Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse.

Abstract:

INTRODUCTION AND HYPOTHESIS:Currently, there is no global outcome assessment index in prolapse research. Patient Global Impression of Improvement (PGI-I) has only been validated in incontinence. Our aim was to validate its use following prolapse surgery. METHODS:Women with prolapse were recruited from waiting lists and assessed objectively (pelvic organ prolapse quantification system (POP-Q)). Quality of life (QoL) was assessed with prolapse QoL questionnaire (pQoL). Patient goal achievement (visual analogue scale (VAS)) determined subjective satisfaction and PGI-I indicated overall satisfaction. We established construct validity of PGI-I by correlating final PGI-I response with other measures of response, measured at 1 year: (POP-Q/pQoL/VAS) RESULTS: There was excellent test-retest reliability and correlation between PGI-I and other outcome measures. CONCLUSION:We believe this is the first study validating PGI-I as a global index of response to prolapse surgery. This may be a valuable addition not only in clinical practice but also in trials comparing surgical interventions.

journal_name

Int Urogynecol J

authors

Srikrishna S,Robinson D,Cardozo L

doi

10.1007/s00192-009-1069-5

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

523-8

issue

5

eissn

0937-3462

issn

1433-3023

journal_volume

21

pub_type

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