title: The pelvic floor complication scale: a new instrument for reconstructive pelvic surgery.
abstract: OBJECTIVE
  The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure.
  
  
  METHODS
  Surgeons from 2 clinical trials networks rated complications based on perceived patient bother, severity, and duration of disability to develop a pelvic floor complication scale (PFCS). PFCS scores were calculated for subjects in 2 multicenter pelvic floor surgical trials. The PFCS and modified Clavien-Dindo scores were evaluated for associations with length of hospitalization, satisfaction, and quality-of-life measures (health utilities index, short form-36, urogenital distress inventory, and incontinence impact questionnaire).
  
  
  RESULTS
  We calculated PFCS scores for 977 subjects. Higher PFCS and Clavien-Dindo scores similarly were associated with longer length of hospitalization (P < .01), lower satisfaction (P < .01), lower Health Utilities Index scores (P = .02), lower short form-36 scores (P = .02), higher urogenital distress Inventory scores (P < .01), and incontinence impact questionnaire scores (P < .01) at 3 months. No associations were present at 1 year.
  
  
  CONCLUSIONS
  The PFCS compares favorably to the validated modified Clavien-Dindo instrument.
authors.affiliation: Department of Obstetrics and Gynecology, Washington Hospital Center, Georgetown University, Washington, DC, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gutman
authors.forename: Ingrid E
authors.initials: IE
authors.lastname: Nygaard
authors.forename: Wen
authors.initials: W
authors.lastname: Ye
authors.forename: David D
authors.initials: DD
authors.lastname: Rahn
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barber
authors.forename: Halina M
authors.initials: HM
authors.lastname: Zyczynski
authors.forename: Leslie
authors.initials: L
authors.lastname: Rickey
authors.forename: Charles W
authors.initials: CW
authors.lastname: Nager
authors.forename: R Edward
authors.initials: RE
authors.lastname: Varner
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kenton
authors.forename: Kimberly J
authors.initials: KJ
authors.lastname: Dandreo
authors.forename: Holly E
authors.initials: HE
authors.lastname: Richter
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D017773:Pelvic Floor / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*