Evidence map›Paper›PMID 36538045›Full record

ArticleInternational urogynecology journal2023

Development of a conceptual framework for a new patient-reported outcome measure for pain in women following mesh surgery for pelvic floor disorders: a qualitative study.

Maisie Ralphsmith, Susannah Ahern, Joanne Dean, Helen E O'Connell, Rasa Ruseckaite

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In one paragraph

Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

5 authors.

Maisie RalphsmithDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.ORCID http://orcid.org/0000-0002-4255-3215
Susannah AhernDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.
Joanne DeanDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.
Helen E O'ConnellDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.
Rasa RuseckaiteDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia. rasa.ruseckaite@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe Australasian Pelvic Floor Procedure Registry (APFPR) collects both clinical and health-related quality of life (HRQoL) data on women undergoing surgery using a prosthesis such as mesh for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The registry lacks a suitable instrument to assess pain in women following mesh surgery for SUI and POP. This qualitative study describes the views on pain following mesh surgery in women and clinicians through the development of a conceptual framework, which may inform the development of a new instrument for the APFPR.

methodsWe conducted semi-structured interviews with women following mesh surgery for POP and SUI (n=17) and clinicians (n=6) in Victoria, Australia. We sought to reveal aspects of any sort of pain after a pelvic floor procedure. Interviews covered sensation, region, continuity of pain, triggers, and the mode and method of administration for a new pain-specific patient-reported outcome measure. Data were analysed using thematic analysis.

resultsWe identified the important components of pain felt by women with POP and SUI after surgery using mesh. From the seven themes outlined, a conceptual framework was developed compiling related components of pain into six specific domains.

conclusionsThis study identifies the important components of pain felt by women following mesh surgery. It is hoped that the development of a pain-specific PROM, as supported by clinicians, will assist in the timely and appropriate diagnosis and management of POP and SUI.

Indexed as

Pelvic Floor DisordersPelvic Organ ProlapseUrinary Incontinence, StressFemaleHumansPainProstheses and ImplantsQuality of LifeSurgical MeshPainPatient-reported outcome measuresPelvic floor disordersPelvic floor proceduresPelvic organ prolapseStress urinary incontinence

Identifiers

PMID36538045
PMCPMC10287803

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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.