Lowenstein Lior, Kenton Kimberly, Pierce Kristen, Fitzgerald Mary P, Mueller Elizabeth R, Brubaker Linda
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology and Urology, Loyola University Medical Center, Maywood, IL, USA.
Am J Obstet Gynecol. 2007 Dec;197(6):640.e1-3. doi: 10.1016/j.ajog.2007.08.021.
The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals.
Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed.
Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 +/- 1.2 vs 2 +/- 1.2, respectively; P < .003). Women were less likely to report" symptom" and "information-seeking" goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001).
Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.
本研究的目的是确定初次泌尿妇科会诊对患者目标的数量和类型的影响。
回顾了接受初次泌尿妇科会诊的女性的病历。在会诊前后收集患者的目标。研究人员将目标分为6类。比较首次就诊前后目标的类别和数量。评估变化的预测因素和临床关联。
63名平均年龄为53岁（范围18 - 83岁）的女性共报告了313个目标。会诊后患者目标的数量高于会诊前（中位数分别为3±1.2和2±1.2；P < .003）。女性报告“症状”和“寻求信息”目标的可能性较小（分别为P < .002和P < .03），但会诊后报告治疗目标的可能性较大（P < .001）。
泌尿妇科会诊会影响患者的目标。初次会诊后重新评估目标很重要。
