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International Urogynecology Journal
Erschienen in: International Urogynecology Journal 4/2016

25.09.2015 | Original Article

Discrepancies between patient-reported outcome measures when assessing urinary incontinence or pelvic- prolapse surgery

verfasst von: Michael Due Larsen, Gunnar Lose, Rikke Guldberg, Kim Oren Gradel

Erschienen in: International Urogynecology Journal | Ausgabe 4/2016

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Abstract

Introduction and hypothesis

In order to assess the outcome following surgery for urinary incontinence (UI) and pelvic organ prolapse (POP) the importance of patient-reported outcome measures, in addition to the clinical objective measures, has been recognised. The International Consultation on Incontinence has initiated the development and evaluation of disease-specific questionnaires (ICIQ) to compare the patient’s degree of improvement. Alternatively, the Patient’s Global Impression of Improvement (PGI-I score) with an inherent before–after assessment has been widely accepted in recent studies. The aim of this study was to compare the PGI-I versus the ICIQ score for women undergoing UI or POP surgery.

Methods

This study is based on self-administered pre- and postoperative questionnaires, completed by women undergoing surgery for UI or POP in Denmark in 2013. Weighted Kappa statistics and 95 % limits of agreement method were used when comparing the PGI-I and ICIQ scores.

Results

Among the 3,310 women included the PGI-I score showed a higher improvement than the IQIC score, for UI 0.83 (CI 95 %: 0.80–0.85) vs 0.62 (0.60–0.64) and for POP 0.77 (0.75–0.78) vs 0.66 (0.65–0.67).

Conclusions

The PGI-I score renders higher satisfaction than the ICIQ score and the PGI-I score overestimates the improvement following UI and POP surgery.
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Metadaten
Titel
Discrepancies between patient-reported outcome measures when assessing urinary incontinence or pelvic- prolapse surgery
verfasst von
Michael Due Larsen
Gunnar Lose
Rikke Guldberg
Kim Oren Gradel
Publikationsdatum
25.09.2015
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 4/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2840-4

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