Evidence map›Paper›PMID 28464936›Full record

ArticleHealth and quality of life outcomes2017

Validation of the short forms of the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in Finnish.

Nina Kristiina Mattsson, Kari Nieminen, Anna-Mari Heikkinen, Jyrki Jalkanen, Sari Koivurova, Marja-Liisa Eloranta, Pia Suvitie, Anna-Maija Tolppanen

Registry-linked trialAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04981873 (Translation And Validation Of The Pelvic Floor Distress Inventory Short Form), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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.

NCT04981873 completednot on this mapstarted 2020, after this paper: background citation

Translation And Validation Of The Pelvic Floor Distress Inventory Short Form (PFDI-20) To Urdu Language

TypeobservationalSponsorRiphah International UniversityRan2020 to 2021Enrolled80ConditionsPelvic Floor Disorders
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. [Effects of retropubic and obturator urethral suspension on postoperative maximum flow rate and residual urine volume].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
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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

8 authors.

Nina Kristiina MattssonDepartment of Obstetrics and Gynecology, Kanta-Häme Central Hospital, Hämeenlinna, Finland. nina.mattsson@khshp.fi.ORCID http://orcid.org/0000-0003-2304-3938
Kari NieminenDepartment of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland.
Anna-Mari Heikkinen, Terveystalo, Kuopio, Finland.
Jyrki JalkanenDepartment of Obstetrics and Gynecology, Central Finland Hospital District, Jyväskylä, Finland.
Sari KoivurovaDepartment of Obstetrics and Gynecology, Oulu University Hospital, Oulu, Finland.
Marja-Liisa ElorantaDepartment of Obstetrics and Gynecology, Kuopio University Hospital, Kuopio, Finland.
Pia SuvitieDepartment of Obstetrics and Gynecology, Turku University Hospital and University of Turku, Turku, Finland.
Anna-Maija TolppanenResearch Centre for Comparative Effectiveness and Patient Safety (RECEPS) and School of Pharmacy, University of Eastern Finland, Kuopio, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough several validated generic health-related quality of life instruments exist, disease-specific instruments are important as they are often more sensitive to changes in symptom severity. It is essential to validate the instruments in a new population and language before their use. The objective of the study was to translate into Finnish the short forms of three condition-specific questionnaires (PFDI-20, PFIQ-7 and PISQ-12) and to evaluate their psychometric properties in Finnish women with symptomatic pelvic organ prolapse.

methodsA multistep translation method was used followed by an evaluation of validity and reliability in prolapse patients. Convergent and discriminant validity, internal consistency and reliability via test-retest were calculated.

resultsSixty-three patients waiting for prolapse surgery filled the three questionnaires within two weeks. Response rate for each item was high in PFDI-20 and PISQ-12 (99.8 and 98.9% respectively). For PFIQ-7 response rate was only 60%. In PFIQ-7, six respondents (9.5%) reached the minimum value of zero showing floor effect. None of the instruments had ceiling effect. Based on the item-total correlations both PFIQ-7 and PFDI-20 had acceptable convergent validity, while the convergent validity of PISQ-12 was lower, r = 0.138-0.711. However, in this instrument only three questions (questions 6, 10 and 11) had r < 0.3 while others had r ≥ 0.380. In the test-retest analysis all the three instruments showed good reliability (ICC 0.75-0.92). Similarly, the internal consistency of the instruments, measured by Cronbach's α, was good (range 0.69-0.96) indicating high homogeneity.

conclusionsFinnish validated translation of the PFDI-20 and PISQ-12 have acceptable psychometric properties and can be used for both research purposes and clinical evaluation of pelvic organ prolapse symptoms. The Finnish version of PFIQ-7 displayed low response rate and some evidence of a floor effect, and thus its use is not recommended in its current form.

Indexed as

Patient Reported Outcome MeasuresReproducibility of ResultsAdultAgedAged, 80 and overFemaleFinlandHumansMiddle AgedPelvic FloorPelvic Organ ProlapsePsychometricsQuality of LifeSexual BehaviorSurveys and QuestionnairesTranslationsHealth related quality of lifePelvic organ prolapsePsychometric evaluationReliabilitySymptom questionnaireValidation

Identifiers

PMID28464936
PMCPMC5414223

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Registered trials

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.