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01-06-2009 | Original Article

Clinical-decision taking in primary pelvic organ prolapse; the effects of diagnostic tests on treatment selection in comparison with a consensus meeting

Authors: Annette G. Groenendijk, Erwin Birnie, Sjoerd de Blok, Albert H. Adriaanse, Willem M. Ankum, Jan-Paul W. Roovers, Gouke J. Bonsel

Published in: International Urogynecology Journal | Issue 6/2009

Abstract

Introduction and hypothesis

The objective of the study was to establish the effects of additional diagnostic tests compared to a consensus outcome on treatment selection in primary pelvic organ prolapse.

Methods

Three expert gynecologists individually defined a management plan in 53 patients after magnetic resonance imaging, defecography, urodynamic, and anorectal function test information was provided. These management plans were compared with basic treatment advices in the absence of any test and with consensus advices (opinion-based references). The experts assigned a subjective score (assigned diagnostic value [ADV], 0–100%) to rate the test's relative importance.

Results

On average, additional diagnostic testing resulted in a revised initial management plan in 38% of the cases; 24% of the individual management plans did not meet the consensus reference. Overall defecography was regarded most valuable (ADV range 19–65%) vs. magnetic resonance imaging rated least (ADV range 0–37%).

Conclusions

Although additional diagnostic tests frequently led to adaptations of basic treatment proposals, consensus was not reached in a fourth of the cases.

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Title: Clinical-decision taking in primary pelvic organ prolapse; the effects of diagnostic tests on treatment selection in comparison with a consensus meeting
Authors: Annette G. Groenendijk
Erwin Birnie
Sjoerd de Blok
Albert H. Adriaanse
Willem M. Ankum
Jan-Paul W. Roovers
Gouke J. Bonsel
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0846-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical-decision taking in primary pelvic organ prolapse; the effects of diagnostic tests on treatment selection in comparison with a consensus meeting

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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