Shinnick Julia K, Najjar Omar, Jude Gabrielle, Lobel Megan M, Scarpaci Matthew M, Korbly Nicole B
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, 101 Plain St, Ste 5, Providence, RI, 02905, USA.
Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Int Urogynecol J. 2025 Jul 12. doi: 10.1007/s00192-025-06203-0.
The objective was to compare Prolapse and Incontinence Knowledge Questionnaire (PIKQ) scores before versus after initial consultation with a Urogynecology physician. Secondary objectives included examining correlations between PIKQ scores, symptom severity, and satisfaction.
A prospective study of new patients, aged ≥ 18 years, referred to an academic tertiary referral center for urinary incontinence or pelvic organ prolapse, was carried out. Participants self-reported demographic information and completed the PIKQ (scores range 0-24; 2 subscales: urinary incontinence, pelvic organ prolapse; higher scores indicate greater knowledge) before and after the visit. Questionnaires assessing symptom severity and satisfaction were also completed. Assuming a mean score of 15 ± 6 (α 0.05, β 0.20), 90 participants were required to detect a moderate effect size (0.3). Pearson correlation coefficients, p tests, and regression models were applied as appropriate.
Ninety-four participants, with a mean age 56 ± 13.5 years, were included. Primary diagnoses included overactive bladder (60 out of 94, 64%), stress urinary incontinence (57 out of 94, 61%), and pelvic organ prolapse (36 out of 94, 38%). Mean pre-visit PIKQ score was 15.8 ± 6.2, which increased post-visit (2.4 ± 5.2 points, p < 0.001). Neither pre-visit PIKQ score nor change in score correlated with treatment decision satisfaction (correlation coefficient -0.07, p = 0.52). Symptom severity did not correlate with PIKQ score change, although weak correlations between symptom severity and pre-visit scores were noted (correlation coefficients ranged from -0.22 to -0.31, p < 0.05).
The PIKQ scores increased after initial Urogynecology consultation, and changes correlated with neither symptoms nor satisfaction.
目的是比较在初次咨询妇科泌尿医生之前和之后的脱垂与失禁知识问卷（PIKQ）得分。次要目标包括检查PIKQ得分、症状严重程度和满意度之间的相关性。
对年龄≥18岁、因尿失禁或盆腔器官脱垂转诊至学术性三级转诊中心的新患者进行了一项前瞻性研究。参与者自行报告人口统计学信息，并在就诊前后完成PIKQ（得分范围为0 - 24；2个分量表：尿失禁、盆腔器官脱垂；得分越高表明知识越丰富）。还完成了评估症状严重程度和满意度的问卷。假设平均得分为15±6（α = 0.05，β = 0.20），需要90名参与者来检测中等效应量（0.3）。酌情应用了Pearson相关系数、p检验和回归模型。
纳入了94名参与者，平均年龄为56±13.5岁。主要诊断包括膀胱过度活动症（94例中的60例，64%）、压力性尿失禁（94例中的57例，61%）和盆腔器官脱垂（94例中的36例，38%）。就诊前PIKQ平均得分为15.8±6.2，就诊后有所增加（增加2.4±5.2分，p < 0.001）。就诊前PIKQ得分和得分变化均与治疗决策满意度无关（相关系数为 - 0.07，p = 0.52）。症状严重程度与PIKQ得分变化无关，不过注意到症状严重程度与就诊前得分之间存在弱相关性（相关系数范围为 - 0.22至 - 0.31，p < 0.05）。
初次妇科泌尿咨询后PIKQ得分有所增加，且变化与症状及满意度均无关。
