TY  - BOOK
AU  - Gutman, Robert E
TI  - The pelvic floor complication scale: a new instrument for reconstructive pelvic surgery
SN  - 0002-9378
KW  - *Patient Satisfaction
KW  - *Pelvic Floor/su [Surgery]
KW  - *Postoperative Complications/di [Diagnosis]
KW  - *Reconstructive Surgical Procedures/ae [Adverse Effects]
KW  - *Uterine Prolapse/su [Surgery]
KW  - Adult
KW  - Aged
KW  - Female
KW  - Humans
KW  - Middle Aged
KW  - Quality of Life
KW  - Questionnaires
KW  - Reconstructive Surgical Procedures/mt [Methods]
KW  - Treatment Outcome
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
KW  - Validation Studies
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - 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)
UR  - http://dx.doi.org/10.1016/j.ajog.2012.10.889
ER  -