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Assessing Utility Measures for Women With POP

Am J Obstet Gynecol; ePub 2017 Oct 6; Harvie, et al

Valid measurements for utility scores in women with pelvic organ prolapse (POP) and associated pelvic floor disorders can be met with the Health Utilities Index Mark 3, EuroQol, and Short Form 6D, but not the visual analogue scale. This according to a recent study that evaluated the construct validity of generic quality of life instruments for measuring utility scores in women with POP. The prospective observational study included 286 women pelvic floor disorders. The relationship between utility scores and condition-specific quality of life scores was measured and utility scores between 4 groups of women were compared: 1) pelvic organ prolapse only, 2) pelvic organ prolapse and stress urinary incontinence, 3) pelvic organ prolapse and urgency urinary incontinence, and 4) pelvic organ prolapse, urinary incontinence, and fecal incontinence. Researchers found:

  • 191 (67%) women (mean age 59, 73% Caucasian) had POP.
  • Among women with prolapse, 30 (16%) also had stress urinary incontinence, 39 (20%) had urgency urinary incontinence, and 42 (22%) had fecal incontinence.
  • Utility score for all generic instruments expect the visual analog scale were significantly correlated with the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire total scores.


Harvie HS, Lee DD, Andy UU, Shea JA Arya LA. Validity of utility measures for women with pelvic organ prolapse. [Published online ahead of print October 6, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.09.022.