Patients’ pelvic goals change after initial urogynecologic consultation - 22/08/11
, Kimberly Kenton, MD, MS, Kristen Pierce, BA, Mary P. FitzGerald, MD, MS, Elizabeth R. Mueller, MD, MSME, Linda Brubaker, MD, MS
Reprints: Lior Lowenstein, MD, Division of Female Pelvic Surgery and Reconstructive Surgery, Bldg 103, Room 1004, 2160 South First Avenue, Maywood, IL, 60153Résumé |
Objective |
The objective of the study was to determine the effect of initial urogynecologic consultation on the number and type of patient goals.
Study Design |
Charts of women who underwent initial urogynecology consultation were reviewed. Patient goals were collected before and after their consultation. Investigators categorized goals into 6 categories. Category and number of goals were compared before and after their first visit. Predictors of change and clinical associations were assessed.
Results |
Sixty-three women with a mean age of 53 (range, 18-83) years reported a total number of 313 goals. The number of patients’ postconsultation goals was higher than the number of preconsultation goals, (median of 3 ± 1.2 vs 2 ± 1.2, respectively; P < .003). Women were less likely to report“ symptom” and “information-seeking” goals (P < .002 and P < .03, respectively) but more likely to report treatment goals after consultation (P < .001).
Conclusion |
Urogynecologic consultation affects patients’ goals. It is important to reassess goals following initial consultation.
Le texte complet de cet article est disponible en PDF.Key words : patient satisfaction, patient-selected goals, pelvic surgery, quality of life
Plan
| Cite this article as: Lowenstein L, Kenton K, Pierce K, et al. Patients’ pelvic goals change after initial urogynecologic consultation. Am J Obstet Gynecol 2007;197:640.e1-640.e3. |
Vol 197 - N° 6
P. 640.e1-640.e3 - décembre 2007 Retour au numéro
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