Psychometric properties and validation of two global impression questionnaires (PGI‐S, PGI‐I) for stress incontinence in a German‐speaking female population

Bjelic‐Radisic, Vesna; Dirnagl, Ulrich; Hinterholzer, Susanne; Reinstadler, Evi; Geiss, Ingrid; Aigmueller, Thomas; Tamussino, Karl; Greimel, Elfriede; Trutnovsky, Gerda

doi:10.1002/nau.23447

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…It is highly reliable and can effectively evaluate the course of disease and treatment effect in patients suffering from KOA. PGI-I is a global index that can be applied to assess a condition’s response to therapy ( Viktrup et al, 2012 ; Bjelic-Radisic et al, 2018 ). PGI-I has only been tested on women undergoing stress incontinence.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Duloxetine for Knee Osteoarthritis: An Overview of Systematic Reviews

Zhou

Chen²,

Yu³

et al. 2022

Front. Physiol.

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Background: Knee osteoarthritis (KOA) has become a public health problem. Several systematic reviews (SRs) have reported that duloxetine may be an effective treatment for improving pain and depressive symptoms in patients with KOA.Aim: To evaluate the available results and provide scientific evidence for the efficacy and safety of duloxetine for KOA.Methods: A comprehensive search strategy was conducted across eight databases from inception to 31 December 2021. Two researchers independently selected eligible studies, collected data and evaluated those included SRs’ quality. For assessing methodological quality, the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR 2) was employed. Risk of Bias in Systematic Reviews (ROBIS) was used to assess the risk of bias. Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) was utilized for assessing reporting quality. In addition, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to determine primary outcome indicators’ evidence quality.Results: Totally 6 SRs were contained in this overview. After assessment based on AMSTAR 2, ROBIS, and PRISMA, unsatisfactory results in terms of methodological quality, risk of bias as well as reporting quality, were obtained. Limitations included a search of grey literature, the reasons for selecting the study type, an excluded study list and the specific reasons, reporting bias assessment, and reporting of potential sources of conflict of interest. According to the GRADE results, the evidence quality was high in 0, moderate in 5, low in 19, and very low in 36. Limitations were the most commonly downgraded factor, followed by publication bias and inconsistency.Conclusion: Duloxetine may be an effective treatment for improving pain and depressive symptoms in KOA patients with acceptable adverse events. However, due to the low quality of the available evidence, the original study design and the quality of evidence from SRs should be further improved, so as to provide strong scientific evidence for definitive conclusions.Systematic Review Registration: PROSPERO; (http://www.crd.york.ac.uk/PROSPERO/), identifier (CRD42021289823).

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Duloxetine for Knee Osteoarthritis: An Overview of Systematic Reviews

Zhou

Chen²,

Yu³

et al. 2022

Front. Physiol.

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“… 36 Although the questionnaire has not been used in patients with POP, it has been proved to be valid in patients with stress UI. 37 …”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire measures patient’s feelings on change of symptoms after treatment with seven levels (major improvement, moderate improvement, mild improvement, no improvement, mild worsening, moderate worsening and major worsening) 36. Although the questionnaire has not been used in patients with POP, it has been proved to be valid in patients with stress UI 37…”

Section: Methodsmentioning

confidence: 99%

Effect of electroacupuncture on symptoms of female pelvic organ prolapse (stage II–III) (EAPOP study): protocol of a randomised controlled trial

