The Promise of PROMIS in Pelvic Organ Prolapse

Katarzyna Bochenska*, Evelyn Hall, James W. Griffith, Kimberly Kenton, Alexandria Alverdy, Christina Lewicky-Gaupp, Margaret Mueller

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Objectives The aims of the study were to determine the relationship between pelvic organ prolapse (POP) and health-related quality of life dimensions and to evaluate the utility of the PROMIS Profile in women undergoing surgical treatment for POP. Methods We performed a planned ancillary analysis of 103 women recruited between January 2014 and December 2015 to the Restricted Convalescence Outcomes following Urogynecologic Procedures study. All participants underwent surgery for POP and completed the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), Patient Global Impression of Severity Scale, and the 57-item Patient Reported Outcomes Measurement Information System (PROMIS-57) questionnaire, preoperatively and at 3 months postoperatively. Data were analyzed using Pearson and Spearman correlations. Results Preoperative PFDI-20 and PFIQ-7 scores were significantly correlated with all PROMIS domains including physical function, anxiety, depression, fatigue, sleep disturbance, satisfaction with participation in social roles, pain interference, and higher pain intensity. Worse self-reported condition assessments on the Patient Global Impression of Severity were significantly correlated with worse physical function, more pain interference, and higher pain intensity on the PROMIS Profile at baseline. Postoperatively, PFDI-20, PFIQ-7, and all PROMIS Profile domain scores improved significantly (P ≤ 0.05). Correlations between PDFI-20, PFIQ-7, and PROMIS domains persisted at 3 months. Conclusions In a cohort of women undergoing surgery for POP, pelvic floor symptom severity is associated with health-related quality of life domains measured by the PROMIS-57.

Original languageEnglish (US)
Pages (from-to)426-429
Number of pages4
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume25
Issue number6
DOIs
StatePublished - Nov 1 2019

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Keywords

  • PROMIS
  • pelvic organ prolapse
  • quality of life

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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