Outcomes collected in female pelvic floor surgical procedure registries and databases: a scoping review

Ruseckaite, Rasa; Daly, J Oliver; Dean, J.; Ahern, Susannah

doi:10.1007/s00192-021-04839-2

Cited by 8 publications

(9 citation statements)

References 49 publications

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“…The collection of PROMs by the APFPR is critical for providing additional information to support the safety monitoring of mesh-related adverse events. This is particularly important as the PROMs collected will provide baseline information about a participant’s condition prior to surgery as well as monitor them beyond the usual post-surgical follow-up time period [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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Purpose Patient-reported outcome measures (PROMs) are valuable tools in evaluating the outcomes of surgical treatment health-related quality of life (HRQoL) of women with stress urinary incontinence (SUI) and may be incorporated into related clinical quality registries. The aim of this study was to assess the feasibility and acceptability of incorporating PROMs into the Australian Pelvic Floor Procedure Registry (APFPR). Methods Semi-structured qualitative interviews were conducted with women with SUI (N = 12) and their managing clinicians (N = 11) in Victoria, Australia. Interview topics covered content and face validity, appropriateness, and acceptability of three incontinence-specific, two pain, one anxiety and depression, one sexual function and one patient global impression of improvement instruments identified through the literature to determine their suitability and acceptability for the APFPR. We analysed interview data into topics using conventional content analysis. Results Study participants agreed that PROMs were needed for the APFPR. Both participant groups suggested that some of the instruments were ambiguous, therefore only three instruments (one incontinence-specific, sexual function and patient global impression of improvement) will be included in the APFPR. Both clinicians and women agreed it would be appropriate to answer PROMs at baseline and then at 6- and 12-month postsurgically. Email, phone call and mail-out of the instruments were the preferred options for administration. Conclusion Most women and clinicians supported the feasibility of incorporating PROMs in the APFPR. Participants believed the PROMs would demonstrate useful aggregate HRQoL data and have potential for use in individual care.

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Section: Discussionmentioning

confidence: 99%

“…An extensive literature review was conducted to explore the pelvic floor procedure registries operating globally [ 15 ]. The review demonstrated that within these registries, a range of PROMs was used, but with little consensus on mode and methods of administration.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2022

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“…A number of gynecological surgery registries worldwide capture HRQoL data [7,[18][19][20][21][22]. 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 postsurgical follow up time period [23].…”

Section: Discussionmentioning

confidence: 99%

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

Ruseckaite

Jayasinghe

Bavor

et al. 2022

Preprint

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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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“…To our knowledge, this was the first qualitative study to assess and describe what women with POP or SUI deem important when it comes to pelvic floor-related pain following mesh surgery. Outside Australia, existing pelvic floor procedure registries capture important details on the type, number and outcomes of these surgeries [17]. In Australia, there is increasing interest in the collection of PROMs within clinical registries.…”

Section: Discussionmentioning

confidence: 99%

Development of a conceptual framework for a new patient-reported outcome measure for pain in women following mesh surgery for pelvic floor disorders: a qualitative study

et al. 2022

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Introduction and hypothesis The Australasian Pelvic Floor Procedure Registry (APFPR) collects both clinical and health-related quality of life (HRQoL) data on women undergoing surgery using a prosthesis such as mesh for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The registry lacks a suitable instrument to assess pain in women following mesh surgery for SUI and POP. This qualitative study describes the views on pain following mesh surgery in women and clinicians through the development of a conceptual framework, which may inform the development of a new instrument for the APFPR. Methods We conducted semi-structured interviews with women following mesh surgery for POP and SUI (n=17) and clinicians (n=6) in Victoria, Australia. We sought to reveal aspects of any sort of pain after a pelvic floor procedure. Interviews covered sensation, region, continuity of pain, triggers, and the mode and method of administration for a new pain-specific patient-reported outcome measure. Data were analysed using thematic analysis. Results We identified the important components of pain felt by women with POP and SUI after surgery using mesh. From the seven themes outlined, a conceptual framework was developed compiling related components of pain into six specific domains. Conclusions This study identifies the important components of pain felt by women following mesh surgery. It is hoped that the development of a pain-specific PROM, as supported by clinicians, will assist in the timely and appropriate diagnosis and management of POP and SUI.

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Outcomes collected in female pelvic floor surgical procedure registries and databases: a scoping review

Cited by 8 publications

References 49 publications

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

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

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

Development of a conceptual framework for a new patient-reported outcome measure for pain in women following mesh surgery for pelvic floor disorders: a qualitative study

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