – Male Lower Urinary Tract Symptoms - Long form (ICIQ-MLUTS) Nikki Gardener English (UK) Australia , Belgium (Dutch, French), Finland, Canada (English), Chile, Colombia, Czech Republic, Greece, Latvia (Latvian, Russian), Lithuania, Singapore, Slovakia
International Prostate Symptom Score (I-PSS) M. Barry, Peter Boyle English (USA), English (UK)

Argentina (Spanish), Australia, Austria (German), Belgium (Dutch, French), Brazil, Bulgaria, Canada (French), Chile, China, Colombia, Croatia, Czech Republic, Denmark, Estonia, Finland (Finnish, Swedish), France, Germany, Greece, Hungary, India (Hindi, Kannada, Marathi), Israel, Italy, Japan, Korea, Latvia (Latvian, Russian), Lithuania, Mexico (Spanish), The Netherlands, New Zealand, Norway, Poland, Portugal, Puerto Rico, Romania, Russia, Singapore (Chinese, Malay), Slovakia, Slovenia, South Africa (Afrikaans), Spain, Sweden, Switzerland (French, German, Italian), Taiwan (Chinese), Thailand, Turkey, UK (English), Ukraine (Russian, Ukrainian), US (Spanish)
Interstitial Cystitis Symptom Index and Problem Index (ICSI) Dr Michael O’Leary English (USA) Canada (English
Kidney Disease Quality of Life instrument (KDQOL™) KDQOL Group and RAND USA (English) Czech Republic, Denmark, France, Germany, The Netherlands, Poland, Sweden, UK (English)
Kidney Disease Quality of Life instrument (KDQOL™), Version 1.2 Hong Kong (Cantonese Chinese), Israel (Hebrew), Singapore (Malaysian, Mandarin Chinese)
Kidney Disease and Quality of Life instrument, 36 items KDQOL-36) Brazil (Portuguese), Canada (French), Czech Republic, Germany, Poland, Russia, Spain, Ukraine, USA (Spanish)
Kidney Transplant Questionnaire (KTQ)
First and Follow-up administration forms		 Dr P. Keown English (USA) Brazil, France, Germany, Italy, Portugal, Spain, Sweden, US (Spanish)
Kidney Transplant Questionnaire
34-item (KTQ-34)		 Czech Republic, Greece, Hungary, Korean, The Netherlands, Norway, Poland, Singapore (Mandarin Chinese), Sweden, Taiwan (Mandarin Chinese), Turkey
Modified Transplant Symptom Occurrence and Symptom Distress Scale (MTSOSD) Philip Moons
Sabina De Geest		 English (USA) Brasil, Denmark, France, Germany, India (Hindi), Italy, Poland, Spain, Sweden
King’s Health Questionnaire (KHQ) C. Kelleher, L. Cardozo English (UK) Argentina, Australia, Austria, Belgium (Dutch, French), Brazil, Bulgaria, Canada (English, French), Chile, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Israel (Hebrew), Italy, Japan, Korea, Latvia, Lithuania, Mexico, The Netherlands, New Zealand, Norway, Peru, Poland, Portugal, Romania, Russia, South Africa (Afrikaans, English), Spain, Sweden, Switzerland (French, German, Italian), Ukraine, US (English, Spanish)
Marital-Adjustment Scale (MAS) Harvey J.Locke and Karl M. Wallace English (USA) Finland , Norway, Spain, Sweden
NIH - Chronic Prostatitis Symptom Index (NIH - CPSI) Mark Litwin English (USA) Argentina, Australia, Brazil, Canada (French), Chile, China (Mandarin), Colombia, Estonia, Germany, Hong Kong (Cantonese Chinese), Hungary, Italian, Japan, New Zealand, Poland, Portugal, Puerto Rico, Russia, South Africa (English), Spain, Sweden, Switzerland (German), UK (English), Ukraine, USA (Spanish)
Nocturia Quality of Life Questionnaire (N-QOL) Dr Lucy Abraham et al. English (UK) Belgium (Dutch), Czech Republic, Denmark, Egypt (Arabic), Finland, France, Greece, Hungary, The Netherlands, Norway, Poland, Portugal, Russia, Slovakia, Sweden, Serbia
OverActive Bladder Assessment Tool (OAB-at) Medtap International English (USA) Brazil, Canada (English, French), China (Mandarin Chinese), Denmark, Finland, German, Hong Kong (Cantonese Chinese), Korea, Italy, Japan, The Netherlands, Norway, Poland, Romania, Russia, Singapore (Mandarin Chinese), Spain, Sweden, Switzerland (French, German), Turkey, USA (Mexican-US Spanish)
OverActive Bladder Questionnaire (OABq)

