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Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women.
Eur J Obstet Gynecol Reprod Biol. 2011 Aug; 157(2):226-9.EJ

Abstract

OBJECTIVES

To assess the correlation between women's responses to the "Patient Global Impression of Improvement" questionnaire (PGI-I) and changes in women's quality of life and sexual function following surgical treatment of stress urinary incontinence (SUI).

STUDY DESIGN

Ancillary analysis of data from a prospective randomised surgical trial: 299 women underwent transobturator tape insertion as a sole procedure and completed the King's Health Questionnaire (KHQ) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) at baseline and at 12-month follow-up in addition to PGI-I at 12 months. Spearman's correlation coefficient was used to evaluate the degree of association between PGI-I responses and the changes in total KHQ and PISQ-12 scores. Kruskal-Wallis tests were performed to compare the 7-point scale PGI-I responses in terms of changes in KHQ and PISQ-12 scores.

RESULTS

There was a significant positive correlation between PGI-I responses and changes in the total KHQ scores (r=0.48, p<0.001). The changes in the total KHQ score became larger (i.e., more positive) as the PGI-I responses became more positive. There were statistically significant differences across the PGI-I groups with respect to the changes in total KHQ scores (p<0.001). "Very much improved/Much improved" responses on PGI-I were associated with median (IQR) improvement in KHQ scores of 46 (32, 60) and 35 (18, 49) points respectively. An 18-point improvement in total KHQ score was required to clearly indicate a "better" response on PGI-I. There was a statistically significant, but weak, positive correlation between PGI-I responses and the changes in the total PISQ-12 score (r=0.17, p=0.019).

CONCLUSION

The Patient Global Impression of Improvement Questionnaire strongly correlates with changes in Kings Health Questionnaire scores following surgery for SUI and can reliably predict improvement and deterioration in women's quality of life.

CONDENSATION

The Patient Global Impression of Improvement Questionnaire strongly correlates with, and can predict changes in, Kings Health Questionnaire scores following surgery for stress urinary incontinence.

Authors+Show Affiliations

University of Aberdeen, Division of Applied Health Sciences, Second Floor, Aberdeen Maternity Hospital, Foresterhill, Aberdeen AB25 2ZD, UK. m.abdelfattah@abdn.ac.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21514033

Citation

Abdel-fattah, Mohamed, et al. "Correlation of Three Validated Questionnaires for Assessment of Outcomes Following Surgical Treatment of Stress Urinary Incontinence in Women." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 157, no. 2, 2011, pp. 226-9.
Abdel-fattah M, Hasafa Z, Mostafa A. Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women. Eur J Obstet Gynecol Reprod Biol. 2011;157(2):226-9.
Abdel-fattah, M., Hasafa, Z., & Mostafa, A. (2011). Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 157(2), 226-9. https://doi.org/10.1016/j.ejogrb.2011.03.020
Abdel-fattah M, Hasafa Z, Mostafa A. Correlation of Three Validated Questionnaires for Assessment of Outcomes Following Surgical Treatment of Stress Urinary Incontinence in Women. Eur J Obstet Gynecol Reprod Biol. 2011;157(2):226-9. PubMed PMID: 21514033.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women. AU - Abdel-fattah,Mohamed, AU - Hasafa,Zaid, AU - Mostafa,Alyaa, Y1 - 2011/04/21/ PY - 2010/11/30/received PY - 2011/02/25/revised PY - 2011/03/24/accepted PY - 2011/4/26/entrez PY - 2011/4/26/pubmed PY - 2012/1/26/medline SP - 226 EP - 9 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 157 IS - 2 N2 - OBJECTIVES: To assess the correlation between women's responses to the "Patient Global Impression of Improvement" questionnaire (PGI-I) and changes in women's quality of life and sexual function following surgical treatment of stress urinary incontinence (SUI). STUDY DESIGN: Ancillary analysis of data from a prospective randomised surgical trial: 299 women underwent transobturator tape insertion as a sole procedure and completed the King's Health Questionnaire (KHQ) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) at baseline and at 12-month follow-up in addition to PGI-I at 12 months. Spearman's correlation coefficient was used to evaluate the degree of association between PGI-I responses and the changes in total KHQ and PISQ-12 scores. Kruskal-Wallis tests were performed to compare the 7-point scale PGI-I responses in terms of changes in KHQ and PISQ-12 scores. RESULTS: There was a significant positive correlation between PGI-I responses and changes in the total KHQ scores (r=0.48, p<0.001). The changes in the total KHQ score became larger (i.e., more positive) as the PGI-I responses became more positive. There were statistically significant differences across the PGI-I groups with respect to the changes in total KHQ scores (p<0.001). "Very much improved/Much improved" responses on PGI-I were associated with median (IQR) improvement in KHQ scores of 46 (32, 60) and 35 (18, 49) points respectively. An 18-point improvement in total KHQ score was required to clearly indicate a "better" response on PGI-I. There was a statistically significant, but weak, positive correlation between PGI-I responses and the changes in the total PISQ-12 score (r=0.17, p=0.019). CONCLUSION: The Patient Global Impression of Improvement Questionnaire strongly correlates with changes in Kings Health Questionnaire scores following surgery for SUI and can reliably predict improvement and deterioration in women's quality of life. CONDENSATION: The Patient Global Impression of Improvement Questionnaire strongly correlates with, and can predict changes in, Kings Health Questionnaire scores following surgery for stress urinary incontinence. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/21514033/Correlation_of_three_validated_questionnaires_for_assessment_of_outcomes_following_surgical_treatment_of_stress_urinary_incontinence_in_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(11)00178-3 DB - PRIME DP - Unbound Medicine ER -