International Urogynecology Journal

, Volume 24, Issue 7, pp 1127–1134

Patient reported outcome measures in women undergoing surgery for urinary incontinence and pelvic organ prolapse in Denmark, 2006–2011

Authors

    • Research Unit of Clinical Epidemiology, Institute of Clinical ResearchUniversity of Southern Denmark
    • Centre for National Clinical Databases, SouthOdense University Hospital
  • Ulrik Schiøler Kesmodel
    • Department of Obstetrics and GynecologyAarhus University Hospital
  • Jesper Kjær Hansen
    • Research Unit of Clinical Epidemiology, Institute of Clinical ResearchUniversity of Southern Denmark
    • Centre for National Clinical Databases, SouthOdense University Hospital
  • Kim Oren Gradel
    • Research Unit of Clinical Epidemiology, Institute of Clinical ResearchUniversity of Southern Denmark
    • Centre for National Clinical Databases, SouthOdense University Hospital
  • Søren Brostrøm
    • Department of Hospital Services and Emergency ManagementDanish Health and Medicines Authority
  • Linda Kærlev
    • Research Unit of Clinical Epidemiology, Institute of Clinical ResearchUniversity of Southern Denmark
    • Centre for National Clinical Databases, SouthOdense University Hospital
  • Bente Mertz Nørgård
    • Research Unit of Clinical Epidemiology, Institute of Clinical ResearchUniversity of Southern Denmark
    • Centre for National Clinical Databases, SouthOdense University Hospital
Original Article

DOI: 10.1007/s00192-012-1979-5

Cite this article as:
Guldberg, R., Kesmodel, U.S., Hansen, J.K. et al. Int Urogynecol J (2013) 24: 1127. doi:10.1007/s00192-012-1979-5

Abstract

Introduction and hypothesis

The aim of this study was to evaluate the impact of urogynecological surgery on quality of life based on patient reported outcome measures (PROMs).

Methods

Data were retrieved from the Danish Urogynaecological Database. Inclusion criteria were Danish women undergoing surgery for urinary incontinence (UI) or pelvic organ prolapse (POP) from 2006 to 2011. Using frequency of symptoms and a visual analogue scale (VAS) both pre- and postoperatively, their severity of symptoms and quality of life were measured by questionnaires.

Results

During the study period, 20,629 urogynecological procedures were performed. The questionnaires on severity of symptoms and the VAS had been completed both pre- and postoperatively for approximately one third of women undergoing surgery. For UI surgery, 83 % had improved symptoms, 13 % were unchanged, and 4 % had worse symptoms postoperatively. For POP surgery, 80, 17, and 3 % were improved, unchanged, and worsened, respectively. The postoperative bother of symptoms and interference in everyday life evaluated by VAS were significantly reduced for both UI [preoperative median VAS score 9, postoperative median score 1 (p < 0.001)] and POP [8 preoperatively and 0 postoperatively (p < 0.001)].

Conclusions

Based on PROMs, surgery for UI and POP is effective in alleviating symptoms associated with UI or POP, and it can improve quality of life in symptomatic women. Pre- and postoperative questionnaires are useful tools in assessing symptomatic outcome measures after surgery.

Keywords

Patient reported outcome measuresPelvic organ prolapseQuality of lifeQuestionnaireUrinary incontinenceVisual analogue scale

Abbreviations

UI

Urinary incontinence

POP

Pelvic organ prolapse

VAS

Visual analogue scale

DugaBase

Danish National Urogynaecological Database

PROMs

Patient reported outcome measures

ASA

American Society of Anesthesiologists classification

BMI

Body mass index

Copyright information

© The International Urogynecological Association 2012