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Published in: International Urogynecology Journal 1/2008

01-01-2008 | Original Article

Patient-selected goals: the fourth dimension in assessment of pelvic floor disorders

Authors: Lior Lowenstein, Mary P. FitzGerald, Kimberly Kenton, Yashika Dooley, Mike Templehof, Elizabeth R. Mueller, Linda Brubaker

Published in: International Urogynecology Journal | Issue 1/2008

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Abstract

The purpose of the study was to assess the relationship between self-expressed urogynecologic goals, symptoms, and treatment choice. Charts of women presenting for urogynecology consultation were reviewed. Demographics, diagnoses and responses to the pelvic floor distress inventory and medical, social, and epidemiologic aspects of aging questionnaires were recorded. Patients listed urogynecology goals before consultation. We categorized goals into five categories and then compared these categories by symptom type, severity, and treatment. Three hundred five women reported 635 goals (median 2, range 1–6). The number of goals listed per patient did not differ by age, race, comorbidities, or clinical diagnosis (p > 0.05). The most frequent goal category was symptoms (67%), followed by information seeking (12%), lifestyle (11%), emotional (4%), and “other” (6%). Women selecting non-surgical treatment were more likely to list information seeking as primary goal than those who chose surgery (p = 0.009). One third of participants expressed a primary non-symptom goal and were more likely to seek non-surgical therapy.
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Metadata
Title
Patient-selected goals: the fourth dimension in assessment of pelvic floor disorders
Authors
Lior Lowenstein
Mary P. FitzGerald
Kimberly Kenton
Yashika Dooley
Mike Templehof
Elizabeth R. Mueller
Linda Brubaker
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0390-0

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