et al. 2022

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IntroductionPelvic organ prolapse (POP) is downward descent of pelvic organs, which causes symptoms of the lower genital, urinary and gastrointestinal tracts, and undermines women’s daily activities and quality of life. Although studies indicated that electroacupuncture (EA) may be effective in improving the POP symptoms, evidences were not robust. Therefore, this study aims to conduct a randomised controlled trial (RCT) to evaluate the efficacy and safety of electroacupuncture on relieving symptoms of a POP stage II and III among women.Methods and analysisA two-arm, multicentre, patient-blind RCT will be conducted to compare EA with sham electroacupuncture (SEA) for treating symptoms of POP stage II and III among women in six tertiary hospitals in China. One hundred and sixty eligible women will be assigned with a 1:1 ratio to have received either EA or SEA for 24 times in 12 weeks and followed-up for 24 weeks. The primary outcome will be the change on the total score of the Pelvic Floor Distress Inventory-short form 20 at week 12 from baseline, and will be analysed by t-test or multiple regression model. Intention-to-treat analysis will be performed for all outcomes, and a p value of less than 0.05 (two-sided testing) will be considered as statistical significance.Ethics and disseminationThe study protocol has been approved by the Medical Ethical Committee of Guang’ammen Hospital (No. 2019-249-KY-01). Patients will be informed about the details of the study and asked to sign consent form before enrolment. The results of this study are expected to be written and published on peer-reviewed journals.Trial registration numberNCT04589715.

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“…We excluded women who underwent surgery more than 10 years before, older than 80 years, previous anti-incontinence surgery and/or pelvic organ prolapse (POP) more than stage I at the POP-Quantification system[ 24 ] in any vaginal compartment. After inclusion and exclusion criteria, all women were invited to complete the following questionnaires: Patient Global Impression of Severity (PGI-S),[ 25 ] Patient Global Impression of Improvement (PGI-I),[ 25 ] Sandvik incontinence severity index,[ 26 ] Urogenital Distress Inventory (UDI-6),[ 27 ] Incontinence Impact Questionnaire (IIQ-7),[ 27 ] and Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form. [ 28 ] In addition, data about diagnosis, procedures, complications, reoperations, postoperative results, and satisfaction with procedure were recorded.…”

Section: P Atients and M Ethodsmentioning

confidence: 99%

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

Kersic

Keršič

Kunič

et al. 2020

Gynecol Minim Invasive Ther

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Objectives: The aim of the study was to report the extended long-term results of the use of single-incision mini-sling (SIMS), tension-free vaginal tape (TVT), and transobturator tape (TOT) for the treatment of female stress urinary incontinence (SUI) at the Department of Gynecology and Obstetrics of the University Medical Center Ljubljana. Materials and Methods: Enrolled women were evaluated by Patient Global Impression of Severity (PGI-S), Patient Global Impression of Improvement (PGI-I), Sandvik severity scale, Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form and data about diagnosis, procedures, complications, reoperations, postoperative results, and satisfaction with procedure were recorded. Results: In analyzed group of patients ( n = 357), 116 (32%) underwent SIMS procedure, 189 (53%) TOT, and 52 (15%) TVT. The SIMS, TOT, and TVT groups did not differ significantly from each other in PGI-S, PGI-I, Sandvik severity scale, UDI-6, IIQ-7, and ICIQ-UI Short Form or in postoperative complication rate. Repeat surgery was needed in 9.5% after SIMS, in 13.2% of TOT patients and in 23.1% of TVT patients ( P = 0.194). Urinary retention occurred in 9.5% of the SIMS patients, in 9.5% of the TOT patients, and in 13.5% of the TVT patients ( P = 0.682). Mesh erosion/inflammation occurred in 3.4% of the SIMS patients, in 6.3% of the TOT patients, and in 3.8% of the TVT patients ( P = 0.485). Conclusion: The efficacy and safety of SIMS, TOT, and TVT in the surgical treatment of SUI are comparable. The choice of the technique should be based on the relative pros and cons of techniques and the surgeon's experience.

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Psychometric properties and validation of two global impression questionnaires (PGI‐S, PGI‐I) for stress incontinence in a German‐speaking female population

Abstract: Our results demonstrated good psychometric properties of the German-language PGI-S and PGI in German-speaking women with SUI.

Cited by 9 publications

References 18 publications

The Effectiveness of Duloxetine for Knee Osteoarthritis: An Overview of Systematic Reviews

The Effectiveness of Duloxetine for Knee Osteoarthritis: An Overview of Systematic Reviews

Effect of electroacupuncture on symptoms of female pelvic organ prolapse (stage II–III) (EAPOP study): protocol of a randomised controlled trial

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

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