Evaluation of the acceptability of patient-reported outcome measures in women following pelvic floor procedures

Ruseckaite, Rasa; Bavor, Claire; Marsh, Lucy; Dean, J.; Daly, Oliver; Vasiliadis, Dora; Ahern, Susannah

doi:10.1007/s11136-022-03099-x

Cited by 7 publications

(3 citation statements)

References 38 publications

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“…PROMs in registries are becoming more widely available and increasingly being used for benchmarking purposes [ 4 , 17 , 18 ]. A number of gynecological surgery registries worldwide capture HRQoL data [ 7 , 19 – 23 ]. PROMs data in the APFPR will provide additional information to support the safety monitoring of mesh-related adverse events about a participant’s condition prior to surgery as well as monitor them beyond the usual post-surgical follow up time period [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation and acceptability of patient-reported outcome measures in women following pelvic organ prolapse procedures

Ruseckaite

Jayasinghe

Bavor

et al. 2023

BMC Health Serv Res

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Background The Australasian Pelvic Floor Procedure Registry (APFPR) captures clinical and surgical data in women undergoing pelvic floor procedures. The inclusion of patient reported outcome measures (PROMs) in the APFPR is a critical activity providing the additional patient perspective of their condition prior to surgery as well as monitoring beyond the usual post-surgical follow-up time. This study aimed to evaluate the acceptability of seven PROMs for women with pelvic organ prolapse (POP) and to determine the most suitable instrument for the APFPR. Methods Semi-structured qualitative interviews were conducted with women with POP (n = 15) and their treating clinicians (n = 11) in Victoria, Australia. Interview topics covered appropriateness, content, and acceptability of seven POP-specific instruments identified through the literature to determine their suitability and acceptability for inclusion in the APFPR. We analysed the interview data using conventional content analysis. Results All study participants agreed that PROMs were needed for the APFPR. Both women and clinicians suggested that some of the instruments were ambiguous, too long and confusing. The Australian Pelvic Floor Questionnaire was accepted widely amongst women and clinicians and recommended for inclusion in the APFPR. All participants agreed it would be appropriate to capture PROMs before surgery, and then followed up post-surgically. Email, phone call or postal mail-out were the preferred options for PROMs data collection. Conclusion Most women and clinicians supported incorporating PROMs in the APFPR. Study participants believed that capturing PROMs would have potential use in individual care and improve outcomes of women with POP.

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Section: Discussionmentioning

confidence: 99%

Evaluation and acceptability of patient-reported outcome measures in women following pelvic organ prolapse procedures

Ruseckaite

Jayasinghe

Bavor

et al. 2023

BMC Health Serv Res

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“…Among those who completed the CEQ ( n = 3604), 97% of the answers were returned electronically between 4 and 8 weeks postpartum 27 . We consider a response rate over 60% to be high 28 …”

Section: Methodsmentioning

confidence: 99%

Childbirth experiences in women with polycystic ovary syndrome: A cohort study

Husby,

Simpson,

Dalbye

et al. 2024

Acta Obstet Gynecol Scand

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IntroductionWomen with polycystic ovary syndrome (PCOS) have more pregnancy complications like gestational diabetes, hypertension, and preterm labor than other women. Metformin has been used in an attempt to improve pregnancy outcomes. Our study aims to explore childbirth experiences in women with PCOS compared with a reference population. It also explores the potential influence of metformin, obesity, pregnancy complications, and the duration and mode of birth on childbirth experiences.Material and methodsThis study is a cohort study combining data from two randomized trials conducted in Norway, Sweden and Iceland. The PregMet2 study (ClinicalTrials.gov, NCT01587378) investigated the use of metformin vs. placebo in pregnant women with PCOS. The Labour Progression Study (ClinicalTrials.gov, NCT02221427) compared the WHO partograph to Zhang's guidelines for progression of labor and were used as the reference population. A total of 365 women with PCOS and 3604 reference women were included. Both studies used the Childbirth Experience Questionnaire (CEQ). Main outcome measures were total CEQ score and four domain scores. The CEQ scores were compared using Mann–Whitney U test for women in Robson group 1 with PCOS (n = 131) and reference women (n = 3604). CEQ scores were also compared between metformin‐treated (n = 180) and placebo‐treated (n = 185) women with PCOS, and for different subgroups of women with PCOS.ResultsThere was no difference in total CEQ score between women with PCOS and reference women—Wilcoxon–Mann–Whitney (WMW)‐odds 0.96 (95% confidence interval [CI] 0.78–1.17). We detected no difference in CEQ scores between the metformin‐ and placebo‐treated women with PCOS (WMW‐odds 1.13, 95% CI 0.89–1.43). Complications in pregnancy did not affect CEQ (WMW‐odds 1, 95% CI 0.76–1.31). Higher body mass index (WMW‐odds 0.75, 95% CI 0.58–0.96), longer duration of labor (WMW‐odds 0.69, 95% CI 0.49–0.96), and cesarean section (WMW‐odds 0.29, 95% CI 0.2–0.42) were associated with lower CEQ scores in women with PCOS.ConclusionsWomen with PCOS experience childbirth similarly to the reference women. Metformin did not influence childbirth experience in women with PCOS, neither did pregnancy complications. Obesity, long duration of labor or cesarean section had a negative impact on childbirth experience.

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“…With permission from the authors, the APFQ was used for PROMs data collection 10 . The APFQ has been chosen after conducting two acceptability studies with women with PFDs and their clinicians, and was endorsed by the APFPR clinical advisory committee 9 .…”

Section: Instrumentmentioning

confidence: 99%

A Pilot Study of Implementing Patient Reported Outcome Measures in the Australasian Pelvic Floor Procedure Registry

Ruseckaite,

Jayasinghe,

Merenda

et al. 2024

Preprint

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The Australasian Pelvic Floor Procedure Registry (APFPR) records information about procedures for stress urinary incontinence and pelvic organ prolapse. This study aimed to test the feasibility of capturing Patient Reported Outcome Measures (PROMs) in women with pelvic floor disorders (PFDs) identified via the APFPR. We administered the Australian Pelvic Floor Questionnaire (APFQ) in women with PFDs prior to surgery (baseline) and six months post-surgery through a combination of email, postal mail, SMS and telephone. Results were reported descriptively, as number and proportion for PROMs response rates and data completeness, and as a mean and standard deviation (SD) for the APFQ scores. The APFQ was administered to 140 patients at baseline and to 112 post-surgery. The baseline PROMs response rates were high (75%), but decreased to 56% at follow up. The overall APFQ completeness was ~98%. The APFQ dysfunction scores revealed a significant improvement at six months (mean (SD) score at baseline=14.5 (5.7), six months=11.4 (6.5), p≤0.001). Significant improvement in the bladder and prolapse domains (p≤0.001) were particularly observed. The results showed an overall improvement in quality of life scores at follow up, suggesting that the APFQ was a suitable instrument for the APFPR.

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Evaluation of the acceptability of patient-reported outcome measures in women following pelvic floor procedures

Cited by 7 publications

References 38 publications

Evaluation and acceptability of patient-reported outcome measures in women following pelvic organ prolapse procedures

Evaluation and acceptability of patient-reported outcome measures in women following pelvic organ prolapse procedures

Childbirth experiences in women with polycystic ovary syndrome: A cohort study

A Pilot Study of Implementing Patient Reported Outcome Measures in the Australasian Pelvic Floor Procedure Registry

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