Patient-centered surgical outcomes: the impact of goal achievement and urge incontinence on patient satisfaction one year after surgery

American Journal of Obstetrics and Gynecology
Sangeeta T MahajanLinda Brubaker

Abstract

The purpose of this study was to assess factors that influence patient satisfaction 1 year after pelvic reconstructive surgery. We previously reported the objective success, goals, and expectations of a cohort of 78 patients 3 months after surgery. A second blinded independent physician investigator contacted the same patients by phone to reassess these items 1 year after surgery. Data were analyzed with the Spearman correlation, the Mann-Whitney test, the chi-squared test of association, and the Friedman test. Seventy patients (89%) of the original cohort completed the second assessment. Although group satisfaction and goal achievement were stable (P < .01), 70% of patients reported a change in their satisfaction ratings between 3 months and 1 year (rho = 0.3). Reduced satisfaction between 3 and 12 months after surgery was strongly associated with decreased goal achievement (rho = 0.47; P = .006). Fifty-six percent of patients reported urge incontinence symptoms after surgery (44% de novo and 12% persistent). Urge incontinence was the most common reason for patient dissatisfaction after surgery (P = .04). Symptoms of urge incontinence and reduced achievement of subjective surgical goals are associated with decreased long-term ...Continue Reading

Associated Clinical Trials

References

Jul 13, 2002·American Journal of Obstetrics and Gynecology·Kathie L HullfishWilliam D Steers
Jan 8, 2004·American Journal of Obstetrics and Gynecology·Eman A ElkadryLinda Brubaker
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Citations

Sep 13, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·R M Freeman
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