Abstract
PurposePatient-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).MethodsSemi-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.ResultsStudy 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.ConclusionMost 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.
Highlights
In Australia up to 50% of women are affected by stress urinary incontinence, SUI [1], with a 20% lifetime risk of receiving a pelvic floor reconstructive procedure [2]
SUI Stress Urinary Incontinence, TAFE Technical and Further Education their last procedure was 4.9 years ranging from 1 month to 10 years
Most women with SUI and clinicians supported the feasibility of incorporating Patient-reported outcome measures (PROMs) into the Australian Pelvic Floor Procedure Registry (APFPR)
Summary
In Australia up to 50% of women are affected by stress urinary incontinence, SUI [1], with a 20% lifetime risk of receiving a pelvic floor reconstructive procedure [2]. Women with SUI have a significantly poorer healthrelated quality of life (HRQoL), yet procedures designed to relieve them of the condition may result in adverse events, Patient-reported outcome measures (PROMs) are an important means of assessing HRQoL because they are reported directly by the patient, without interpretation by a clinician or anyone else [5]. In Australia, several state and national registries currently use PROMs to evaluate impacts of treatment and complications on HRQoL whilst enabling health services and clinicians to benchmark their HRQoL outcomes against others [9,10,11].
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