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Finding
Finding
improvement
A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much better' on PGI-I versus 70% of pessary patients (P<0.0001), and 56% of surgery patients achieving 100% of pretreatment goals versus 39% of pessary continuers and 5% of pessary discontinuers (P<0.0001).
| Effect size | 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment |
| Comparator | Long-term pessary use for symptomatic POP |
| Effect summary | improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment |
| Effect modifiers | [{"modifier": "College education or higher", "interaction_p": "P=0.03", "direction": "attenuates", "stratum_details": "OR 2.72, 95% CI 1.12-6.60 for not achieving 100% of pretreatment goals", "plain_language": "Women with a college education or higher were more likely to NOT achieve all of their pretreatment goals, possibly due to higher expectations", "annotation_notes": "On multiple logistic regression, only college education was associated with not achieving 100% goal attainment. Type of treatment, race, and presence of other pelvic floor disorders were NOT associated."}] |
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Source
PMC5086295
Patient-reported goal attainment and comprehensive functioning outcomes after surgery compared to pessary for pelvic organ prolapse