Argentina, Australia, Belgium (French), Brazil, Canada (English, French), China (Mandarin Chinese), Denmark, Estonia, Finland, France, Hong Kong (Cantonese Chinese), Hungary, Korea, Italy, Japan, Latvia (Latvian, Russian), Lithuania, New Zealand, Norway, Poland, Romania, Russia, Singapore (Mandarin Chinese), Slovenia, Sweden, Switzerland (French, German, Italian), Turkey
OverActive Bladder Questionnaire-Short Form (OAB-SF) China (Mandarin Chinese), Hong Kong (Cantonese Chinese), Singapore (Mandarin Chinese)
Patient Perception of Bladder Condition (PPBC) K. Coyne English (USA)

Argentina, Australia, Finland, Latvia (Latvian, Russian), New Zealand, Poland, Portugal, Slovenia, Switzerland (French, German, Italian), Turkey
Questionnaire d’évaluation de la Qualité de vie liée à l’incontinence urinaire (CONTILIFE©\4weeks) Mapi Values, P.C French Germany, UK
Questionnaire d’évaluation de la Qualité de vie liée à l’incontinence urinaire (CONTILIFE©) Austria, Belgium (Dutch), Czech Republic, Denmark, France, Germany, Hungary, The Netherlands, Poland, Spanish, Sweden, UK (English)
Questionnaire QUALIVEEN (QUALIVEE) Mapi Values, P.C French UK (English)
Scale for Activity Interference and Limitation (Baseline version ) (SAIL 1) - English (US) Canada (French), Sweden
Scale for Activity Interference and Limitation (Follow-up version ) (SAIL 2) - English (US) Canada (French), Sweden
Severity of Urgency Scale (SUS) / Patient Perception of Intensity of Urgency Scale Committee for Proprietary Medicinal Products (CPM) English (USA)

Belgium (Dutch, French), Czech Republic, Denmark, Estonia, Finland, Germany, Greece, Hungary, Latvia, Lithuania, Norway, Poland, Portugal, Russia, Spain, Slovakia, Sweden
Social Functioning Scale (SFS) Max J. Birchwood English (UK) USA (English, Canadian)
Symptom Problem Index (SPI) Michael Barry English (USA) Australia, Estonia
Symptoms Frequency and Bothersomeness (SFB) P.C English (USA) Canada (French), Sweden
Ureteric Stent Symptoms Questionnaire (USSQ) Dr Joshi English (UK) Germany
Urge-Urogenital Distress Inventory (UUDI) Dr Lubeck English (USA)

Australia (English), Belgium (Dutch), Canada (English), Czech Republic, Denmark, France, Germany, Hungary, Itay, The Netherlands, New Zealand (English), Poland, South Africa (English), Spain, Sweden, UK (English)
Urinary Symptoms Questionnaire (USQ) Paul Abrams English (UK) Austria, Belgium (Dutch), Denmark, France, Germany, The Netherlands, Sweden, UK (English)
Urinary Symptom Profile (USP) A.F.U. (Association Française d’Urologie) French UK (English)

P.C = pharmaceutical company