Patient-centered treatment goals for pelvic floor disorders: association with quality-of-life and patient satisfaction.
OBJECTIVE
We sought to determine the relationship of patient-centered goal achievement in pelvic floor disorder (PFD) treatment to PFD-specific quality-of-life (QOL), depression, health status, and patient satisfaction.


METHODS
Ninety women with PFD identified up to 5 goals for treatment and reported their level of goal attainment (-2 to +2) at 1.5, 3, 6, and 12 months; completed the Incontinence Impact Questionnaire, Urogenital Distress Inventory, Incontinence Quality-of-Life Scale, Patient Health Questionnaire, and Short Form-12 Health Survey; and indicated their satisfaction with treatment.


RESULTS
Twelve-month mean goal attainment was moderately correlated with PFD-specific measures of QOL (r range, -0.40 to 0.55; P < .05) but less strongly with depression and general health status (r range, -0.27 to 0.28). Twelve-month goal attainment differed significantly among those who were completely satisfied (1.6 +/- 0.5), very satisfied (1.2 +/- 0.6), satisfied (0.4-1.0), or not satisfied (-0.5 +/- 0.9; F = 24.2; P < .01). Earlier follow-up results were similar.


CONCLUSIONS
PFD treatment goal attainment is associated with improved condition-specific QOL and patient satisfaction.
Bovbjerg
Viktor E
VE
Division of Nutritional Epidemiology, Department of Nutrition, Gillings School of Global Public Health and School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7415, USA.
Trowbridge
Elisa R
ER
Barber
Matthew D
MD
Martirosian
Tovia E
TE
Steers
William D
WD
Hullfish
Kathie L
KL
D000368:Aged; D003863:Depression / Q000523:psychology; D005242:Fecal Incontinence / Q000523:psychology / Q000628:therapy; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D017773:Pelvic Floor; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000523:psychology* / Q000628:therapy*; D014596:Uterine Prolapse / Q000523:psychology / Q000628:therapy