title: Can the PFDI (Pelvic Floor Distress Inventory) or PFIQ (Pelvic Floor Impact Questionnaires) be used to predict outcome in pelvic reconstructive surgery?
abstract: OBJECTIVE
  To determine a syndrome score threshold on PFDI or PFIQ predictive of a significant improvement in post-operative functional results.
  
  
  METHODS
  A retrospective case review (Canadian Task Force Classification II-2).
  
  
  METHODS
  University and research hospital.
  
  
  METHODS
  Women diagnosed with pelvic organ prolapse and repaired with synthetic vaginal mesh.
  
  
  METHODS
  Quality of life was arbitrarily considered to have improved significantly if the score decreases by more than 50% between pre-operatively and 36 months post-operatively. We investigated the pre-operative cut-off score predictive of no quality of life improvement at M36 from a prospective trial for surgical pelvic organ prolapse treatment.
  
  
  RESULTS
  The most accurate pre-operative cut-off score predicting a failure to improve quality of life at 36 months post-operatively was 62/300 (PFDI Score). This cut-off value had a positive predictive value of 83.6% and specificity of 62.1%. No significant threshold was obtained from the PFIQ score.
  
  
  CONCLUSIONS
  The intensity of symptoms before surgery may interfere as a predictive factor for outcome.
authors.affiliation: Gynecology and obstetrics department, Caremeau university hospital, place Pr R.-Debré, 30900 Nimes, France. Electronic address: Vincent.go@wanadoo.fr.
authors.forename: V
authors.initials: V
authors.lastname: Letouzey
authors.forename: G
authors.initials: G
authors.lastname: Mercier
authors.forename: S
authors.initials: S
authors.lastname: Adjoussou
authors.forename: E
authors.initials: E
authors.lastname: Bohoussou
authors.forename: P
authors.initials: P
authors.lastname: Mares
authors.forename: R
authors.initials: R
authors.lastname: de Tayrac
mesh_terms: D000368:Aged; D002170:Canada; D003127:Colposcopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology* / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000503:physiopathology / Q000601:surgery; D014621:Vagina / Q000601:surgery*
keywords: 36 months post-operatively; AUC; Area under the curve; Chirurgie vaginale; Genital prolapse; International Pelvic Organ Prolapse staging system; M0; M36; PFDI; PFIQ; POP; POP-Q; Pelvic Floor Disorder Inventory; Pelvic Floor Impact Questionnaire; Pelvic Organ Prolapse; Predicting outcome; Prolapsus des organes pelviens; Prédiction des résultats; QOL; Quality of life; ROC; Receiver operating characteristic; Vaginal surgery; pre-operative evaluation