OBJECTIVE: To determine a syndrome score threshold on PFDI or PFIQ predictive of a significant improvement in post-operative functional results.
DESIGN: A retrospective case review (Canadian Task Force Classification II-2).
SETTING: University and research hospital.
POPULATION: Women diagnosed with pelvic organ prolapse and repaired with synthetic vaginal mesh.
METHODS: Quality of life was arbitrarily considered to have improved significantly if the score decreases by more than 50% between pre-operatively and 36 months post-operatively. We investigated the pre-operative cut-off score predictive of no quality of life improvement at M36 from a prospective trial for surgical pelvic organ prolapse treatment.
RESULTS: The most accurate pre-operative cut-off score predicting a failure to improve quality of life at 36 months post-operatively was 62/300 (PFDI Score). This cut-off value had a positive predictive value of 83.6% and specificity of 62.1%. No significant threshold was obtained from the PFIQ score.
CONCLUSION: The intensity of symptoms before surgery may interfere as a predictive factor for outcome.
Written by:
Letouzey V, Mercier G, Adjoussou S, Bohoussou E, Mares P, de Tayrac R. Are you the author?
Gynecology and obstetrics department, Caremeau university hospital, place Pr R.-Debré, 30900 Nimes, France.
Reference: Prog Urol. 2013 Sep;23(11):940-5.
doi: 10.1016/j.purol.2013.04.010
PubMed Abstract
PMID: 24010925
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