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Erschienen in: International Urogynecology Journal 5/2009

01.05.2009 | Original Article

Responsiveness of the electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF)

verfasst von: G. L. Jones, S. C. Radley, J. Lumb, A. Farkas

Erschienen in: International Urogynecology Journal | Ausgabe 5/2009

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Abstract

This study aimed to evaluate the responsiveness of the electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF) in women undergoing surgery for pelvic floor disorders. Fifty-four women undergoing tension-free vaginal tape (TVT) and 47 women undergoing prolapse surgery completed ePAQ-PF at baseline and 3 months postoperatively. Responsiveness was calculated using effect sizes, standardized response means, responsiveness statistic, and minimally important difference. In the TVT group, the largest effect sizes were seen in the urinary domains for stress urinary incontinence (2.4), quality of life (2.2), and overactive bladder (0.9). In the prolapse group, the largest effect sizes were seen in the vaginal domains for prolapse (2.1) and quality of life (1.0). ePAQ-PF is responsive to change in women undergoing TVT or prolapse surgery in the salient and expected domains of stress incontinence and prolapse and quality of life and can be recommended for outcome measurement in this context.
Literatur
1.
Zurück zum Zitat Eva UF, Gun W, Preben K (2003) Prevalence of urinary and fecal incontinence and symptoms of genital prolapse in women. Acta Obstet Gynecol Scand 82:280–286PubMedCrossRef Eva UF, Gun W, Preben K (2003) Prevalence of urinary and fecal incontinence and symptoms of genital prolapse in women. Acta Obstet Gynecol Scand 82:280–286PubMedCrossRef
2.
Zurück zum Zitat Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, Karram MM (2007) Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obset Gynecol 197(622):e1–e7 Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, Karram MM (2007) Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obset Gynecol 197(622):e1–e7
3.
Zurück zum Zitat Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Qualls C, Olsen A, Barber M (2006) Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 195:e1–e4PubMedCrossRef Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Qualls C, Olsen A, Barber M (2006) Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 195:e1–e4PubMedCrossRef
4.
Zurück zum Zitat Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, Parekh M, Tamussino K, Tosson S, Lose G, Petri E (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 19:5–33PubMed Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, Parekh M, Tamussino K, Tosson S, Lose G, Petri E (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 19:5–33PubMed
5.
Zurück zum Zitat Radley SC, Jones GL, Tanguy EA, Stevens VG, Nelson C, Mathers NJ (2006) Computer interviewing in urogynaecology: concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care. Br J Obstet Gynaecol 113:231–238 Radley SC, Jones GL, Tanguy EA, Stevens VG, Nelson C, Mathers NJ (2006) Computer interviewing in urogynaecology: concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care. Br J Obstet Gynaecol 113:231–238
6.
Zurück zum Zitat Jones GL, Radley SC, Lumb J, Jha S (2008) Electronic pelvic floor symptoms assessment: tests of data quality of ePAQ-PF. Int Urogynecol J Pelvic Floor Dysfunct 19:1337–1347, Epub ahead of printPubMedCrossRef Jones GL, Radley SC, Lumb J, Jha S (2008) Electronic pelvic floor symptoms assessment: tests of data quality of ePAQ-PF. Int Urogynecol J Pelvic Floor Dysfunct 19:1337–1347, Epub ahead of printPubMedCrossRef
7.
Zurück zum Zitat Bowling A (2005) Measuring health—a review of quality of life measurement scales, 3rd edn. Open University Press, Milton Keynes Bowling A (2005) Measuring health—a review of quality of life measurement scales, 3rd edn. Open University Press, Milton Keynes
