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 Citations (Scopus)

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

Reconstructive Surgical Procedures
Pelvic Floor
Hospitalization
Equipment and Supplies
Health
Quality of Life
Clinical Trials

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

The pelvic floor complication scale : A new instrument for reconstructive pelvic surgery. / Gutman, Robert E.; Nygaard, Ingrid E.; Ye, Wen; Rahn, David D.; Barber, Matthew D.; Zyczynski, Halina M.; Rickey, Leslie; Nager, Charles W.; Varner, R. Edward; Kenton, Kimberly; Dandreo, Kimberly J.; Richter, Holly E.

In: American Journal of Obstetrics and Gynecology, Vol. 208, No. 1, 01.2013.

Research output: Contribution to journalArticle

Gutman, RE, Nygaard, IE, Ye, W, Rahn, DD, Barber, MD, Zyczynski, HM, Rickey, L, Nager, CW, Varner, RE, Kenton, K, Dandreo, KJ & Richter, HE 2013, 'The pelvic floor complication scale: A new instrument for reconstructive pelvic surgery', American Journal of Obstetrics and Gynecology, vol. 208, no. 1. https://doi.org/10.1016/j.ajog.2012.10.889
Gutman, Robert E. ; Nygaard, Ingrid E. ; Ye, Wen ; Rahn, David D. ; Barber, Matthew D. ; Zyczynski, Halina M. ; Rickey, Leslie ; Nager, Charles W. ; Varner, R. Edward ; Kenton, Kimberly ; Dandreo, Kimberly J. ; Richter, Holly E. / The pelvic floor complication scale : A new instrument for reconstructive pelvic surgery. In: American Journal of Obstetrics and Gynecology. 2013 ; Vol. 208, No. 1.
@article{8616736853434342a9105074f8d67359,
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.}",
year = "2013",
month = "1",
doi = "10.1016/j.ajog.2012.10.889",
language = "English (US)",
volume = "208",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "1",

}

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.

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.

AB - 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.

KW - Clavien-Dindo scale

KW - complication

KW - quality-of-life measure

KW - reconstructive pelvic surgery

KW - surgical outcome

UR - http://www.scopus.com/inward/record.url?scp=84871605271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871605271&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2012.10.889

DO - 10.1016/j.ajog.2012.10.889

M3 - Article

VL - 208

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 1

ER -