TY - JOUR
T1 - Development of a conceptual framework for a new patient-reported outcome measure for pain in women following mesh surgery for pelvic floor disorders
T2 - a qualitative study
AU - Ralphsmith, Maisie
AU - Ahern, Susannah
AU - Dean, Joanne
AU - O’Connell, Helen E.
AU - Ruseckaite, Rasa
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2023/7
Y1 - 2023/7
N2 - Introduction and hypothesis: The Australasian Pelvic Floor Procedure Registry (APFPR) collects both clinical and health-related quality of life (HRQoL) data on women undergoing surgery using a prosthesis such as mesh for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The registry lacks a suitable instrument to assess pain in women following mesh surgery for SUI and POP. This qualitative study describes the views on pain following mesh surgery in women and clinicians through the development of a conceptual framework, which may inform the development of a new instrument for the APFPR. Methods: We conducted semi-structured interviews with women following mesh surgery for POP and SUI (n=17) and clinicians (n=6) in Victoria, Australia. We sought to reveal aspects of any sort of pain after a pelvic floor procedure. Interviews covered sensation, region, continuity of pain, triggers, and the mode and method of administration for a new pain-specific patient-reported outcome measure. Data were analysed using thematic analysis. Results: We identified the important components of pain felt by women with POP and SUI after surgery using mesh. From the seven themes outlined, a conceptual framework was developed compiling related components of pain into six specific domains. Conclusions: This study identifies the important components of pain felt by women following mesh surgery. It is hoped that the development of a pain-specific PROM, as supported by clinicians, will assist in the timely and appropriate diagnosis and management of POP and SUI.
AB - Introduction and hypothesis: The Australasian Pelvic Floor Procedure Registry (APFPR) collects both clinical and health-related quality of life (HRQoL) data on women undergoing surgery using a prosthesis such as mesh for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The registry lacks a suitable instrument to assess pain in women following mesh surgery for SUI and POP. This qualitative study describes the views on pain following mesh surgery in women and clinicians through the development of a conceptual framework, which may inform the development of a new instrument for the APFPR. Methods: We conducted semi-structured interviews with women following mesh surgery for POP and SUI (n=17) and clinicians (n=6) in Victoria, Australia. We sought to reveal aspects of any sort of pain after a pelvic floor procedure. Interviews covered sensation, region, continuity of pain, triggers, and the mode and method of administration for a new pain-specific patient-reported outcome measure. Data were analysed using thematic analysis. Results: We identified the important components of pain felt by women with POP and SUI after surgery using mesh. From the seven themes outlined, a conceptual framework was developed compiling related components of pain into six specific domains. Conclusions: This study identifies the important components of pain felt by women following mesh surgery. It is hoped that the development of a pain-specific PROM, as supported by clinicians, will assist in the timely and appropriate diagnosis and management of POP and SUI.
KW - Pain
KW - Patient-reported outcome measures
KW - Pelvic floor disorders
KW - Pelvic floor procedures
KW - Pelvic organ prolapse
KW - Stress urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=85144414457&partnerID=8YFLogxK
U2 - 10.1007/s00192-022-05425-w
DO - 10.1007/s00192-022-05425-w
M3 - Article
C2 - 36538045
AN - SCOPUS:85144414457
SN - 0937-3462
SP - 1541
EP - 1550
JO - International Urogynecology Journal
JF - International Urogynecology Journal
ER -