Quality of Life Questionnaires for the Assessment of Pelvic Organ Prolapse: Use in Clinical Practice

Al‐Badr, Ahmed

doi:10.1111/luts.12006

Cited by 11 publications

(8 citation statements)

References 95 publications

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“…Given the growing use of HRQoL as a surrogate outcome measure, there are considerable work in the development, adaptation and translation of condition-specific instrument in the field of Urogynecology [6]. For instance, a review by Al-Badr [16], identified four instruments specifically designed or adapted to evaluate HRQoL in women with POP: the Pelvic Floor Distress Inventory (PFDI), the Pelvic Floor Impact Questionnaire (PFIQ) [17], the Prolapse Quality of Life (P-QoL) [18] and the electronic Personal Assessment Questionnaire Pelvic Floor (ePAQ-PF) [19].…”

Section: Introductionmentioning

confidence: 99%

Translation, transcultural adaptation, reliability and validation of the pelvic organ prolapse quality of life (P-QoL) in Amharic

Belayneh

Gebeyehu

Adefris

et al. 2019

Health Qual Life Outcomes

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BackgroundThe Prolapse Quality of Life (P-QoL) is a disease-specific instrument designed to measure the health-related quality of life in women with prolapse; however, there is no Amharic version of the instrument. The aim of this study were to translate the P-QoL into Amharic and evaluate its psychometric properties among adult women.MethodsWe followed an intercultural adaptation procedure to translate and adapt the P-QoL. A forward–backward translation, face validity interviews with experts and cognitive debriefing of the translated version with ten adults from the target group were performed. The Amharic version was then completed by 230 adult women with and without POP symptoms. All women were examined using a simplified Pelvic Organ Prolapse Quantification (SPOP-Q) system. We examined internal consistency (Cronbach’s alpha) and test–retest reliability (intraclass correlation coefficient = ICC). Confirmatory factor analysis (CFA) was conducted and model fit was discussed. We extracted a new factor structure by exploratory factor analysis (EFA). Criterion validity was also assessed against the SPOP-Q stage.ResultsThe translated measure was found acceptable by the experts and target group, with only minor adaptations required for the Amharic context. It had high internal consistency (α = 0.96) and test–retest reliability (ICC = 0.87; p < 0.001). In CFA results, the model fit indices were unacceptable (CFI = 0.69, RMSEA = 0.17, SRMR = 0.43, TLI = 0.65, and PCLOSE = 0.00). EFA extracted three-factor with satisfactory convergent and discriminant validity. The P-QoL median scores were significantly higher in symptomatic women (Mann-Whitney U Test; p < 0.001). The score was also significantly correlated with stage of prolapse (Spearman’s correlation coefficient = 0.42 to 0.64, p < 0.001).ConclusionsThe P-QoL scale was successfully translated to Amharic and appears feasible, reliable and valid for Amharic-speaking women. Factor analysis confirmed a three-factor structure, inconsistent with the original English version. Further studies are needed to evaluate responsiveness of the Amharic P-QoL score.Electronic supplementary materialThe online version of this article (10.1186/s12955-019-1079-z) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Translation, transcultural adaptation, reliability and validation of the pelvic organ prolapse quality of life (P-QoL) in Amharic

Belayneh

Gebeyehu

Adefris

et al. 2019

Health Qual Life Outcomes

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“…[14] The quality-of-life related parameters were evaluated with the use prolapse-specific quality-of-life questionnaire (P-QOL). [15]…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic sacrocolpopexy using barbed sutures for mesh fixation and peritoneal closure: A safe option to reduce operational times

