Information Priorities for Deciding on Treatment of Pelvic Organ Prolapse
| Autor: | Johanna W. Aarts, Kris Strohbehn, Elisabeth A. Erekson, Paul D. Hanissian, Kathryn A. Jacobs, Kristen A. Gerjevic |
|---|---|
| Přispěvatelé: | Obstetrics and Gynaecology |
| Rok vydání: | 2019 |
| Předmět: |
Pessary
medicine.medical_specialty Urology Decision Making 030232 urology & nephrology Stage ii Pelvic Organ Prolapse Likert scale Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Treatment and control groups 03 medical and health sciences 0302 clinical medicine Pelvic Organ Prolapse/surgery All institutes and research themes of the Radboud University Medical Center Quality of life Patient Education as Topic Surveys and Questionnaires 80 and over Medicine Humans Aged Aged 80 and over Pelvic organ 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Middle Aged Nonsurgical treatment Cross-Sectional Studies Family medicine Surgery Female Self Report business Sexual function |
| Zdroj: | Female Pelvic Medicine and Reconstructive Surgery, 25, 5, pp. 372-377 Female Pelvic Medicine and Reconstructive Surgery, 25, 372-377 Female pelvic medicine & reconstructive surgery, 25(5), 372-377. Lippincott Williams and Wilkins |
| ISSN: | 2151-8378 |
| Popis: | OBJECTIVE: The objective of this study was to elicit information priorities from women considering treatment for pelvic organ prolapse (POP). STUDY DESIGN: This is a cross-sectional study of women before and after treatment of stage II or higher POP. Women were recruited either at the conclusion of their initial evaluation (before treatment) or at postoperative or pessary maintenance visits (after treatment). Women completed a written survey that used a Likert scale to rank potentially frequently asked questions (FAQs) that could be important information to use in decision making for POP. RESULTS: Among the 100 women surveyed, 32 women wanted to pursue surgical options and 18 women wanted to pursue nonsurgical treatment options in the before treatment group. In the after treatment group, 35 women had undergone surgery and 15 women were using a pessary.Overall, women ranked FAQs about treatment success (overall Likert score, 1.11±0.35), quality of life after treatment (1.18±0.41), and complications and side effects (1.20±0.57) as the most important information when making a decision. Women were least concerned with FAQs regarding cost (2.39±1.48), impact on sexual function (2.21±1.4), and impact on hormones (2.20±1.27). CONCLUSIONS: Women with POP identified the most important FAQs related to treatment success and complications, quality of life, and understanding how the treatment works. This information will be used to develop a comprehensive decision aid for women considering treatment options for POP. |
| Databáze: | OpenAIRE |
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