Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?
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Publication year
2011Source
International Urogynecology Journal, 22, 5, (2011), pp. 543-9ISSN
Publication type
Article / Letter to editor
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Organization
Gynaecology
Health Evidence
Former Organization
Epidemiology, Biostatistics & HTA
Journal title
International Urogynecology Journal
Volume
vol. 22
Issue
iss. 5
Page start
p. 543
Page end
p. 9
Subject
NCEBP 12: Human Reproduction; NCEBP 1: Molecular epidemiologyAbstract
INTRODUCTION AND HYPOTHESIS: The factors influencing a patient's subjective improvement 1 year after pelvic organ prolapse (POP) surgery were studied. METHODS: Women after POP surgery were divided into improved and non-improved group based on their score on the questionnaire Patient Global Impression of Improvement (PGI-I) 1 year after surgery. Anatomical and functional outcomes were assessed as influencing factors for improvement using multivariate logistic regression. RESULTS: Three hundred eighty-six (386) women were included in the study, of whom 40 (10%) had not subjectively improved. First POP operation, symptoms and bother of genital prolapse and overactive bladder, and anterior compartment anatomy were independent factors related to subjective improvement. A threshold needed to be reached in these parameters. CONCLUSIONS: The first operation was more often associated with subjective improvement, and both anatomical and functional outcomes were of importance. The mere finding of a statistical significant improvement was no guarantee for subjective improvement after POP surgery.
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- Faculty of Medical Sciences [90373]
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