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Archives of Gynecology and Obstetrics

Open Access 06-09-2024 | Anxiety | Urogynecology

The influence of decisional conflict on treatment decision in pelvic organ prolapse—data from the SHADE-POP trial

Authors: Larissa E. Drost, Rachel D. M. de Jong, Marjan Stegeman, Arie Franx, M. Caroline Vos

Published in: Archives of Gynecology and Obstetrics

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Abstract

Purpose

Women with symptomatic pelvic organ prolapse are facing the choice between several treatment options and a potentially difficult decision. The aim of this study was to examine the effect of decisional conflict, patient characteristics and other decision-related factors on treatment decision in women with pelvic organ prolapse.

Methods

Data from the SHADE-POP trial were used. Women with symptomatic pelvic organ prolapse who visited their gynaecologist for (new) treatment options were included. In all participants, demographical characteristics and validated questionnaires concerning decisional conflict (DCS), shared decision making (SDM-Q-9), information provision (SCIP-B), anxiety and depression (HADS) and satisfaction with care (PSQ-18) were collected 2 weeks after the visit. Analyses were performed using univariate and multivariate linear and logistic regression analyses.

Results

Ninety six women with pelvic organ prolapse facing a treatment decision were included. An increase in decisional conflict as experienced by patients was related to the choice of more conservative treatment, such as pelvic floor muscle training or pessary, instead of surgery (p = 0.02). Shared decision making, better information provision and satisfaction with care were related to lower levels of decisional conflict (p = 0.001).

Conclusion

Decisional conflict in women with pelvic organ prolapse favours conservative treatment instead of surgery. Gaining knowledge on the effect of decisional conflict, patient characteristics and other decision-related factors on treatment decision in pelvic organ prolapse will be a step towards a better-guided treatment decision and better patient-reported outcomes for this group of patients. NL 55737.028.15, 30-10-2016.
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Metadata
Title
The influence of decisional conflict on treatment decision in pelvic organ prolapse—data from the SHADE-POP trial
Authors
Larissa E. Drost
Rachel D. M. de Jong
Marjan Stegeman
Arie Franx
M. Caroline Vos
Publication date
06-09-2024
Publisher
Springer Berlin Heidelberg
Keyword
Anxiety
Published in
Archives of Gynecology and Obstetrics
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-024-07723-8