Evidence map›Paper›PMID 37963795›Full record

ArticleCanadian family physician Medecin de famille canadien2023

Pelvic Floor Health Index: Initial validation of a practical postpartum tool for busy clinicians.

Roxana Geoffrion, Sophia Badowski, Merry Gong, Gurkiran Mann, Manisha Tilak, Nicole Koenig, Terry Lee

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Roxana GeoffrionAssociate Professor, Director of the Fellowship in Female Pelvic Medicine and Reconstructive Surgery, and Chair of the Obstetrics and Gynaecology Residency Research Committee, all at the University of British Columbia (UBC) in Vancouver.
Sophia BadowskiAssistant Professor in the Department of Obstetrics and Gynaecology at Queen's University in Kingston, Ont.
Merry GongClinical Assistant Professor at UBC.
Gurkiran MannResident in the Department of Obstetrics and Gynecology at McMaster University in Hamilton, Ont.
Manisha TilakResident in the Department of Obstetrics and Gynaecology at UBC.
Nicole KoenigResearch Coordinator in the Department of Obstetrics and Gynaecology at UBC.
Terry LeeSenior Statistician at the Centre for Advancing Health Outcomes in Vancouver.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo design a primary care clinical tool (Pelvic Floor Health Index [PFHI]) to screen for postpartum pelvic floor disorders, as well as complete its psychometric validation.

designProspective cohort study.

settingTwo tertiary care obstetric centres in Vancouver, BC.

participantsPrimiparous women older than 19 years of age who were in the immediate postpartum period.

main outcome measuresThe PFHI was administered to 74 primiparous women immediately postpartum and at 2, 4, and 6 months postpartum. For evaluation of convergent and divergent construct validity, participants also completed several validated questionnaires, including the Female Sexual Functioning Index, the Pelvic Floor Distress Inventory, the 36-Item Short Form Health Survey, and the Edinburgh Postnatal Depression Scale. Fifteen women repeated their 6-month questionnaires 2 weeks later in order to determine test-retest reliability. Responsiveness was assessed by measuring the PFHI score change from baseline to 6 months postpartum.

resultsPelvic Floor Health Index score was inversely correlated with subscale scores on the Pelvic Floor Distress Inventory at all time points. There were moderate correlations between PFHI score and the Female Sexual Functioning Index and 36-Item Short Form Health Survey scores at several time points. There were weak correlations with postpartum depression scores. The intraclass correlation coefficient for test-retest reliability was 0.78 (95% CI 0.47 to 0.92). The PFHI mean total score significantly improved by 1.8 (95% CI 1.0 to 2.6) at 6 months postpartum.

conclusionThe PFHI is a 10-item, newly validated, and psychometrically robust questionnaire that can be administered to patients in the postpartum period to screen for pelvic floor dysfunction.

Indexed as

Pelvic FloorPelvic Floor DisordersFemaleHumansPostpartum PeriodPregnancyProspective StudiesReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID37963795
PMCPMC10645455

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.