Evidence map›Paper›PMID 41063182›Full record

SynthesisHealth and quality of life outcomes2025

Patient-reported outcomes and measures for vaginal relaxation syndrome management: a systematic review.

Hongqin Chen, Jian Meng, Qiao Li, Xin Luo, Yajing Wang, Yueyue Chen, Xiaoyu Niu, Dongmei Wei

Abstract readSystematic Review
In one paragraph

Synthesis in Health and quality of life outcomes, 2025. 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

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

3 citing papers in PubMed.

  1. Observational
  2. Fractional COLasers in surgery and medicine · 2026
    Article
  3. 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.

Hongqin ChenDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Jian MengDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Qiao LiDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Xin LuoDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yajing WangDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Yueyue ChenDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Xiaoyu NiuDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China.
Dongmei WeiDepartment of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, South Renmin Road, Chengdu, Wuhou district, 610041, China. weidongmei@scu.edu.cn.

Funding

Key Research Projects of Sichuan Science and Technology Department No. 2023YFG0128, No. 2023NSFSC1606, No. 23ZDYF2049National Key Research and Development Program of China No. 2022YFC2704600, 2022YFC2704604, 2021YFC2009100Research Projects of Sichuan Science and Technology Department No. 2023YFQ0070, No. 2023YFS0024Science & Technology Department of Sichuan Province No. 2019YFS0008Sichuan Provincial Health Commission Project No. 21ZD002Sichuan University No. 21H0103
6 · The paper itself

Abstract

backgroundThe heterogeneity of patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) in published clinical studies on vaginal relaxation syndrome (VRS) hinders cross-study comparisons and integration of evidence-based findings, impeding the development of robust clinical evidence.

objectiveTo comprehensively investigate the current use of PROs and PROMs in VRS research, compile a comprehensive catalog, and provide guidance for selecting outcome measures and tools VRS patients.

methodsThis study systematically searched clinical studies on VRS treatment published up to December 2024 in PUBMED, EMBASE, Web of Science, and Cochrane databases, focusing primarily on pelvic floor muscle training, physical energy therapies, and surgical interventions. PROs and PROMs were extracted, organized into a structured catalog, and categorized by thematic domains. The COSMIN checklist was applied to assess the measurement properties of commonly used PROMs.

resultsA total of 69 studies were included, comprising 14 randomized controlled trials (1193 patients) and 55 observational studies (3327 patients), totaling 4520 participants. These studies reported 68 PROs and 57 PROMs. The most commonly used PROMs were the Female Sexual Function Index (FSFI, 47.83%), Vaginal Laxity Questionnaire (VLQ), Visual Analog Scale (VAS), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), and Sexual Satisfaction Questionnaire (SSQ). Notably, 42 PROMs (73.68%) appeared only once.

conclusionsPROs for surgical and non-surgical VRS treatments are similar, but non-surgical interventions include additional outcomes, such as overall efficacy and patient's vaginal tightness satisfaction. The high proportion of unvalidated PROMs (81.09%) underscores the need for standardized, disease-specific measures. Future Delphi surveys and expert consensus are anticipated to facilitate the development of a comprehensive core outcome set (COS) and core outcome measurement set (COMS) for VRS.

Indexed as

Patient Reported Outcome MeasuresVaginaFemaleHumansQuality of LifeCore outcome sets (COS)Patient-reported outcome measures (PROMs)Patient-reported outcomes (PRO)Vaginal relaxation syndrome (VRS)

Identifiers

PMID41063182
PMCPMC12505649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.