Patients' pelvic goals change after initial urogynecologic consultation

Lior Lowenstein; Kimberly Kenton; Kristen Pierce; Mary P. FitzGerald; Elizabeth R. Mueller; Linda Brubaker

doi:10.1016/j.ajog.2007.08.021

Patients' pelvic goals change after initial urogynecologic consultation

Lior Lowenstein^*, Kimberly Kenton, Kristen Pierce, Mary P. FitzGerald, Elizabeth R. Mueller, Linda Brubaker

^*Corresponding author for this work

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Objective: The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals. Study Design: Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed. Results: Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 ± 1.2 vs 2 ± 1.2, respectively; P < .003). Women were less likely to report" symptom" and "information-seeking" goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001). Conclusion: Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.

Original language	English (US)
Pages (from-to)	640.e1-640.e3
Journal	American journal of obstetrics and gynecology
Volume	197
Issue number	6
DOIs	https://doi.org/10.1016/j.ajog.2007.08.021
State	Published - Dec 2007

Keywords

patient satisfaction
patient-selected goals
pelvic surgery
quality of life

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2007.08.021

Cite this

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title = "Patients' pelvic goals change after initial urogynecologic consultation",

abstract = "Objective: The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals. Study Design: Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed. Results: Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 ± 1.2 vs 2 ± 1.2, respectively; P < .003). Women were less likely to report{"} symptom{"} and {"}information-seeking{"} goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001). Conclusion: Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.",

keywords = "patient satisfaction, patient-selected goals, pelvic surgery, quality of life",

author = "Lior Lowenstein and Kimberly Kenton and Kristen Pierce and FitzGerald, {Mary P.} and Mueller, {Elizabeth R.} and Linda Brubaker",

year = "2007",

month = dec,

doi = "10.1016/j.ajog.2007.08.021",

language = "English (US)",

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AU - Lowenstein, Lior

AU - Kenton, Kimberly

AU - Pierce, Kristen

AU - FitzGerald, Mary P.

AU - Mueller, Elizabeth R.

AU - Brubaker, Linda

PY - 2007/12

Y1 - 2007/12

N2 - Objective: The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals. Study Design: Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed. Results: Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 ± 1.2 vs 2 ± 1.2, respectively; P < .003). Women were less likely to report" symptom" and "information-seeking" goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001). Conclusion: Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.

AB - Objective: The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals. Study Design: Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed. Results: Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients' postconsultation goals was higher than the number of preconsultation goals, (median of 3 ± 1.2 vs 2 ± 1.2, respectively; P < .003). Women were less likely to report" symptom" and "information-seeking" goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001). Conclusion: Urogynecologic consultation affects patients' goals. It is important to reassess goals following initial consultation.

KW - patient satisfaction

KW - patient-selected goals

KW - pelvic surgery

KW - quality of life

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Patients' pelvic goals change after initial urogynecologic consultation

Abstract

Keywords

ASJC Scopus subject areas

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