Quantification of vaginal support: are continuous summary scores better than POPQ stage?

被引：12

作者：

Brubaker, Linda ^{[1
,2
]}

Barber, Matthew D. ^{[3
]}

Nygaard, Ingrid ^{[4
]}

Nager, Charlie W. ^{[5
]}

Varner, Edward ^{[6
]}

Schaffer, Joseph ^{[7
]}

Visco, Anthony ^{[8
]}

Meikle, Susan ^{[9
]}

Spino, Cathie ^{[10
]}

机构：

[1] Loyola Univ, Dept Obstet & Gynecol, Chicago, IL 60611 USA

[2] Loyola Univ, Dept Urol, Chicago, IL 60611 USA

[3] Cleveland Clin, Obstet Gynecol & Womens Hlth Inst, Cleveland, OH 44106 USA

[4] Univ Utah, Dept Obstet & Gynecol, Salt Lake City, UT USA

[5] Univ Calif San Diego, Dept Reprod Sci, San Diego, CA 92103 USA

[6] Univ Alabama, Dept Obstet & Gynecol, Birmingham, AL 35294 USA

[7] Univ Texas SW, Dept Obstet & Gynecol, Dallas, TX USA

[8] Duke Univ, Dept Obstet & Gynecol, Durham, NC USA

[9] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, NIH, Bethesda, MD USA

[10] Univ Michigan, Dept Biostat, Ann Arbor, MI 48109 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 203卷 / 05期

关键词：

outcome measures; pelvic organ prolapse; pelvic surgery; prolapse; quantification of prolapse; PELVIC ORGAN PROLAPSE; STRESS URINARY-INCONTINENCE; QUALITY-OF-LIFE; FLOOR DISORDERS; US WOMEN; SYMPTOMS; STANDARDIZATION; SACROCOLPOPEXY; TERMINOLOGY; PREVALENCE;

D O I：

10.1016/j.ajog.2010.06.071

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: This analysis compared 3 continuous variables as summary support loss (SL) scores with pelvic organ prolapse (POP) quantification (POPQ) ordinal stages. STUDY DESIGN: We used pooled baseline data from 1141 subjects in 3 randomized trials (CARE, n = 322; OPUS, n = 380; ATLAS, n = 439) to test 3 SL measures. The relative responsiveness was assessed using the standardized response mean of 2-year outcome data from the CARE trial. RESULTS: Each SL measure was strongly correlated with POPQ ordinal staging; the single most distal POPQ point had the strongest correlation. Improvements in anatomic support were weakly correlated with improvements in POP Distress Inventory (r = 0.17-0.24; P < .01 for each) but not with changes in POP Impact Questionnaire for all measures of SL or POPQ stage. CONCLUSION: While continuous, single number summary measures compared favorably to ordinal POPQ staging system, the single most distal POPQ point may be preferable to POPQ ordinal stages to summarize or compare group data.

引用

页数：6

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