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International Urogynecology Journal

Published in:

01-05-2010 | Original Article

Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse

Authors: Sushma Srikrishna, Dudley Robinson, Linda Cardozo

Published in: International Urogynecology Journal | Issue 5/2010

Abstract

Introduction and hypothesis

Currently, there is no global outcome assessment index in prolapse research. Patient Global Impression of Improvement (PGI-I) has only been validated in incontinence. Our aim was to validate its use following prolapse surgery.

Methods

Women with prolapse were recruited from waiting lists and assessed objectively (pelvic organ prolapse quantification system (POP-Q)). Quality of life (QoL) was assessed with prolapse QoL questionnaire (pQoL). Patient goal achievement (visual analogue scale (VAS)) determined subjective satisfaction and PGI-I indicated overall satisfaction. We established construct validity of PGI-I by correlating final PGI-I response with other measures of response, measured at 1 year: (POP-Q/pQoL/VAS)

Results

There was excellent test—retest reliability and correlation between PGI-I and other outcome measures.

Conclusion

We believe this is the first study validating PGI-I as a global index of response to prolapse surgery. This may be a valuable addition not only in clinical practice but also in trials comparing surgical interventions.

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Title: Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse
Authors: Sushma Srikrishna
Dudley Robinson
Linda Cardozo
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1069-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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