8.
Zurück zum Zitat Fayers PM, Machin D (2007) Quality of life—the assessment, analysis and interpretation of patient-reported outcomes, 2nd edn. Wiley, Chichester Fayers PM, Machin D (2007) Quality of life—the assessment, analysis and interpretation of patient-reported outcomes, 2nd edn. Wiley, Chichester
9.
Zurück zum Zitat Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chron Dis 40:171–178PubMedCrossRef Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chron Dis 40:171–178PubMedCrossRef
10.
Zurück zum Zitat McCracken GR, Henderson NA, Ashe RG (2007) Five year follow-up comparing tension-free vaginal tape and colposuspension. Ulster Med J 76:146–149PubMed McCracken GR, Henderson NA, Ashe RG (2007) Five year follow-up comparing tension-free vaginal tape and colposuspension. Ulster Med J 76:146–149PubMed
11.
Zurück zum Zitat Nygaard IE, McCreery R, Burbaker L et al (2004) Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele: evolution of operative techniques. J Reprod Med 37:323–327 Nygaard IE, McCreery R, Burbaker L et al (2004) Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele: evolution of operative techniques. J Reprod Med 37:323–327
12.
Zurück zum Zitat Ward KL, Hilton P, UK and Ireland TVT Trial Group (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331PubMedCrossRef Ward KL, Hilton P, UK and Ireland TVT Trial Group (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331PubMedCrossRef
13.
Zurück zum Zitat Ward KL, Hilton P, UK and Ireland TVT Trial Group (2008) Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 115:226–233PubMedCrossRef Ward KL, Hilton P, UK and Ireland TVT Trial Group (2008) Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 115:226–233PubMedCrossRef
14.
Zurück zum Zitat Walters SJ, Brazier JE (2003) What is the relationship between the minimally important difference and health state utility values? The case of the SF-6D. Health Qual Life Outcomes 1:4PubMedCrossRef Walters SJ, Brazier JE (2003) What is the relationship between the minimally important difference and health state utility values? The case of the SF-6D. Health Qual Life Outcomes 1:4PubMedCrossRef
15.
Zurück zum Zitat Guyatt GH, Osoba D, Wu AW, Wyrwich KW, Norman GR, Clinical Significance Consensus Meeting Group (2002) Methods to explain the clinical significance of health status measures. Mayo Clin Proc 77:371–383PubMedCrossRef Guyatt GH, Osoba D, Wu AW, Wyrwich KW, Norman GR, Clinical Significance Consensus Meeting Group (2002) Methods to explain the clinical significance of health status measures. Mayo Clin Proc 77:371–383PubMedCrossRef
16.
Zurück zum Zitat Lydick E, Epstein RS (1993) Interpretation of quality of life changes. Qual Life Res 2:221–226PubMedCrossRef Lydick E, Epstein RS (1993) Interpretation of quality of life changes. Qual Life Res 2:221–226PubMedCrossRef
17.
Zurück zum Zitat Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perin EB (1996) Evaluating quality of life and health status instruments: development of scientific review criteria. Clin Ther 18:979–992PubMedCrossRef Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perin EB (1996) Evaluating quality of life and health status instruments: development of scientific review criteria. Clin Ther 18:979–992PubMedCrossRef
18.
Zurück zum Zitat Kazis L, Anderson J, Meenan R (1989) Effect sizes for interpreting changes in health status. Med Care 27:178–189CrossRef Kazis L, Anderson J, Meenan R (1989) Effect sizes for interpreting changes in health status. Med Care 27:178–189CrossRef
19.
Zurück zum Zitat Cohen J (1977) Statistical power analysis for the behavioural sciences. Academic, New York Cohen J (1977) Statistical power analysis for the behavioural sciences. Academic, New York
20.
Zurück zum Zitat Jenkinson C (1994) Measuring health and medical outcomes. UCL Press, London Jenkinson C (1994) Measuring health and medical outcomes. UCL Press, London
21.
