Table 5.
Patients with positive ACSS questionnaire result and negative urinary test(s) result but most probable diagnosis AC-negative (false-positive ACSS)
| Patient number | Age (yrs) | ACSS form A result a | Total score typical symptoms b, f | Total score differential symptoms d, f | Total score QoL e, f | ACSS form B result g | Urinary test(s) result h | most probable diagnosis k | Argumentation for false-positive ACSS |
|---|---|---|---|---|---|---|---|---|---|
| 004 | 27 | 1 | 6 | 2 | 2 | 2 | 0 | 0 | GP started differential diagnostics because of patient complaining of irritable bowel, vaginal discharge, obstipation |
| 006 | 62 | 1 | 8 | 6 | 1 | 2 | 0 | 0 | Form A: moderate scores for flank pain/ vaginal discharge/fever; Form B: majority of symptoms still present; postmenopausal; possibly vaginal atrophy; differential diagnostics indicated |
| 014 | 49 | 1 | 7 | 3 | 3 | 1 | 0 | 0 | Forms A and B: mild vaginal/ urethral discharge; score QoL discomfort severe; Form B: majority of typical symptoms gone away; possibly vaginal bacteriosis; differential diagnostics indicated |
| 021 | 29 | 1 | 10 | 3 | 9 | – | 0 | 0 | Severe complaints for frequency, urgency, abdominal pain and flank pain which could indicate a higher UTI, but then a positive urine test would be expected. QoL severely affected. Differential diagnostics indicated. |
| 045 | 60 | 1 | 7 | 0 | 2 | 1 | 0 | 0 | Moderate scores for frequency, urgency, blood in urine (patient was very worried about it), mild score for burning pain when urinating; possibly vaginal atrophy; differential diagnostics indicated. |
Result ACSS questionnaire based on total typical symptoms score ≥ 6:1 = AC-positive; 0 = AC-negative.
Total typical symptoms score: frequency + urgency + burning pain when urinating + incomplete emptying of the bladder + abdominal pain + blood seen in urine.
Total differential symptoms score: loin pain + vaginal discharge + urethral discharge + high body temperature + temperature specified.
Total QoL score: general discomfort + influence on work/ daily activities + influence on social activities.
severity score per symptom/ item: 0 = absent, 1 = mild, 2 = moderate, 3 = severe.
ACSS B: treatment result: 0 = all symptoms have gone away; 1 = majority of symptoms have gone away; 2 = majority of symptoms is still present; 3 = no changes in my symptoms; 4 = my condition is worse.
Urinary test result: dipstick and eventual dipslide: 1 = AC-positive; 0 = AC-negative.
most probable diagnosis, based on evaluation with independent GP: 1 = AC-positive; 0 = AC-negative.