Discrepancies between patient-reported outcome measures when assessing urinary incontinence or pelvic- prolapse surgery. Issue 4 (April 2016)

• Record Type: Journal Article
• Authors: Larsen, Michael; Lose, Gunnar; Guldberg, Rikke; Gradel, Kim
• Is Part Of: International urogynecology journal. Volume 27:Issue 4(2016)
• Page Start: 537
• Page End: 543
• Publication Date: 2016-04
• Subjects: Urinary incontinence -- Pelvic organ prolapse -- Patient-reported outcome measures -- Patient's Global Impression of Improvement -- Surgery -- Questionnaires; Urogynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; 616.60082
• DOI: 10.1007/s00192-015-2840-4
• Languages: English
• ISSNs: 0937-3462

Abstract

Abstract Introduction and hypothesis In order to assess the outcome following surgery for urinary incontinence (UI) and pelvic organ prolapse (POP) the importance of patient-reported outcome measures, in addition to the clinical objective measures, has been recognised. The International Consultation on Incontinence has initiated the development and evaluation of disease-specific questionnaires (ICIQ) to compare the patient's degree of improvement. Alternatively, the Patient's Global Impression of Improvement (PGI-I score) with an inherent before–after assessment has been widely accepted in recent studies. The aim of this study was to compare the PGI-I versus the ICIQ score for women undergoing UI or POP surgery. Methods This study is based on self-administered pre- and postoperative questionnaires, completed by women undergoing surgery for UI or POP in Denmark in 2013. Weighted Kappa statistics and 95 % limits of agreement method were used when comparing the PGI-I and ICIQ scores. Results Among the 3, 310 women included the PGI-I score showed a higher improvement than the IQIC score, for UI 0.83 (CI 95 %: 0.80–0.85) vs 0.62 (0.60–0.64) and for POP 0.77 (0.75–0.78) vs 0.66 (0.65–0.67). Conclusions The PGI-I score renders higher satisfaction than the ICIQ score and the PGI-I score overestimates the improvement following UI and POP surgery.