Evidence map›Paper›PMID 26089082›Full record

Observational studyInternational urogynecology journal2015

Patient and surgeon goal achievement 10 years following surgery for pelvic organ prolapse and urinary incontinence.

Sushma Srikrishna, Dudley Robinson, Linda Cardozo, Ganesh Thiagamoorthy

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Patient-Centered Goals for Treatment of Pelvic Floor Disorders.Current bladder dysfunction reports · 2022
    Review
  9. Communication in surgical decision-making while managing metastatic bone disease: matching patient expectations with surgical goals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sushma SrikrishnaKing's College Hospital, Denmark Hill, London, SE5 9RS, UK. sushmasrikrishna@hotmail.com.
Dudley RobinsonKing's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Linda CardozoKing's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Ganesh ThiagamoorthyKing's College Hospital, Denmark Hill, London, SE5 9RS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisAssessment of outcomes after pelvic floor surgery remains controversial. The primary aim of our study was to compare patient goal achievement in prolapse/continence surgery with objective/subjective outcomes. The secondary aim was to compare patient goal achievement with overall satisfaction and with that of the surgeon.

methodsThis was a prospective longitudinal observational study, over 10 years, in a tertiary urogynaecology centre. Women with prolapse/stress incontinence undergoing surgery and surgeons listed five goals they hoped to achieve following surgery. The Pelvic Organ Prolapse Quantification System (POP-Q) and videocystourethrography (VCU) were used for objective assessment. Quality of life (QoL) was assessed using the Prolapse QoL (PQoL) questionnaire, the King's Health Questionnaire (KHQ) and Golombok Rust Inventory of Sexual Satisfaction (GRISS) and satisfaction with Patient Global Impression of Improvement (PGII).

resultsComplete data were available for 96 women (47.76%). POP-Q scores significantly improved (p < 0.05); objective cure of incontinence (VCU) was 84.7%. QoL questionnaires and PGII scores showed significant improvement (p < 0.01). Mean goal achievement was 83.2.1% for patients and 82% for surgeons. Patient goal achievement for prolapse surgery was observed sooner and correlated better with other measures of success than continence surgery. Continence-related goals based on symptom relief were achieved more frequently than those on body image and sexuality. Surgeons reported a high achievement rate in anatomical restoration and functional improvement goals.

conclusionsPatient goal achievement correlates significantly with other measures of "success" as well as with overall satisfaction. Surgeons and patients have varying expectations of the outcome of surgery. Nearly 83% of goals are still maintained 10 years following surgery.

Indexed as

AdultAgedAged, 80 and overFemaleGynecologic Surgical ProceduresHumansLongitudinal StudiesMiddle AgedPatient SatisfactionPelvic Organ ProlapseProspective StudiesUrinary Incontinence, StressGlobal indexGoal attainment scalingPatient-centred goalsPelvic organ prolapseQuality of lifeStress urinary incontinence

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.