Zurück zum Zitat Guyatt GH, Eagle DJ, Sackett B (1993) Measuring quality of life in the frail elderly. J Clin Epidemiol 46:1433–1444PubMedCrossRef Guyatt GH, Eagle DJ, Sackett B (1993) Measuring quality of life in the frail elderly. J Clin Epidemiol 46:1433–1444PubMedCrossRef
22.
Zurück zum Zitat Colwell H, Mathias SD, Pasta DJ, Henning JM, Steege JF (1998) A health-related quality of life instrument for symptomatic patients with endometriosis: a validation study. Am J Obset Gynecol 179:47–55CrossRef Colwell H, Mathias SD, Pasta DJ, Henning JM, Steege JF (1998) A health-related quality of life instrument for symptomatic patients with endometriosis: a validation study. Am J Obset Gynecol 179:47–55CrossRef
23.
Zurück zum Zitat Hajiro T, Nishimura K (2002) Minimal clinically significant difference in health status: the thorny path of health status measures? Eur Respir J 19:390–391PubMedCrossRef Hajiro T, Nishimura K (2002) Minimal clinically significant difference in health status: the thorny path of health status measures? Eur Respir J 19:390–391PubMedCrossRef
24.
Zurück zum Zitat Guyatt GH, Feeny D, Patrick D (1991) Proceedings of the international conference on the measurement of quality of life as an outcome in clinical trials: postscript. Controlled Clin Trials 12:266s–269sCrossRef Guyatt GH, Feeny D, Patrick D (1991) Proceedings of the international conference on the measurement of quality of life as an outcome in clinical trials: postscript. Controlled Clin Trials 12:266s–269sCrossRef
25.
Zurück zum Zitat Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J pelvic Floor Dysfunct 7:81–86PubMedCrossRef Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J pelvic Floor Dysfunct 7:81–86PubMedCrossRef
26.
Zurück zum Zitat Ward K, Hilton P, United Kingdom and Ireland Tension-free Vaginal Tape Trial Group (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325(7355):67, 13PubMedCrossRef Ward K, Hilton P, United Kingdom and Ireland Tension-free Vaginal Tape Trial Group (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325(7355):67, 13PubMedCrossRef
27.
Zurück zum Zitat Gustilo-Ashby AM, Paraiso MF, Jelovsek JE, Walters MD, Barber MD (2007) Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomised trial of rectocele repair. Am J Obstet Gynecol 197:76.e1–e5CrossRef Gustilo-Ashby AM, Paraiso MF, Jelovsek JE, Walters MD, Barber MD (2007) Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomised trial of rectocele repair. Am J Obstet Gynecol 197:76.e1–e5CrossRef
28.
Zurück zum Zitat Hiller L, Bradshaw HD, Radley SC, Radley S (2007) Criterion validity of the BBUSQ-22: a questionnaire assessing bowel and urinary tract symptoms in women. Int Urogynecol J Pelvic Floor Dysfunct 18(10):1133–1137, OctPubMedCrossRef Hiller L, Bradshaw HD, Radley SC, Radley S (2007) Criterion validity of the BBUSQ-22: a questionnaire assessing bowel and urinary tract symptoms in women. Int Urogynecol J Pelvic Floor Dysfunct 18(10):1133–1137, OctPubMedCrossRef
29.
Zurück zum Zitat Juniper EF, Guyatt GH, Willan A, Griffith LE (1994) Determining a minimal important change in a disease-specific Quality of Life Questionnaire. J Clin Epidemiol 47:81–87PubMedCrossRef Juniper EF, Guyatt GH, Willan A, Griffith LE (1994) Determining a minimal important change in a disease-specific Quality of Life Questionnaire. J Clin Epidemiol 47:81–87PubMedCrossRef
30.
Zurück zum Zitat Badia X, Webb SM, Prieto L, Lara N (2004) Acromegaly quality of life questionnaire (AcroQoL). Health Qual Life Outcomes 2:13, 27PubMedCrossRef Badia X, Webb SM, Prieto L, Lara N (2004) Acromegaly quality of life questionnaire (AcroQoL). Health Qual Life Outcomes 2:13, 27PubMedCrossRef
Metadaten
Titel
Responsiveness of the electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF)
verfasst von
G. L. Jones
S. C. Radley
J. Lumb
A. Farkas
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0790-9

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