Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women
Correlation of three validated questionnaires for assessment of outcomes following surgical treatment of stress urinary incontinence in women
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DOI：
10.1016/j.ejogrb.2011.03.020
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发表时间：
2011-08-01
影响因子：
2.6
通讯作者：
Mostafa, Alyaa
中科院分区：
文献类型：
--
作者：
Abdel-fattah, Mohamed;Hasafa, Zaid;Mostafa, Alyaa
目的：评估压力性尿失禁（SUI）手术治疗后女性对“患者整体改善印象”问卷（PGI-I）的反应与女性生活质量和性功能变化的相关性。研究设计：对一项前瞻性随机手术试验的数据进行辅助分析：299名妇女接受了经通气带插入作为唯一手术，并在基线和12个月的随访中完成了国王健康问卷（KHQ）和盆腔器官脱垂/尿失禁性问卷（PISQ-12），并在12个月时完成了pgi -1。采用Spearman相关系数评价PGI-I反应与总KHQ和PISQ-12评分变化的关联程度。采用Kruskal-Wallis测试比较7分制PGI-1反应在KHQ和PISQ-12得分方面的变化。结果：PGI-1反应与KHQ总分变化呈显著正相关（r = 0.48, p < 0.001）。随着PGI-1反应变得更积极，总KHQ分数的变化变得更大（即更积极）。在gi -1组中，总KHQ评分的变化有统计学意义（p < 0.001）。“非常改善/非常改善”的PGI-I反应与KHQ分数的中位数（IQR）改善相关，分别为46（32,60）和35（18,49）分。KHQ总分需要提高18分才能明确表明pg -1的“更好”反应。PGI-1反应与PISQ-12总分变化呈微弱正相关（r = 0.17, p = 0.019），但有统计学意义。结论：患者总体印象改善问卷与SUI手术后king健康问卷得分的变化密切相关，可以可靠地预测女性生活质量的改善和恶化。结论：患者对改善问卷的总体印象与压力性尿失禁手术后Kings健康问卷得分密切相关，并能预测其变化。2011爱思唯尔爱尔兰有限公司版权所有。
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-1 responses in terms of changes in KHQ and PISQ-12 scores.Results: There was a significant positive correlation between PGI-1 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-1 responses became more positive. There were statistically significant differences across the PGI-1 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-1. There was a statistically significant, but weak, positive correlation between PGI-1 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. (C) 2011 Elsevier Ireland Ltd. All rights reserved.