Pelvic floor Disorders Network-Data Coordinating Center

描述（由申请人提供）：盆底疾病，如尿失禁、盆腔器官脱垂和大便失禁，是美国女性常见且重要的健康相关问题。盆底疾病的手术和非手术干预后的结果尚未得到充分的评估。因此，无法获得充分告知患者和做出重要政策决定所需的数据。盆底疾病网络（PFDN）的长期目标是系统地评估这些结果。该应用程序是骨盆底疾病网络的数据协调中心（DCC），汇集了来自生物统计学、泌尿妇科、泌尿外科、生活质量和健康服务研究的经验丰富的研究人员，以前瞻性地评估女性骨盆底疾病的各种手术干预的结果。发展协调委员会的具体目标是：1。通过提供PFDN进行的临床试验的设计、实施和分析方面的专业知识，协助制定方案。2. 在测量生活质量和选择适当的工具来评估治疗结果方面提供专业知识，并在适当时进行访谈。3. 协调指导委员会批准的研究方案的实施，包括病例报告表格和访谈方案的设计，操作手册的制定，集中式或远程数据输入的集中式数据库管理，必要时向FDA提交IND，并根据需要组织培训和认证会议。4. 为PFDN进行的每项研究建立数据库。5. 实现集中式或基于web的数据输入和验证。6. 监测临床站点的数据质量。7. 为监控不良事件和网络监管监督提供基础设施。8. 为指导委员会、咨询委员会和资管局面对面会议和电话会议提供后勤支助。9. 为PFDN维护一个网站，其中包括面向公众的网页，以及一个包含所有研究文档和数据库的密码保护网站。10. 管理和分配临床中心的协议资金。为了说明DCC的工作，提出了一项随机临床试验来比较阴道入路盆腔器官脱垂的手术方法。

DESCRIPTION (provided by applicant): Pelvic floor disorders, such as urinary incontinence, pelvic organ prolapse, and fecal incontinence, are common and significant health-related problems for women in the United States. Outcomes following surgical and non-surgical intervention for pelvic floor disorders have not been adequately evaluated. As a result, data necessary to fully inform patients and to make important policy decisions are unavailable. The long-term objective of the Pelvic Floor Disorders Network (PFDN) is to systematically evaluate these outcomes. This application to be the Data Coordinating Center (DCC) for the pelvic floor disorders network brings together experienced investigators from biostatistics, urogynecology, urology, quality of life and health services research to prospectively assess the outcomes from various surgical interventions for female pelvic floor disorders. The specific aims of the DCC are to: 1. Assist in protocol development by providing expertise in the design, conduct and analysis of clinical trials conducted by the PFDN. 2. Provide expertise in measurement of quality of life and in the selection of the appropriate instruments to assess treatment outcomes and, when appropriate, to perform the interviews. 3. Coordinate the implementation of the study protocols approved by the Steering Committee, including design of the case report forms and interviewing protocols, development of a manual of operations, centralized database management with either centralized or remote data entry, submission of an IND to the FDA when necessary, and by organizing training and certification sessions, as needed. 4. Establish a database for each study conducted by the PFDN. 5. Implement either centralized or web-based data entry and verification. 6. Monitor the clinical sites with respect to data quality. 7. Provide infrastructure for monitoring adverse events and regulatory oversight for the network. 8. Provide logistical support for the Steering Committee, Advisory Board and DSMB, for both face-to-face meetings and teleconferences. 9. Maintain a website for the PFDN that includes web pages with content for the public, and a password- protected site with all study documentation and databases. 10. Manage and distribute protocol funds to the Clinical Centers. To illustrate the work of the DCC, a randomized clinical trial is proposed to compare surgical procedures for pelvic organ prolapse using a vaginal approach.