ArticleInternational urogynecology journal2019
Utility of patient decision aids (PDA) in stress urinary incontinence surgery.
Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Decision-Making in Refractory Overactive Bladder: Evaluation of a Novel Patient Decision Aid and its Impact on Decisional Conflict.International urogynecology journal · 2026Article
- Patient Decision Aids for Stress and Urgency Urinary Incontinence in Women: A Scoping Review.International urogynecology journal · 2026Article
- Patient Decision Aids for Pelvic Floor Surgery and Impact on Decisional Conflict.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Motivations, psychosocial burdens, and decision-making modes of post-partum women with stress urinary incontinence engaging in pelvic floor physical therapy: a qualitative research.International urogynecology journal · 2023Article
- Factors influencing patient decision making in Urogynaecology: You are what you know.International urogynecology journal · 2020Article
- "Voice your choice": a study of women's choice of surgery for primary stress urinary incontinence.International urogynecology journal · 2020Observational
- Response to letter to the editor regarding "Utility of patient decision aids (PDA) in stress urinary incontinence surgery".International urogynecology journal · 2020Article
- Letter to Editor: "Utility of patient decision aids (PDA) in stress urinary incontinence surgery" by Jha and Duckett 2019.International urogynecology journal · 2020Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPatient decision aids (PDAs) facilitate shared decision making allowing patients to make decisions about their healthcare that take into account their personal values and preferences. The aim of this study was to establish whether a PDA used in women requiring stress incontinence surgery is helpful to women when making choices about the treatments they choose by using a Decision Conflict Scale (DCS).
methodsForty-five consecutive women were identified as having stress urinary incontinence and had completed all conservative treatments. All patients included in the study had stress urinary incontinence confirmed on urodynamic testing and were given the PDA at the point where they needed to make a decision about surgery. Following completion of the PDA, patients were given a DCS to complete which measures personal perceptions of uncertainty when making a decision about treatment.
resultsForty-three out of 45 (95.5%) patients scored 4/4 for the DCS indicating they were sure of their decision. Two patients (4.5%) scored 3/4 and were therefore unsure of their choice. No patient scored < 3 on the DCS. The choice of procedures varied in all the ages and two women opted to have no treatment.
conclusionsThe use of a PDA in the surgical treatment of stress urinary incontinence reduces decision conflict and ensures patients are sure of their decision, understand the information provided as well as the risk benefit ratio of the various options and feel they have adequate support and advice to make a choice.
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