The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery

Robert E. Gutman; Ingrid E. Nygaard; Wen Ye; David D. Rahn; Matthew D. Barber; Halina M. Zyczynski; Leslie Rickey; Charles W. Nager; R. Edward Varner; Kimberly Kenton; Kimberly J. Dandreo; Holly E. Richter

doi:10.1016/j.ajog.2012.10.889

The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery

Robert E. Gutman^*, Ingrid E. Nygaard, Wen Ye, David D. Rahn, Matthew D. Barber, Halina M. Zyczynski, Leslie Rickey, Charles W. Nager, R. Edward Varner, Kimberly Kenton, Kimberly J. Dandreo, Holly E. Richter

^*Corresponding author for this work

Obstetrics and Gynecology

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

19 Scopus citations

Abstract

Objective: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure. Study Design: Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a Pelvic Floor Complication Scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (Health Utilities Index, Short Form-36, Urogenital Distress Inventory, and Incontinence Impact Questionnaire). Results: We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P <.01), lower satisfaction (P <.01), lower Health Utilities Index scores (P =.02), lower Short Form-36 scores (P =.02), higher Urogenital Distress Inventory scores (P <.01), and Incontinence Impact Questionnaire scores (P <.01) at 3 months. No associations were present at 1 year. Conclusion: The PFCS compares favorably to the validated modified Clavien-Dindo instrument.

Original language	English (US)
Pages (from-to)	81.e1-81.e9
Journal	American journal of obstetrics and gynecology
Volume	208
Issue number	1
DOIs	https://doi.org/10.1016/j.ajog.2012.10.889
State	Published - Jan 2013

Funding

Supported by grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Diabetes and Digestive and Kidney Diseases, and the NIH Office of Research on Women's Health at National Institutes of Health (grant numbers U10 HD41248 , U01 HD41249 , U10 HD41250 , U10 HD41261 , U10 HD41263 , U10 HD41267 , U10 HD41268 , U10 HD41269 , U10 HD54136 , U10 HD54214 , U10 HD54215 , and U10 HD54241 ; U01 DK58231 , U01 DK60379 , U01 DK60380 , U01 DK60401 , U01 DK60397 , U01 DK 58225 , U01 DK60395 , U01 DK58234 , U01 DK60393 , and U01 DK58229 ).

Keywords

Clavien-Dindo scale
complication
quality-of-life measure
reconstructive pelvic surgery
surgical outcome

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2012.10.889

Cite this

Gutman, R. E., Nygaard, I. E., Ye, W., Rahn, D. D., Barber, M. D., Zyczynski, H. M., Rickey, L., Nager, C. W., Varner, R. E., Kenton, K., Dandreo, K. J., & Richter, H. E. (2013). The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery. American journal of obstetrics and gynecology, 208(1), 81.e1-81.e9. https://doi.org/10.1016/j.ajog.2012.10.889

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title = "The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery",

abstract = "Objective: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure. Study Design: Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a Pelvic Floor Complication Scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (Health Utilities Index, Short Form-36, Urogenital Distress Inventory, and Incontinence Impact Questionnaire). Results: We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P <.01), lower satisfaction (P <.01), lower Health Utilities Index scores (P =.02), lower Short Form-36 scores (P =.02), higher Urogenital Distress Inventory scores (P <.01), and Incontinence Impact Questionnaire scores (P <.01) at 3 months. No associations were present at 1 year. Conclusion: The PFCS compares favorably to the validated modified Clavien-Dindo instrument.",

keywords = "Clavien-Dindo scale, complication, quality-of-life measure, reconstructive pelvic surgery, surgical outcome",

author = "Gutman, {Robert E.} and Nygaard, {Ingrid E.} and Wen Ye and Rahn, {David D.} and Barber, {Matthew D.} and Zyczynski, {Halina M.} and Leslie Rickey and Nager, {Charles W.} and Varner, {R. Edward} and Kimberly Kenton and Dandreo, {Kimberly J.} and Richter, {Holly E.}",

note = "Funding Information: Supported by grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Diabetes and Digestive and Kidney Diseases, and the NIH Office of Research on Women's Health at National Institutes of Health (grant numbers U10 HD41248 , U01 HD41249 , U10 HD41250 , U10 HD41261 , U10 HD41263 , U10 HD41267 , U10 HD41268 , U10 HD41269 , U10 HD54136 , U10 HD54214 , U10 HD54215 , and U10 HD54241 ; U01 DK58231 , U01 DK60379 , U01 DK60380 , U01 DK60401 , U01 DK60397 , U01 DK 58225 , U01 DK60395 , U01 DK58234 , U01 DK60393 , and U01 DK58229 ). ",

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doi = "10.1016/j.ajog.2012.10.889",

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TY - JOUR

T1 - The pelvic floor complication scale

T2 - A new instrument for reconstructive pelvic surgery

AU - Gutman, Robert E.

AU - Nygaard, Ingrid E.

AU - Ye, Wen

AU - Rahn, David D.

AU - Barber, Matthew D.

AU - Zyczynski, Halina M.

AU - Rickey, Leslie

AU - Nager, Charles W.

AU - Varner, R. Edward

AU - Kenton, Kimberly

AU - Dandreo, Kimberly J.

AU - Richter, Holly E.

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PY - 2013/1

Y1 - 2013/1

N2 - Objective: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure. Study Design: Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a Pelvic Floor Complication Scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (Health Utilities Index, Short Form-36, Urogenital Distress Inventory, and Incontinence Impact Questionnaire). Results: We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P <.01), lower satisfaction (P <.01), lower Health Utilities Index scores (P =.02), lower Short Form-36 scores (P =.02), higher Urogenital Distress Inventory scores (P <.01), and Incontinence Impact Questionnaire scores (P <.01) at 3 months. No associations were present at 1 year. Conclusion: The PFCS compares favorably to the validated modified Clavien-Dindo instrument.

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KW - Clavien-Dindo scale

KW - complication

KW - quality-of-life measure

KW - reconstructive pelvic surgery

KW - surgical outcome

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The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery

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