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The pelvic floor complication scale: a new instrument for reconstructive pelvic surgery.

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Citation: American Journal of Obstetrics & Gynecology. 208(1):81.e1-9, 2013 Jan.PMID: 23131463Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, N.I.H., Extramural | Validation StudiesSubject headings: *Patient Satisfaction | *Pelvic Floor/su [Surgery] | *Postoperative Complications/di [Diagnosis] | *Reconstructive Surgical Procedures/ae [Adverse Effects] | *Uterine Prolapse/su [Surgery] | Adult | Aged | Female | Humans | Middle Aged | Quality of Life | Questionnaires | Reconstructive Surgical Procedures/mt [Methods] | Treatment OutcomeLocal holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:

0002-9378

Name of journal: American journal of obstetrics and gynecologyAbstract: CONCLUSION: The PFCS compares favorably to the validated modified Clavien-Dindo instrument.Copyright � 2013 Mosby, Inc. All rights reserved.OBJECTIVE: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure.RESULTS: We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P < .01), lower satisfaction (P < .01), lower Health Utilities Index scores (P = .02), lower short form-36 scores (P = .02), higher urogenital distress Inventory scores (P < .01), and incontinence impact questionnaire scores (P < .01) at 3 months. No associations were present at 1 year.STUDY DESIGN: Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a pelvic floor complication scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (health utilities index, short form-36, urogenital distress inventory, and incontinence impact questionnaire).All authors: Barber MD, Dandreo KJ, Gutman RE, Kenton K, Nager CW, Nygaard IE, Pelvic Floor Disorders Network, Rahn DD, Richter HE, Rickey L, Urinary Incontinence Treatment Network, Varner RE, Ye W, Zyczynski HMDigital Object Identifier:

http://dx.doi.org/10.1016/j.ajog.2012.10.889

Date added to catalog: 2016-01-13

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		23131463

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

OBJECTIVE: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure.

RESULTS: We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P < .01), lower satisfaction (P < .01), lower Health Utilities Index scores (P = .02), lower short form-36 scores (P = .02), higher urogenital distress Inventory scores (P < .01), and incontinence impact questionnaire scores (P < .01) at 3 months. No associations were present at 1 year.

STUDY DESIGN: Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a pelvic floor complication scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (health utilities index, short form-36, urogenital distress inventory, and incontinence impact questionnaire).

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