Pham Thythy, Burgart Alyssa, Kenton Kimberly, Mueller Elizabeth R, Brubaker Linda
From the Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics & Gynecology and Urology, Loyola University Medical Center, Maywood, IL.
Female Pelvic Med Reconstr Surg. 2011 Mar;17(2):67-9. doi: 10.1097/SPV.0b013e318207c904.
: To determine the current use of the pelvic organ prolapse quantification (POP-Q) by members of the American Urogynecologic Society (AUGS) and the International Continence Society (ICS).
: Surgically active members of AUGS and ICS completed a Web-based questionnaire about their use of the POP-Q and included queries regarding respondent's clinical training, surgical experience, and practice setting. Users of POP-Q described their POP-Q use including patient's position, tools used to measure or assist with exposure, use of strain, and bladder volume. Strengths and weaknesses of the POP-Q system were also assessed.
: The 308 respondents had a median of 8 years (range, 0-35 years) of independent performance of POP surgery. Most were from the United States (70%), in a shared practice (64%), with at least 2 years of fellowship training (61%), and had trainees participating in patient care (81%). Of the respondents, 76% reported using the POP-Q; however, the technique of POP-Q varied. Of the 24% not using the POP-Q, two-thirds reported past POP-Q use. For these individuals, prolapse description was done using Baden-Walker (57%), descriptive words (38%), or other grades (7%). More than 50% of nonusers reported that the POP-Q is "too time-consuming" or that their "colleagues do not use it."
: Although most surveyed members of AUGS and ICS are using the POP-Q, we detected variability in the day-to-day practice of POP-Q use. To further advance the communication benefits of the POP-Q, a revision that provides evidence-based guidance may be a worthwhile refinement.
确定美国妇科泌尿学会（AUGS）和国际尿控学会（ICS）成员目前对盆腔器官脱垂定量分期系统（POP-Q）的使用情况。
AUGS和ICS的外科活跃成员完成了一份关于其使用POP-Q的网络调查问卷，其中包括有关受访者临床培训、手术经验和执业环境的问题。POP-Q使用者描述了他们使用POP-Q的情况，包括患者的体位、用于测量或辅助暴露的工具、用力情况以及膀胱容量。还评估了POP-Q系统的优缺点。
308名受访者独立进行POP手术的时间中位数为8年（范围为0至35年）。大多数来自美国（70%），从事联合执业（64%），接受过至少2年的专科培训（61%），并且有实习生参与患者护理（81%）。在受访者中，76%报告使用POP-Q；然而，POP-Q的技术存在差异。在未使用POP-Q的24%受访者中，三分之二报告过去使用过POP-Q。对于这些人，脱垂描述采用Baden-Walker法（57%）、描述性词语（38%）或其他分级法（7%）。超过50%的未使用者报告称POP-Q“太耗时”或“同事不使用它”。
尽管大多数接受调查的AUGS和ICS成员使用POP-Q，但我们发现POP-Q在日常使用中存在差异。为了进一步提升POP-Q在沟通方面的益处，进行一次能提供循证指导的修订可能是一项值得的改进。
