Translating patient-reported outcomes to improve patient care and urogynecologic research

Rogers, Rebecca G.

doi:10.1007/s00192-017-3524-z

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…18 The PISQ had one study reporting content or face validity, reliability (very good), and internal consistency (very good). 64 The PISQ-12 had seven studies with data on reliability (four studies: one very good, three adequate), 31,44,45,50 internal consistency (three studies, all very good), 12,40,52 and responsiveness (one study, adequate). 52 The SPS-Q had one study reporting content or face validity, reliability (adequate), and responsiveness (inadequate).…”

Section: Resultsmentioning

confidence: 99%

“…Patient-reported outcomes are intended to assess or reflect a patient's subjective experience (eg, feelings, function) and can be used in both research and clinical settings. 64 To the best of our knowledge, this review is the most comprehensive systematic review to assess patient-reported outcomes for women with POP. Although there was variation in the measurement property data for included patient-reported outcomes for women with prolapse, most of the data met sufficient criteria with a high (adequate or very good) quality rating.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-Reported Outcome Measures for Use in Women With Pelvic Organ Prolapse

Dieter¹,

Halder²,

Pennycuff³

et al. 2023

Obstetrics &Amp; Gynecology

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcome Measures for Use in Women With Pelvic Organ Prolapse

Dieter¹,

Halder²,

Pennycuff³

et al. 2023

Obstetrics &Amp; Gynecology

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“…The achievement of patient-defined goals correlates with an increased likelihood of continuing treatment, such as continuation of pessary use for management of prolapse symptoms [ 34 ]. Despite this, PROs are most often utilized as outcome measures in a research setting and less frequently used to guide clinical care [ 35 ]. Our pathways provide evidence-based, patient-centered care by allowing PROs and goals to guide clinical decision making.…”

Section: Discussionmentioning

confidence: 99%

Evidence-based pelvic floor disorder care pathways optimize shared decision making between patients and surgeons

et al. 2022

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Introduction and hypothesis Evidence-based care pathways improve care standardization and patient outcomes. We created pelvic organ prolapse (POP) and stress urinary incontinence (SUI) care pathways as decision aids for our multidisciplinary team to use when counseling patients. Methods Using a modified Delphi process, an expert team reviewed existing guidelines and literature to reach consensus on pathway definitions and components. Results Entry to the care pathways occurs via an advanced practice provider visit. Symptom and quality-of-life questionnaires as well as open-ended patient goals are used to guide patient–provider shared decision making. All treatment choices, including surgical and nonsurgical management, are presented to patients by advanced practice providers. Patients electing nonsurgical management follow-up by telehealth (preferred) or in-person visits as determined by the care pathway. Surgeon consultations are scheduled for patients desiring surgery. Surgical patients undergo urodynamics, simple cystometrics or deferred bladder testing according to the urodynamics clinical pathway. Postoperative follow-up includes telehealth visits and minimizes in-person visits for women with uncomplicated postoperative courses. Patients with resolution of symptoms are graduated from clinic and return to their referring physician. The pathways are revised following publication of new compelling evidence. Conclusions We developed POP and SUI care pathways to standardize care across a diverse provider group. Advanced practice providers use care pathways with patients as shared decision-making tools for initial evaluation of patients with prolapse and incontinence. These pathways serve as components of value-based care and encourage team members to function independently while utilizing the full scope of their training.

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