Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders

Barber, Matthew D.; Kuchibhatla, Maggie; Pieper, Carl F.; Bump, Richard C.

doi:10.1067/mob.2001.118659

Cited by 537 publications

(395 citation statements)

References 17 publications

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“…Important domains not measured by the IIQ and UDI (e.g., sexual functioning, colorectal) need to be measured against goal attainment. Comparing goal attainment with other disease-specific PFD quality of life instruments, such as the pelvic floor distress inventory (PFDI) and pelvic floor impact questionnaire (PFIQ) from Barber et al (18) for example, would further support validation of GAS.…”

Section: Commentmentioning

confidence: 99%

Surgical Versus Nonsurgical Treatment of Women With Pelvic Floor Dysfunction: Patient Centered Goals at 1 Year

et al. 2008

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Objective-In women with pelvic floor dysfunction (PFD), we assessed the degree to which treatment (surgical vs. non-surgical) was associated with achievement of patient-centered goals, satisfaction with care, and quality of life. Study design-Prospective cohort. Between September 2003 and December 2004we recruited women during their first referral visit for PFD treatment at our outpatient Urogynecology Clinic. At the first visit, women enumerated up to five personal treatment goals, and "anchored" each goal by anticipating best and worst possible outcomes. At 12 month follow-up, women were asked to indicate their level of goal attainment (−2, worst outcome; +2, best outcome). At baseline and follow-up, women completed short forms of the Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) (range 0-100, high scores indicating greater impact or distress). Patients indicated level of treatment satisfaction on a 4 level ordinal scale.Results-Of the 127 study participants with complete data, 46 (36.2 %) were managed surgically and 81 (63.8%) non surgically. There were no major demographic differences between the two groups in terms of age, race, weight, prior PFD surgery, and vaginal parity. The surgical group was more likely to have received baseline diagnosis of pelvic organ prolapse (80 % vs 60 %, p = 0.0259), and be post-menopausal (89 % vs 72 %, p = 0.0261). There were no significant differences in the distribution of goal type (symptom relief, activity, self image, general health) by treatment status (p = 0.1074). Using logistic regression to adjust for age and baseline diagnosis, surgically managed patients at one year were significantly more likely to report complete primary goal attainment (odds ratio (OR) = 4.42; p = 0.0154) and complete treatment satisfaction (OR = 6.12; p = 0.0109). For all participants, one-year IIQ-7 and UDI-6 scores were significantly correlated with primary goal attainment scores.Correspondence: Kathie L. Hullfish, MD, Associate Professor, Department OB/GYN and Urology, PO Box 800726, UVA Health System, Charlottesville, VA 22908, O: 434-924-2103, Fax: 434-982-1841, Email: khullfish@virginia.edu. Condensation: self-described patient treatment goals are similar in surgical and non-surgical patients with pelvic floor dysfunction, but are more likely to be completely achieved in the surgical group one year later Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-In this non-randomized, prospective analysis, surgically managed patients with PFD had higher one-year self-described complete goal attainmen...

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Section: Commentmentioning

confidence: 99%

Surgical Versus Nonsurgical Treatment of Women With Pelvic Floor Dysfunction: Patient Centered Goals at 1 Year

et al. 2008

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“…In addition to the 42-item validation version of the questionnaire, women also completed the Incontinence Severity Index (ISI) [16], a single question evaluating prolapse and its bother (question #35) from the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ) [17], the Pelvic Floor Distress Inventory-20 (PFDI-20) [18][19][20], and the FSFI [5,21]. The first step in the analysis was to describe the basic distribution of patient and clinical characteristics.…”

Section: Methodsmentioning

confidence: 99%

A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

et al. 2013

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Introduction and hypothesis The objective of this study was to create a valid, reliable, and responsive sexual function measure in women with pelvic floor disorders (PFDs) for both sexually active (SA) and inactive (NSA) women. Methods Expert review identified concept gaps and generated items evaluated with cognitive interviews. Women underwent Pelvic Organ Prolapse Quantification (POPQ) exams and completed the Incontinence Severity Index (ISI), a prolapse question from the Epidemiology of Prolapse and Incontinence Questionnaire (ISI scores), the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Female Sexual Function Index (FSFI). Principle components and orthogonal varimax rotation and principle factor analysis with oblique rotation identified item grouping. Cronbach's alpha measured internal consistency. Factor correlations evaluated criterion validation. Change scores compared to change scores in other measures evaluated responsiveness among women who underwent surgery. Results A total of 589 women gave baseline data, 200 returned surveys after treatment, and 147 provided test-retest A related editorial can be found at

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“…Each subject also completed the pelvic function quality of life questionnaire (long form) at each visit. [11] A board-certified radiologist specializing in abdominal imaging (JT) who was blinded to demographic information and parity, evaluated all of the digital MR images individually, in random order, using the Efilm Lite software program. A minority of studies (n=29) were read on standard film as digital images were not available.…”

Section: Methodsmentioning

confidence: 99%

Levator ani abnormality 6 weeks after delivery persists at 6 months

Branham

Thomas

Jaffe

et al. 2007

American Journal of Obstetrics and Gynecology

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Objective: Assess post partum changes in the levator ani muscle using magnetic resonance (MR) imaging and relate these changes to obstetrical events and risk factors associated with pelvic floor dysfunction.Study Design: A board certified radiologist specializing in abdominal imaging evaluated 146 pelvic MR studies from 57 primiparas 6 weeks and 6 months after first obstetrical delivery and 32 nulliparas. A yes/no determination of muscle body and insertion integrity, muscle thinning, and measurement of muscle thickness in mm was made for each of four muscle sites: right and left puborectalis, right and left ileococcygeous.Incidence of muscle abnormality and mean muscle thickness were tested in pairs between 1) nulliparas and 6 week primiparas, 2) 6 week and 6 month primipara pairs, and 3) three age/race groups using test of two proportions and one-way anova.Results: Initial review indicated only 3 subjects not of African-American (AA) or Caucasian (W) race, and only 1 AA primipara of age ≥30yrs, therefore statistical analysis was limited to 45 primiparas and 25 nulliparas. Incidence of any abnormality at any of the 4 sites was considered abnormal. Frequency of abnormal muscle by race and age is shown in the In those subjects recovering to normal MR by 6 months, an average of nearly 60% increase in R puborectalis muscle thickness compared to that seen at 6 weeks indicated the extent of the injury. Subjects with injury to both the puborectalis and ileococcygeous at 6 weeks did not recover to normal at 6 months, whereas those with injury only to the puborectalis tended to have normal MR at 6 months. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public AccessAuthor Manuscript Conclusions: Nulliparity did not guarantee a normal assessment of levator ani anatomy by our blinded reader, and frequency of injury in this series is somewhat greater than that previously reported for primiparas. Younger Caucasian primiparas had a better recovery at 6 months than older Caucasians. Subjects experiencing more global injury, in particular to the ileococcygeous, tended not to recover muscle bulk.

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Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders

Cited by 537 publications

References 17 publications

Surgical Versus Nonsurgical Treatment of Women With Pelvic Floor Dysfunction: Patient Centered Goals at 1 Year

Surgical Versus Nonsurgical Treatment of Women With Pelvic Floor Dysfunction: Patient Centered Goals at 1 Year

A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

Levator ani abnormality 6 weeks after delivery persists at 6 months

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