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

Research output: Contribution to journalArticlepeer-review

16 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 languageEnglish (US)
Pages (from-to)640.e1-640.e3
JournalAmerican journal of obstetrics and gynecology
Volume197
Issue number6
DOIs
StatePublished - Dec 2007

Keywords

  • patient satisfaction
  • patient-selected goals
  • pelvic surgery
  • quality of life

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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