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

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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.

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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

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Acknowledgments

Funding was provided by the Nordic Urogynecological Association (NUGA) Research Grant and the A. P. Møller and Chastine Mc-Kinney Møller Foundation for General Purposes. The Centre for National Clinical Databases South, Odense University Hospital, University of Southern Denmark, and Region of Southern Denmark financed the study.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark

    Rikke Guldberg, Jesper Kjær Hansen, Kim Oren Gradel, Linda Kærlev & Bente Mertz Nørgård

  2. Centre for National Clinical Databases, South, Odense University Hospital, Sdr. Boulevard 29, Entrance 101, 4th floor, 5000, Odense C, Denmark

    Rikke Guldberg, Jesper Kjær Hansen, Kim Oren Gradel, Linda Kærlev & Bente Mertz Nørgård

  3. Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark

    Ulrik Schiøler Kesmodel

  4. Department of Hospital Services and Emergency Management, Danish Health and Medicines Authority, Copenhagen, Denmark

    Søren Brostrøm

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  1. Rikke Guldberg
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  2. Ulrik Schiøler Kesmodel
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  6. Linda Kærlev
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Corresponding author

Correspondence to Rikke Guldberg.

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Guldberg, R., Kesmodel, U.S., Hansen, J.K. et al. Patient reported outcome measures in women undergoing surgery for urinary incontinence and pelvic organ prolapse in Denmark, 2006–2011. Int Urogynecol J 24, 1127–1134 (2013). https://doi.org/10.1007/s00192-012-1979-5

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  • DOI: https://doi.org/10.1007/s00192-012-1979-5

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