Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinenc...Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinence completed the Germanl anguage King’sHealth Questionnaire and the SF-36 before and after treatment. A psychometric analysis of the instrument was performed, determining reliability, validity and responsiveness of the King’s Health questionnaire. Results: The subscales of the King’s Health Questionnaire showed a good internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86. For the German version we defined a new subscale for overactive bladder. This subscale also showed a good internal consistency. The criterion validity measured on clinical parameters showed statistically significant correlations between severity of incontinence and several King’s subscales: Incontinence Impact (r = 0.22, p = 0.013), Personal Relationships(r = 0.24, p = 0.006) and Physical Limitations (r = 0.22, p = 0.010). Regarding responsiveness statistically significant changes before and after therapy were found in the subscales: Incontinence Impact, Physical Limitations, Social Limitations, Personal Relationships, Emotional Problems, and Sleep and Energy Disturbances. Conclusion: The German version of the King’s Health Questionnaire showed good psychometric properties and can be used in clinical trials and in clinical practice for the evaluation of treatments and their impact on urinary incontinence.展开更多
Objective: This study was undertaken to analyze bleeding problems with tension-free vaginal tape (TVT) operations in a national registry. Study design: We studied patients for whom increased intraoperative bleeding or...Objective: This study was undertaken to analyze bleeding problems with tension-free vaginal tape (TVT) operations in a national registry. Study design: We studied patients for whom increased intraoperative bleeding or reoperation for bleeding/hematoma with TVT operation were reported to the registry. Results: Bleeding problems were reported for 151 of 5578 (2.7% )TVT operations. Increased intraoperative bleeding was reported for 106 (1.9% ) and reoperation (or conversion) in 45 (0.8% ) patients (both in 5 patients). Increased intraoperative bleeding was managed conservatively in 103 patients (95% ). Overall, 45 (0.8% ) patients required reintervention for bleeding or hematoma. The reinterventions comprised 34 laparotomies, 4 transvaginal evacuations of hematomas, 3 revisions for bleeding from a suprapubic catheter site, and 2 revisions of the vaginal incision (details unclear in 1 patient). Bleeding was considered arterial in 12% (including 1 external iliac artery injury and 1 obturator artery injury) and venous or unknown in 88% . Of reoperated patients, 39% were reoperated within 24 hours, 20% within 2 to 10 days, and 41% within 11 to 56 days after TVT placement. Overall, 19 patients received blood transfusions (range, 1- 10 units). There were no deaths from bleeding complications. Conclusion: Bleeding complications were reported with less than 3% of 5578 TVT operations. Most cases of increased intraoperative bleeding were managed conservatively; 0.8% of patients required conversion or reoperation.展开更多
文摘Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinence completed the Germanl anguage King’sHealth Questionnaire and the SF-36 before and after treatment. A psychometric analysis of the instrument was performed, determining reliability, validity and responsiveness of the King’s Health questionnaire. Results: The subscales of the King’s Health Questionnaire showed a good internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86. For the German version we defined a new subscale for overactive bladder. This subscale also showed a good internal consistency. The criterion validity measured on clinical parameters showed statistically significant correlations between severity of incontinence and several King’s subscales: Incontinence Impact (r = 0.22, p = 0.013), Personal Relationships(r = 0.24, p = 0.006) and Physical Limitations (r = 0.22, p = 0.010). Regarding responsiveness statistically significant changes before and after therapy were found in the subscales: Incontinence Impact, Physical Limitations, Social Limitations, Personal Relationships, Emotional Problems, and Sleep and Energy Disturbances. Conclusion: The German version of the King’s Health Questionnaire showed good psychometric properties and can be used in clinical trials and in clinical practice for the evaluation of treatments and their impact on urinary incontinence.
文摘Objective: This study was undertaken to analyze bleeding problems with tension-free vaginal tape (TVT) operations in a national registry. Study design: We studied patients for whom increased intraoperative bleeding or reoperation for bleeding/hematoma with TVT operation were reported to the registry. Results: Bleeding problems were reported for 151 of 5578 (2.7% )TVT operations. Increased intraoperative bleeding was reported for 106 (1.9% ) and reoperation (or conversion) in 45 (0.8% ) patients (both in 5 patients). Increased intraoperative bleeding was managed conservatively in 103 patients (95% ). Overall, 45 (0.8% ) patients required reintervention for bleeding or hematoma. The reinterventions comprised 34 laparotomies, 4 transvaginal evacuations of hematomas, 3 revisions for bleeding from a suprapubic catheter site, and 2 revisions of the vaginal incision (details unclear in 1 patient). Bleeding was considered arterial in 12% (including 1 external iliac artery injury and 1 obturator artery injury) and venous or unknown in 88% . Of reoperated patients, 39% were reoperated within 24 hours, 20% within 2 to 10 days, and 41% within 11 to 56 days after TVT placement. Overall, 19 patients received blood transfusions (range, 1- 10 units). There were no deaths from bleeding complications. Conclusion: Bleeding complications were reported with less than 3% of 5578 TVT operations. Most cases of increased intraoperative bleeding were managed conservatively; 0.8% of patients required conversion or reoperation.
