68 WHICH OUTCOME MEASURE(S) TO SELECT FOR THE REPORTING OF A LONG-TERM STUDY ON THE SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE (SUI) IN WOMEN?

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes II1 Apr 201268 WHICH OUTCOME MEASURE(S) TO SELECT FOR THE REPORTING OF A LONG-TERM STUDY ON THE SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE (SUI) IN WOMEN? Rubiao Ou, Hong Zhao, Xian-Jin Xie, and Philippe Zimmern Rubiao OuRubiao Ou Guangzhou, China, People's Republic of More articles by this author , Hong ZhaoHong Zhao Dallas, TX More articles by this author , Xian-Jin XieXian-Jin Xie Dallas, TX More articles by this author , and Philippe ZimmernPhilippe Zimmern Dallas, TX More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.114AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Faced with the decision of selecting one or more outcome measures (OM) in a long-term study on the surgical management of SUI in women, it was not clear which OM to preferentially adopt. This prompted a review of reported studies with a minimum of 5 years follow-up in search for some common ground in OM reporting. METHODS A Pubmed search of all English-written, full text, articles published between 1995 and 2010 describing at least a 5 year follow-up after surgical management of SUI (prolapse excluded) was performed. Data analyzed included number of participating centers for each study, study design (R:retrospective, P:prospective, RCT: randomized controlled trial), surgical SUI technique, number of patients enrolled, SUI outcome measures, and the mode of follow-up (office visit versus mail, phone call …). OMs were divided in 3 categories: Subjective, including validated and non-validated questionnaires; Objective, with stress test, pad usage, Q-tip test, pad test; and Others, such as flow rate, residual, voiding diary, urodynamic testing, or imaging. RESULTS 53 articles with more than 5 year follow-up including 35 R, 12 P and 6 RCT were identified. Office visit with a physical examination was documented in 31/53 articles. An average of 2 OMs per study for R, 4 for P, and 3 for RCT was observed. For R studies, 17/35 used unspecified questionnaires, 9/35 a stress test, 7/35 a pad test and 3/35 a voiding diary. For P studies, 8 different questionnaires were selected with no predominance for anyone, whereas stress test was done in 6/12, pad test in 7/12 and voiding diary in 1/12. For RCT studies, 4 chose UDI-6 or IIQ-7, Q-tip test in 3, and pad test or stress test in 2 each. The least performed OMs were BFLUTS, PGI-I, KHQ, ICIQ-SF, pad usage, Bonney test, voiding diary and imaging. Urodynamic was chosen in 6 R, 5 P and 1 RCT, and flow rate in 6 R, 4P and 1 RCT. Studies since 2006 tended to report more OMs than studies from prior years. CONCLUSIONS We found no uniformity in reporting in the long-term studies of surgery for SUI in women. Regardless of study design, few OMs were used, although an increase was noted in the past 5 years. Study comparisons and meta-analyses will remain hampered by the lack of agreement on a minimum set of OM that all studies should provide for meaningful interpretation.[1] References 1 NUU2010; 29: 715. Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e29 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rubiao Ou Guangzhou, China, People's Republic of More articles by this author Hong Zhao Dallas, TX More articles by this author Xian-Jin Xie Dallas, TX More articles by this author Philippe Zimmern Dallas, TX More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...