et al. 2017

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Introduction:Laparoscopic sacrocolpopexy (LSC) has established itself as a safe method for the management of pelvic organ prolapse (POP). Laparoscopic suturing is a time-consuming intraoperative task during LSC. Self-retaining barbed sutures (SBSs) are known to reduce the operative time in laparoscopic cases. The current study aimed to evaluate the efficacy and safety of SBS during the performance of LSC.Materials and Methods:Twenty female patients with symptomatic POP were treated with LSC by an expert surgeon. The preoperative evaluation included the International Continence Society POP-quantification (POP-Q) and the prolapse-specific quality-of-life questionnaire Mesh fixation was performed with SBS anteriorly on the anterior vaginal wall and posteriorly on the levator ani muscle. A 5-mm titanium tacking device was used for promontofixation. The peritoneum was also closed with an SBS.Results:Mean patient's age was 63 years (range: 50–79 years). According to POP-Q, system 3 patients (15%) had Stage I, 12 patients (60%) had Stage II, 3 patients (15%) had Stage III, and 2 patients (10%) had Stage IV prolapse. Concomitant hysterectomy was performed in 14 patients, respectively. Mean operative time was 99.75 (range: 65–140) min, mean blood loss was 57.75 (range: 30–120) ml. One patient had a bladder perforation intraoperatively, and three patients developed transient fever postoperatively. One patient had a recurrent cystocele and three patients recurrent rectocele.Conclusions:The current study renders the use of SBS during LSC to be safe and efficient. Further comparative studies would elucidate the impact of the use of SBS in LSC.

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“…The power of the scientific method rests in measuring quantifiable variables to produce evidence-based medicine. The healing potential of a wellness tool, such as mindfulness, may be challenging to quantify though approachable with quality-of-life parameters [9,10]. Mindfulness applied in my work invites women's feelings and attitudes about sexuality, self-image, and self-esteem, while parking my opinions and judgments out of therapeutic range.…”

Section: Mindful Partnership: Rational Mind (Thinking) and Body-mind mentioning

confidence: 98%

Mindful Decisions in Urogynecological Surgery: Paths from Awareness to Action

Schachter

2015

Mindful Medical Practice

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I have a surgical referral practice in urogynecology and reconstructive pelvic surgery and treat pelvic floor disorders in women. I perform hysterectomies, reconstruct vaginas, and install urinary incontinence slings. Following a dozen years of experience, it has become apparent that repairing anatomy is relatively easier than managing the biopsychosocial impact of pelvic floor dysfunction within a holistic approach. Despite five years of residency, and two years of post-graduate fellowship, problems that stretched me beyond my boundaries of knowledge and expertise were those requiring patience, attentive listening, empathy, and compassion. Over time, I recognized that mindfulness, or awareness in the present moment [1-4], enhanced my therapeutic relationships with patients.Easier for me was to select surgical procedures and manage perioperative care compared to problems that caused significant suffering and cut deep into my patients' lives. Issues such as deficient self-care, unexplored aspects of sexuality, and blocks to emotional intimacy in relationships masqueraded as gynecological problems. Voluntarily expressed, inadvertently exposed, or furtively revealed clandestine issues emerged from behind a gynecological veneer and pushed me past my scope of training. Mindfulness invited temporal pauses as inherent parts of a health-care partnership, increased my awareness of the decision-making process, identified patients' ambivalence and resistance, allowed feelings to be ventilated, and increased respect for patient autonomy [5] by sharing control of the therapeutic plan. Mindfulness enlarged the capacity of intervention to include wellness and enabled me to interact with patients as medical expert, resource person, and learner.

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Quality of Life Questionnaires for the Assessment of Pelvic Organ Prolapse: Use in Clinical Practice

Cited by 11 publications

References 95 publications

Translation, transcultural adaptation, reliability and validation of the pelvic organ prolapse quality of life (P-QoL) in Amharic

Translation, transcultural adaptation, reliability and validation of the pelvic organ prolapse quality of life (P-QoL) in Amharic

Laparoscopic sacrocolpopexy using barbed sutures for mesh fixation and peritoneal closure: A safe option to reduce operational times

Mindful Decisions in Urogynecological Surgery: Paths from Awareness to Action

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