Optimizing pelvic organ prolapse research

Lemos, Nucelio; Auge, Antônio Pedro Flores; Lunardelli, Jacqueline Leme; Frade, Armando Brites; Frade, Camila Luz; Oliveira, André Lima de; Ribeiro, P.A.; Aoki, Tsutomu

doi:10.1007/s00192-006-0204-9

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…A total of eighteen questionnaires were included in the analysis, focused on evaluation of common urologic conditions including: urinary incontinence (UI), [7][8][9][10][11] pelvic organ prolapse (POP), [12][13][14][15] overactive bladder (OAB), [16][17][18][19] and benign prostatic hyperplasia (BPH). [20][21][22] The characteristics of each questionnaire is summarized in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Readability of pelvic floor dysfunction questionnaires

Gaines

Malik

2020

Neurourology and Urodynamics

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Background: The National Institutes of Health and Center for Disease Control recommend the readability of self-administered patient questionnaires to be written at or below a sixth to eight grade reading level. The aim of this study is to evaluate the readability of commonly used urinary incontinence (UI), pelvic organ prolapse (POP), overactive bladder (OAB), and benign prostate hyperplasia (BPH) questionnaires.Methods: Eighteen validated urologic questionnaires were analyzed using four readability assessment tools. A mean grade-level needed to comprehend each questionnaire was calculated.Results: For UI questionnaires, three out of five questionnaires required a reading level of 10th grade or higher, two grade levels above recommendations.Only one POP questionnaire met recommendations with a mean readability score of 5.9, whereas the other questionnaires required a ninth-grade reading level or higher. For the OAB questionnaires, three out of five questionnaires met reading recommendations. Readability scores for BPH questionnaires ranged from 6.4 to 11.2, with only the International Prostate Symptom Score questionnaire in compliance with recommendations. Conclusions: The majority of currently available pelvic floor dysfunction questionnaires do not comply with recommended reading levels, suggesting that these questionnaires are written at a level too advanced for a large proportion of the population. This limits their effectiveness in accurately assessing symptom severity and impact on quality of life. K E Y W O R D Soveractive bladder, pelvic floor dysfunction, pelvic organ prolapse, questionnaires, readability, urinary incontinence

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Section: Methodsmentioning

confidence: 99%

Readability of pelvic floor dysfunction questionnaires

Gaines

Malik

2020

Neurourology and Urodynamics

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“…A desirable feature of a single summary measure would be the ability to be able to report with means and standard deviations with parametric statistical analysis so that results are easily imaged by the reader, improving transparency of surgical outcome reporting. Unlike the relative POP-Q-Index proposed by Lemos et al, in which a POP-Q index (the actual position score of one POP-Q point minus its anatomic (optimal) position score) is divided by the maximum possible POP-Q-Index for that point to create a continuous value expressed as a proportion, the SLmax score provides a summary of the entire vaginal support system, but requires no math or conversion factors17.…”

Section: Discussionmentioning

confidence: 99%

Quantification of vaginal support: are continuous summary scores better than POPQ stage?

Brubaker

Barber

Nygaard

et al. 2010

American Journal of Obstetrics and Gynecology

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Objectives-This analysis compared 3 continuous variables as summary support loss scores with POPQ ordinal stages.Study Design-We used pooled baseline data from 1141 subjects in 3 randomized trials (CARE, n=322; OPUS, n = 380; ATLAS, n =439) to test 3 support loss measures. The relative responsiveness was assessed using the standardized response mean of 2-year outcome data from the CARE trial.Results-Each support loss measure was strongly correlated with POPQ ordinal staging; the single most distal POPQ point had the strongest correlation. Improvements in anatomic support were weakly correlated with improvements in POPDI (r = .17-.24, p <.01 for each) but not with changes in POPIQ for all measures of support loss or POPQ stage.Conclusions-While continuous, single number summary measures compared favorably to ordinal POPQ staging system, the single most distal POPQ point may be preferable to POPQ ordinal stages to summarize or compare group data.

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“…Pelvic organ support was evaluated according to the guidelines of the International Continence Society (ICS), following the POP-Q 7 system through the Pelvic Organ Prolapse Quantification Index (POP-Q-I), Absolute and Relative [8][9][10] . For the screening of occult stress urinary incontinence, all patients, whether symptomatic or not, were submitted to a urodynamic study both in the dorsal recumbent and the semi-sitting position, with prolapse reduction using a Cheron forceps.…”

Section: Methods Methods Methods Methodsmentioning

confidence: 99%

Tela de polipropileno versus correção sítio-especifica no tratamento do prolapso de parede vaginal anterior: resultados preliminares de ensaio clínico randômico

Lunardelli

Auge

Lemos

et al. 2009

Rev. Col. Bras. Cir.

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OBJETIVO: Comparar o uso de tela de polipropileno e correção sitio-específica no tratamento cirúrgico do prolapso vaginal anterior. MÉTODOS: Estudo prospectivo randômico comparativo em que foram operadas 32 pacientes com idades entre 50 e 75 anos, que apresentavam prolapso vaginal anterior estádio III ou IV, ou recidivado. A estática pélvica foi avaliada segundo as recomendações da International Continence Society (ICS), o sistema POP-Q e pelo Índice de Quantificação de Prolapso (POP-Q-I) Absoluto e Relativo. Para o rastreamento da incontinência urinária de esforço oculta todas as pacientes, sintomáticas ou não, foram submetidas a estudo urodinâmico em posição semi-ginecológica e semi-sentada, com redução do prolapso com pinça de Cheron. Registrou-se o tempo cirúrgico, o volume de sangramento intra-operatório e as complicações intra e pós-operatórias. O tempo de seguimento médio do estudo foi de 8,5 meses. RESULTADOS: Em relação aos resultados anatômicos ocorreu melhores resultados com a utilização de tela de polipropileno sobre o reparo sitio-específico. Em relação à morbidade cirúrgica, observou-se menor tempo cirúrgico no grupo em que utilizou-se tela. CONCLUSÃO: Houve superioridade dos resultados anatômicos obtidos com a utilização de tela de polipropileno sobre o reparo sitio-específico.

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Optimizing pelvic organ prolapse research

Cited by 8 publications

References 4 publications

Readability of pelvic floor dysfunction questionnaires

Readability of pelvic floor dysfunction questionnaires

Quantification of vaginal support: are continuous summary scores better than POPQ stage?

Tela de polipropileno versus correção sítio-especifica no tratamento do prolapso de parede vaginal anterior: resultados preliminares de ensaio clínico randômico

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