Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Department of Obstetrics and Gynaecology, Western Health, Melbourne, VIC, Australia.
Qual Life Res. 2022 Jul;31(7):2213-2221. doi: 10.1007/s11136-022-03099-x. Epub 2022 Feb 3.
Patient-reported outcome measures (PROMs) are valuable tools in evaluating the outcomes of surgical treatment health-related quality of life (HRQoL) of women with stress urinary incontinence (SUI) and may be incorporated into related clinical quality registries. The aim of this study was to assess the feasibility and acceptability of incorporating PROMs into the Australian Pelvic Floor Procedure Registry (APFPR).
Semi-structured qualitative interviews were conducted with women with SUI (N = 12) and their managing clinicians (N = 11) in Victoria, Australia. Interview topics covered content and face validity, appropriateness, and acceptability of three incontinence-specific, two pain, one anxiety and depression, one sexual function and one patient global impression of improvement instruments identified through the literature to determine their suitability and acceptability for the APFPR. We analysed interview data into topics using conventional content analysis.
Study participants agreed that PROMs were needed for the APFPR. Both participant groups suggested that some of the instruments were ambiguous, therefore only three instruments (one incontinence-specific, sexual function and patient global impression of improvement) will be included in the APFPR. Both clinicians and women agreed it would be appropriate to answer PROMs at baseline and then at 6- and 12-month postsurgically. Email, phone call and mail-out of the instruments were the preferred options for administration.
Most women and clinicians supported the feasibility of incorporating PROMs in the APFPR. Participants believed the PROMs would demonstrate useful aggregate HRQoL data and have potential for use in individual care.
患者报告的结局测量（PROMs）是评估女性压力性尿失禁（SUI）手术治疗健康相关生活质量（HRQoL）结果的有价值的工具，并且可以纳入相关的临床质量登记处。本研究的目的是评估将 PROMs 纳入澳大利亚盆底手术登记处（APFPR）的可行性和可接受性。
在澳大利亚维多利亚州对 SUI 女性（N=12）及其管理临床医生（N=11）进行了半结构化定性访谈。访谈主题涵盖了文献中确定的三种尿失禁特异性、两种疼痛、一种焦虑和抑郁、一种性功能和一种患者整体改善印象改善仪器的内容和表面有效性、适宜性和可接受性，以确定它们是否适合和可接受用于 APFPR。我们使用常规内容分析将访谈数据分为主题进行分析。
研究参与者一致认为 APFPR 需要 PROMs。两组参与者都认为有些仪器不够明确，因此只有三种仪器（一种尿失禁特异性、性功能和患者整体改善印象）将被纳入 APFPR。临床医生和女性都认为在基线时回答 PROMs，然后在术后 6 个月和 12 个月回答是合适的。电子邮件、电话和邮寄仪器是管理的首选方式。
大多数女性和临床医生都支持将 PROMs 纳入 APFPR 的可行性。参与者认为 PROMs 将展示有用的综合 HRQoL 数据，并有可能用于个体护理。
