International Urogynecology Journal

, Volume 19, Issue 4, pp 517–520

Is there a difference in patient and physician quality of life evaluation in pelvic organ prolapse?

  • Sushma Srikrishna
  • Dudley Robinson
  • Linda Cardozo
  • Juan Gonzalez
Original Article

DOI: 10.1007/s00192-007-0477-7

Cite this article as:
Srikrishna, S., Robinson, D., Cardozo, L. et al. Int Urogynecol J (2008) 19: 517. doi:10.1007/s00192-007-0477-7

Abstract

Quality of life (QoL) assessment is important in the evaluation of women with urogenital prolapse. The aim of this study was to investigate the relationship between physician and patient-assessed QoL using the Prolapse Quality of Life questionnaire (PQoL). Patients with symptomatic prolapse were recruited and asked to complete a PQoL. A second PQoL was filled in by the physician blinded to the patient responses, on the basis of a detailed urogynaecological history. These data were analysed by an independent statistician assessing concordance between patient and physician assessment (weighted kappa analysis: individual questions, Wilcoxon’s signed rank test: QoL scores). Weighted kappa showed poor concordance between the patient and physician responses; mean Kappa: 0.46, range 0.020–0.83. The physician underestimated QoL score in five out of nine domains (mean 8.8%) and overestimated QoL score in four out of nine domains (mean 4.3%). This study confirms that QoL outcomes based on the physicians’ perspective may not be valid.

Keywords

Prolapse Quality of life 

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Sushma Srikrishna
    • 1
  • Dudley Robinson
    • 1
  • Linda Cardozo
    • 1
  • Juan Gonzalez
    • 1
  1. 1.Department of UrogynaecologyKing’s College HospitalLondonUK

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