Investig Clin Urol.  2022 Mar;63(2):221-227. 10.4111/icu.20210421.

Translation and validation of the Korean version of acute cystitis symptom score

• Choi JB
• Cho KJ
• Han KH
• Alidjanov JF
• Pilatz AME
• Wagenlehner FME
• Naber KG
• Choe HS
• Lee SJ

• KMID: 2526907
• DOI: http://doi.org/10.4111/icu.20210421

Abstract

Purpose
Acute Cystitis Symptom Score (ACSS) is a simple self-reporting questionnaire initially developed in Uzbek language to help diagnose acute uncomplicated cystitis (AUC). The purpose of this study was to translate the ACSS to Korean and validate the Korean version of ACSS using Korean-speaking women.
Materials and Methods
The original version of ACSS in Uzbek was translated into the target (Korean) version according to internationally accepted guidelines for the translation and cultural adaptation. Cognitive interviews were then conducted for five women with symptoms of AUC and five women without AUC who were native speakers of the Korean language to investigate the clarity, understandability, and acceptability of the translation. The final Korean version of the ACSS was tested in 50 women (31 AUC patients and 19 controls) for clinical validation.
Results
Reliability test for 9 questions (6 questions about typical symptoms of AUC, and 3 questions on quality of life) showed high values (Cronbach’s alpha=0.853). The sum score of typical symptoms showed the highest balance for diagnostic sensitivity and specificity (area under the ROC curve=0.935). Sensitivity and specificity to predict AUC were 90.3% and 89.5% at cut-off score 6 of the typical domain.
Conclusions
The Korean version of the ACSS showed high levels of reliability and validity, similar to other validated versions in different languages. It will play an important role in practice and/or clinical research for diagnosis and treatment efficacy monitoring of Korean-speaking women suffering from AUC.

Keyword

Cystitis; Questionnaire; Urinary tract infection