Evidence map›Paper›PMID 40992940›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2026

Patient-Reported Outcome Measures Used to Assess Surgical Interventions for Pelvic Organ Prolapse, Stress Urinary Incontinence and Mesh Complications: A Scoping Review for the Development of the APPRAISE PROM.

Georgina Forshall, Kirsty Budds, Victoria Fisher, Swati Jha, Thomas G Gray, Stergios K Doumouchtsis, Anne-Marie Bagnall, Georgina L Jones

Abstract readScoping Review
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Georgina ForshallPsychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK.ORCID https://orcid.org/0000-0001-7092-3490
Kirsty BuddsPsychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK.
Victoria FisherPsychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK.
Swati JhaDepartment of Urogynaecology, Jessop Wing, Sheffield Teaching Hospitals, Sheffield, UK.ORCID https://orcid.org/0000-0002-4519-6903
Thomas G GrayDepartment of Urogynaecology and Pelvic Reconstructive Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Stergios K DoumouchtsisDepartment of Obstetrics and Gynaecology, Epsom and St. Helier University Hospitals NHS Trust, Surrey, UK.ORCID https://orcid.org/0000-0002-0404-6335
Anne-Marie BagnallCentre for Health Promotion Research, Leeds Beckett University, Leeds, UK.
Georgina L JonesPsychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK.

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

backgroundThis scoping review was undertaken as part of an NIHR-commissioned study, APPRAISE, to develop a patient-reported outcome measure (PROM) and experience measure (PREM) to assess outcomes relevant to surgery for pelvic organ prolapse (POP), stress urinary incontinence (SUI) and pelvic mesh complications surgery, with cross-cultural applicability.

objectivesTo identify PROMs and PREMs used to assess POP, SUI and mesh complication surgery; to compare the length, recall periods, response options of these tools and the outcomes/experiences assessed. SEARCH STRATEGY: Three databases searched from inception to September 2023 were screened by two independent reviewers. SELECTION CRITERIA: Primary studies using subjective measures to assess POP, SUI and mesh complication surgery for women aged 16+ years were eligible for inclusion. Related systematic reviews were also reviewed. DATA COLLECTION AND ANALYSIS: Data were extracted into a piloted electronic form by one reviewer and checked by a second. A narrative synthesis of the data was performed. MAIN

resultsOf the 2079 included primary studies, 1607 (77%) used a PROM with evidence of psychometric testing. Five hundred and twenty-two (25%) studies used one PROM; 1082 studies (52%) used two or more PROMs. One hundred and fifty-one measures were extracted; of these, condition-specific measures were the most highly cited. There was limited use of PROMs specific to surgery, mental health, body image and PREMs. Some outcomes (e.g., urinary symptoms, emotional wellbeing) are measured in a significantly higher proportion of PROMs than other outcomes.

conclusionsCurrently, no existing validated PROM evaluates all patient-reported outcomes relevant to surgery for POP, SUI or mesh complications.

Indexed as

Patient Reported Outcome MeasuresPelvic Organ ProlapsePostoperative ComplicationsSurgical MeshUrinary Incontinence, StressFemaleHumansmesh complicationsNIHRpelvic floorpelvic organ prolapsePREMsPROMsquality of life measurementstress urinary incontinencesurgery

Identifiers

PMID40992940
PMCPMC12678042

What OpenQuestion holds

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Registered trials

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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.