From the Department of Obstetrics and Gynecology, Duke University, Durham, NC.
Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM.
Female Pelvic Med Reconstr Surg. 2020 Mar;26(3):159-161. doi: 10.1097/SPV.0000000000000850.
There are few quality measures that allow for optimization of care for pelvic organ prolapse (POP). In coordination with the American Urogynecologic Society (AUGS), a prior group agreed upon health care provider-reported data elements that are important for large-scale quality measurement. The primary objective was to review existing patient-reported outcome (PRO) measurement tools for POP and consider where improvements are needed for inclusion in a quality measurement tool. A secondary objective was to discuss enhanced strategies to improve the quality of care for women with mesh complications.
The AUGS Scientific Committee convened a 1-day meeting titled "Deciding our Future: Consensus Conference on Prolapse Outcomes and Best Practices for Mesh Complications." Speakers discussed the current state of POP outcome measurement and meaningful ways of measuring and improving quality. Furthermore, past and future work for standardization of care regarding mesh complications was discussed.
Conference participants included invited speakers, representatives from AUGS and partner societies, 5 patient representatives from the AUGS Patient Advisory Committee, and 38 registered participants from academic institutions, community practices, and industry. Participants developed a roadmap for incorporating PROs into a national POP quality improvement registry. Participants also discussed important gaps in our knowledge of treatment of mesh complications and previewed proposed terminology and treatment algorithms.
Using appropriate methodology, existing PRO measurement tools can be collapsed into one concise tool for POP quality measurement. Over the next year, work will continue toward this goal. Proposed updates to mesh terminology and treatment algorithms will be published separately.
目前仅有少数质量指标可用于优化盆腔器官脱垂（POP）的护理。在美国妇科泌尿协会（AUGS）的协调下，一个先前的小组就重要的大规模质量测量医疗保健提供者报告数据元素达成了一致。主要目标是审查现有的 POP 患者报告结局（PRO）测量工具，并考虑在质量测量工具中需要改进的地方。次要目标是讨论改进女性网片并发症护理质量的增强策略。
AUGS 科学委员会召开了为期 1 天的会议，题为“决定我们的未来：关于脱垂结局和网片并发症最佳实践的共识会议”。演讲者讨论了 POP 结局测量的现状以及有意义的测量和提高质量的方法。此外，还讨论了关于网片并发症护理标准化的过去和未来工作。
会议参与者包括特邀演讲者、AUGS 和合作伙伴协会的代表、AUGS 患者咨询委员会的 5 名患者代表以及来自学术机构、社区实践和行业的 38 名注册参与者。参与者制定了将 PRO 纳入国家 POP 质量改进登记册的路线图。参与者还讨论了我们对网片并发症治疗的知识差距，并预览了拟议的术语和治疗算法。
使用适当的方法，可以将现有的 PRO 测量工具合并为一个用于 POP 质量测量的简明工具。在接下来的一年中，将继续朝着这一目标努力。拟议的网片术语和治疗算法更新将单独发布。
