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

Research output: Contribution to journalArticle

9 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 languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume208
Issue number1
DOIs
StatePublished - Jan 2013

    Fingerprint

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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). https://doi.org/10.1016/j.ajog.2012.10.889