title: Goal attainment after treatment in patients with symptomatic pelvic organ prolapse.
abstract: OBJECTIVE
  The objectives of this study were to: (1) assess differences in goal attainment of self-described goals after treatment of symptomatic pelvic organ prolapse (POP) for women who chose surgery compared to women who chose pessary; and (2) compare patient global improvement between groups.
  
  
  METHODS
  Women who had symptomatic stage ≥II prolapse presenting for care of POP to the urogynecology clinic at the University of New Mexico were recruited. Patients listed up to 3 goals they had for their treatment. In addition, they completed the short forms of the Pelvic Floor Distress Inventory (PFDI-20), the POP/Urinary Incontinence Sexual Questionnaire, and the Body Image Scale. Goals listed by patients were then categorized into 10 categories. Each of the listed goals was categorized based on a consensus of 5 providers. At 3 months' follow-up patients listed if they had met their self-described goals on a scale of 0-10 and also answered the Patient Global Improvement Index (PGI-I).
  
  
  RESULTS
  There were no significant differences between the 2 groups' baseline characteristics. Surgery patients ranked their goal attainment higher than pessary patients for all the 3 goals listed. Similarly, PGI-I scores were also higher in the surgical (2.4 ± 1.1) than the pessary (1.93 ± 0.8) treatment groups (P < .04). Patients in the surgery group also had better symptom improvement as measured by the PFDI-20 (P < .02).
  
  
  CONCLUSIONS
  Patients who chose surgery had better global improvement and met their goals better compared to patients who chose pessary.
authors.affiliation: Department of Obstetrics and Gynecology, Urogynecology Division, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: mamta.mamik@gmail.com.
authors.forename: Mamta M
authors.initials: MM
authors.lastname: Mamik
authors.forename: Rebecca G
authors.initials: RG
authors.lastname: Rogers
authors.forename: Clifford R
authors.initials: CR
authors.lastname: Qualls
authors.forename: Yuko M
authors.initials: YM
authors.lastname: Komesu
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D010347:Patient Care Planning; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000628:therapy*; D010570:Pessaries; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: pessary surgery goal attainment