title: Patient-centered treatment goals for pelvic floor disorders: association with quality-of-life and patient satisfaction.
abstract: 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.
authors.affiliation: 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.
authors.forename: Viktor E
authors.initials: VE
authors.lastname: Bovbjerg
authors.forename: Elisa R
authors.initials: ER
authors.lastname: Trowbridge
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barber
authors.forename: Tovia E
authors.initials: TE
authors.lastname: Martirosian
authors.forename: William D
authors.initials: WD
authors.lastname: Steers
authors.forename: Kathie L
authors.initials: KL
authors.lastname: Hullfish
mesh_terms: 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