Surgical preparation: Are patients "ready" for stress urinary incontinence surgery

L. Brubaker; H. J. Litman; L. Rickey; K. Y. Dyer; A. D. Markland; L. Sirls; P. Norton; E. Casiano; M. F R Paraiso; C. Ghetti; D. D. Rahn; J. W. Kusek

doi:10.1007/s00192-013-2184-x

Surgical preparation: Are patients "ready" for stress urinary incontinence surgery

L. Brubaker, H. J. Litman, L. Rickey, K. Y. Dyer, A. D. Markland, L. Sirls, P. Norton, E. Casiano, M. F R Paraiso, C. Ghetti, D. D. Rahn, J. W. Kusek

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

20 Scopus citations

Abstract

Introduction and hypothesis Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life. Methods The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ). Results Based on PPQ question 11, 4 out of 5 (81 %) of women reported they "agreed" or "strongly agreed" that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r=0.13, p=0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (rs=0.11, p=0.02) and larger PGI-S improvement (increase; p=0.008). Conclusions Approximately half (48 %) of women "strongly agreed" that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.

Original language	English (US)
Pages (from-to)	41-46
Number of pages	6
Journal	International Urogynecology Journal and Pelvic Floor Dysfunction
Volume	25
Issue number	1
DOIs	https://doi.org/10.1007/s00192-013-2184-x
State	Published - Jan 2014

Keywords

Mid-urethral sling
Randomized trial
Satisfaction
Stress incontinence
Surgical outcomes
Urodynamics

ASJC Scopus subject areas

Obstetrics and Gynecology
Urology

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10.1007/s00192-013-2184-x

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Brubaker, L., Litman, H. J., Rickey, L., Dyer, K. Y., Markland, A. D., Sirls, L., Norton, P., Casiano, E., Paraiso, M. F. R., Ghetti, C., Rahn, D. D., & Kusek, J. W. (2014). Surgical preparation: Are patients "ready" for stress urinary incontinence surgery. International Urogynecology Journal and Pelvic Floor Dysfunction, 25(1), 41-46. https://doi.org/10.1007/s00192-013-2184-x

@article{f9de938945cf49749b569fe1b2ee959d,

title = "Surgical preparation: Are patients {"}ready{"} for stress urinary incontinence surgery",

abstract = "Introduction and hypothesis Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life. Methods The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ). Results Based on PPQ question 11, 4 out of 5 (81 %) of women reported they {"}agreed{"} or {"}strongly agreed{"} that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r=0.13, p=0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (rs=0.11, p=0.02) and larger PGI-S improvement (increase; p=0.008). Conclusions Approximately half (48 %) of women {"}strongly agreed{"} that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.",

keywords = "Mid-urethral sling, Randomized trial, Satisfaction, Stress incontinence, Surgical outcomes, Urodynamics",

author = "L. Brubaker and Litman, {H. J.} and L. Rickey and Dyer, {K. Y.} and Markland, {A. D.} and L. Sirls and P. Norton and E. Casiano and Paraiso, {M. F R} and C. Ghetti and Rahn, {D. D.} and Kusek, {J. W.}",

note = "Funding Information: Acknowledgements Supported by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases, U01 DK58225, U01 DK58229, U01 DK58234, U01 DK58231, U01 DK60379, U01 DK60380, U01 DK60393, U01 DK60395, U01 DK60397, and U01 DK60401. Support was also provided by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Funding Information: the authors: A.D. Markland is sponsored by the Department of Veterans Affairs and has a VA sponsored grant. L. Brubaker, E. Casiano, C. Ghetti, J.W. Kusek, H.J. Litman, M.F.R. Paraiso, K.Y. Dyer, D.D. Rahn do not have any disclosures to report. E. Sirls is sponsored by Johnson & Johnson. L. Rickey is sponsored by Pfizer.",

year = "2014",

month = jan,

doi = "10.1007/s00192-013-2184-x",

language = "English (US)",

volume = "25",

pages = "41--46",

journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",

issn = "0937-3462",

publisher = "Springer London",

number = "1",

}

TY - JOUR

T1 - Surgical preparation

T2 - Are patients "ready" for stress urinary incontinence surgery

AU - Brubaker, L.

AU - Litman, H. J.

AU - Rickey, L.

AU - Dyer, K. Y.

AU - Markland, A. D.

AU - Sirls, L.

AU - Norton, P.

AU - Casiano, E.

AU - Paraiso, M. F R

AU - Ghetti, C.

AU - Rahn, D. D.

AU - Kusek, J. W.

N1 - Funding Information: Acknowledgements Supported by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases, U01 DK58225, U01 DK58229, U01 DK58234, U01 DK58231, U01 DK60379, U01 DK60380, U01 DK60393, U01 DK60395, U01 DK60397, and U01 DK60401. Support was also provided by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Funding Information: the authors: A.D. Markland is sponsored by the Department of Veterans Affairs and has a VA sponsored grant. L. Brubaker, E. Casiano, C. Ghetti, J.W. Kusek, H.J. Litman, M.F.R. Paraiso, K.Y. Dyer, D.D. Rahn do not have any disclosures to report. E. Sirls is sponsored by Johnson & Johnson. L. Rickey is sponsored by Pfizer.

PY - 2014/1

Y1 - 2014/1

N2 - Introduction and hypothesis Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life. Methods The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ). Results Based on PPQ question 11, 4 out of 5 (81 %) of women reported they "agreed" or "strongly agreed" that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r=0.13, p=0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (rs=0.11, p=0.02) and larger PGI-S improvement (increase; p=0.008). Conclusions Approximately half (48 %) of women "strongly agreed" that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.

AB - Introduction and hypothesis Patient preparedness for stress urinary incontinence (SUI) surgery is associated with improvements in post-operative satisfaction, symptoms and quality of life (QoL). This planned secondary analysis examined the association of patient preparedness with surgical outcomes, treatment satisfaction and quality of life. Methods The ValUE trial compared the effect of pre-operative urodynamic studies with a standardized office evaluation of outcomes of SUI surgery at 1 year. In addition to primary and secondary outcome measures, patient satisfaction with treatment was measured using a five-point Likert scale (very dissatisfied to very satisfied) that queried subjects to rate the treatment's effect on overall incontinence, urge incontinence, SUI, and frequency. Preparedness for surgery was assessed using an 11-question Patient Preparedness Questionnaire (PPQ). Results Based on PPQ question 11, 4 out of 5 (81 %) of women reported they "agreed" or "strongly agreed" that they were prepared for surgery. Selected demographic and clinical characteristics were similar in unprepared and prepared women. Among SUI severity baseline measures, total UDI score was significantly but weakly associated with preparedness (question 11 of the PPQ; Spearman's r=0.13, p=0.001). Although preparedness for surgery was not associated with successful outcomes, it was associated with satisfaction (rs=0.11, p=0.02) and larger PGI-S improvement (increase; p=0.008). Conclusions Approximately half (48 %) of women "strongly agreed" that they felt prepared for SUI. Women with higher pre-operative preparedness scores were more satisfied, although surgical outcomes did not differ.

KW - Mid-urethral sling

KW - Randomized trial

KW - Satisfaction

KW - Stress incontinence

KW - Surgical outcomes

KW - Urodynamics

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U2 - 10.1007/s00192-013-2184-x

DO - 10.1007/s00192-013-2184-x

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JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

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ER -

Surgical preparation: Are patients "ready" for stress urinary incontinence surgery

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