Letouzey V, Mercier G, Adjoussou S, Bohoussou E, Mares P, de Tayrac R
Gynecology and obstetrics department, Caremeau university hospital, place Pr R.-Debré, 30900 Nimes, France.
Prog Urol. 2013 Sep;23(11):940-5. doi: 10.1016/j.purol.2013.04.010. Epub 2013 May 29.
To determine a syndrome score threshold on PFDI or PFIQ predictive of a significant improvement in post-operative functional results.
A retrospective case review (Canadian Task Force Classification II-2).
University and research hospital.
Women diagnosed with pelvic organ prolapse and repaired with synthetic vaginal mesh.
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.
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.
The intensity of symptoms before surgery may interfere as a predictive factor for outcome.
确定盆底功能障碍指数（PFDI）或盆底功能障碍问卷（PFIQ）的综合征评分阈值，以预测术后功能结果的显著改善。
回顾性病例审查（加拿大工作组分类II-2）。
大学和研究医院。
被诊断为盆腔器官脱垂并接受合成阴道网片修复的女性。
如果术前和术后36个月之间的评分下降超过50%，则任意认为生活质量有显著改善。我们从一项手术治疗盆腔器官脱垂的前瞻性试验中，研究了预测术后36个月生活质量无改善的术前临界评分。
预测术后36个月生活质量无改善的最准确术前临界评分为62/300（PFDI评分）。该临界值的阳性预测值为83.6%，特异性为62.1%。未从PFIQ评分中获得显著阈值。
术前症状的严重程度可能作为结果的预测因素产生干扰。
