Stauffer M1, Swanenburg J2
1UniversityHospital Zurich, Physiotherapy and Occupational Therapy, Zurich, Switzerland, 2UniversityHospital Zurich, Physiotherapy Occupational Therapy Research Center, Zurich, Switzerland
Background: Our team of the department of pelvic floor rehabilitation treat women and men with different pathologies of the pelvis region. The treatments are multimodal approaches (counselling, patient education, lifestyle advice, pelvic floor muscle training, electrical stimulation and biofeedback where indicated and homework exercises). The multimodal treatments were based on the latest international guidelines of the European Association of Urology (2015) and the International Continence Society (2015). In 2016 standard operating procedures (SOP) were introduced for five different subgroups: women with Incontinence, women with Pelvic Organ Prolapse, men with Incontinence and Erectile Dysfunction after radical prostatectomy, women and men with Chronic Pelvic Pain.
Purpose: After two years of running with the new standards, the aim was to evaluate the pelvic floor rehabilitation program regarding the correlation between patient´s satisfaction and goal achievement.
Methods: 505 patients for the years 2016 and 2017 were analyzed. They were divided in 6 subgroups; women with incontinence (193), women with pelvic organ prolapse (76), men after radical prostatectomy (75), women with chronic pelvic pain (88), men with chronic pelvic pain (38), and others (38). The main outcome measure was the patient´s satisfaction (PS) following physiotherapy, achieving therapy goals (ATG) and the correlation between.
Results: The PS shows high rates over all subgroups: 91% (475 of 505 patients, 350 women, 125 men). The rate in ATG is high as well: 89% (448 of 505 patients, 338 females, 110 men). The Spearman's correlation showed PS and ATG was good (r=0.73, p 0.001). The correlation between PS and ATG within the men was higher (r=0.80, p 0.001) than in women (r=0.71, p 0.001) overall. In the subgroup women with chronic pelvic pain correlation was lower(r=0,75, p 0,001) than in the subgroup men with chronic pelvic pain.(r=0,833, p 0,001).
Whereas the correlation in the subgroup women with Incontinence was higher (r=0,805, p 0,001) than in the subgroup men with incontinence (0,637, p 0,001).In 73% of all Patient groups there is a high correlation between PS and ATG, whereas in 27% the correlation is lower.
Conclusion(s): It appears that high rates in patient´s satisfaction do not rely exclusively on high goal achievement. This seems to be the case more with female than male patients. The subgroup of women wirh chronic pelvic pain has the lowest correlation.
Implications: It is useful to define goals with patients to evaluate them at the end of treatment. However, patients satisfaction may be high, even though the goals might not necessarily have been achieved. This is especially teh case in the treatment of women with chronic pelvic pain. Other factors than goal achievement alone seem to be relevant for the satisfaction of the patients in this subgroup.
Keywords: pelvic floor rehabilitation, patient's satisfaction, goal achievement
Funding acknowledgements: None
Purpose: After two years of running with the new standards, the aim was to evaluate the pelvic floor rehabilitation program regarding the correlation between patient´s satisfaction and goal achievement.
Methods: 505 patients for the years 2016 and 2017 were analyzed. They were divided in 6 subgroups; women with incontinence (193), women with pelvic organ prolapse (76), men after radical prostatectomy (75), women with chronic pelvic pain (88), men with chronic pelvic pain (38), and others (38). The main outcome measure was the patient´s satisfaction (PS) following physiotherapy, achieving therapy goals (ATG) and the correlation between.
Results: The PS shows high rates over all subgroups: 91% (475 of 505 patients, 350 women, 125 men). The rate in ATG is high as well: 89% (448 of 505 patients, 338 females, 110 men). The Spearman's correlation showed PS and ATG was good (r=0.73, p 0.001). The correlation between PS and ATG within the men was higher (r=0.80, p 0.001) than in women (r=0.71, p 0.001) overall. In the subgroup women with chronic pelvic pain correlation was lower(r=0,75, p 0,001) than in the subgroup men with chronic pelvic pain.(r=0,833, p 0,001).
Whereas the correlation in the subgroup women with Incontinence was higher (r=0,805, p 0,001) than in the subgroup men with incontinence (0,637, p 0,001).In 73% of all Patient groups there is a high correlation between PS and ATG, whereas in 27% the correlation is lower.
Conclusion(s): It appears that high rates in patient´s satisfaction do not rely exclusively on high goal achievement. This seems to be the case more with female than male patients. The subgroup of women wirh chronic pelvic pain has the lowest correlation.
Implications: It is useful to define goals with patients to evaluate them at the end of treatment. However, patients satisfaction may be high, even though the goals might not necessarily have been achieved. This is especially teh case in the treatment of women with chronic pelvic pain. Other factors than goal achievement alone seem to be relevant for the satisfaction of the patients in this subgroup.
Keywords: pelvic floor rehabilitation, patient's satisfaction, goal achievement
Funding acknowledgements: None
Topic: Women's & men's pelvic health
Ethics approval required: No
Institution: N/A
Ethics committee: N/A
Reason not required: The study was a pragmatically conducted uncontrolled clinical feasibility study. The study did not add any intervention or data collection other than those included in ordinary routine praxis, and the patients’ full integrity was secured. No ethical approval was therefore needed, according to Swiss ethical law. The patients received a code number which replaced their names during all data management.
All authors, affiliations and abstracts have been published as submitted.
