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The Promise of PROMIS in Pelvic Organ Prolapse

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

Female Pelvic Medicine & Reconstructive Surgery: December 19, 2018 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/SPV.0000000000000685
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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.

From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, and

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.

Correspondence: Katarzyna Bochenska, MD, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Northwestern University, Prentice Women's Hospital, 250 E Superior St, 05-2370 Chicago, IL 60611. E-mail: kbochenskamd@gmail.com.

This study was funded by a grant from the Friend's of Prentice Charitable Organization or Northwestern Memorial Hospital.

Presented at the 37th Annual Scientific Meeting of the American Urogynecologic Society, October 1, 2016, Denver, CO.

The author has declared that there are no conflicts of interest.

All significant contributors to this article have been listed as authors. All authors contributed to the concept and design, acquisition of data, analysis and interpretation of data, and preparation of the article.

Clinical Trial Registration: NCT02138487.

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