PMID- 26423265
OWN - NLM
STAT- MEDLINE
DCOM- 20161214
LR  - 20181113
IS  - 1433-3023 (Electronic)
IS  - 0937-3462 (Linking)
VI  - 27
IP  - 3
DP  - 2016 Mar
TI  - Digital assessment and quantification of pelvic organ prolapse (DPOP-Q): a 
      randomised cross-over diagnostic agreement trial.
PG  - 433-7
LID - 10.1007/s00192-015-2841-3 [doi]
AB  - INTRODUCTION: Pelvic Organ Prolapse Quantification (POP-Q) system, measured in 
      centimetres using a ruler (e.g. POPstix(R)), is recommended to quantify prolapse 
      severity. POPstix(R) are costly (US $1/ruler). Home-made devices are used instead, 
      but these have not been shown to be reproducible. HYPOTHESIS: Digitally assessed 
      POP-Q (DPOP-Q) is as reliable, reproducible and acceptable as POP-Q assessed 
      using POPstix(R). METHODS: In this randomised crossover diagnostic agreement trial, 
      each assessor measured the index finger of their dominant hand using a ruler. At 
      visit one, patients were randomised to either POPstix(R) POP-Q assessment in a 
      modified lithotomy position or DPOP-Q in both modified a lithotomy and a standing 
      position. After the first clinician conducted this assessment, a second blinded 
      clinician then carried out the remaining assessment on the same patient. For each 
      examination, duration was recorded, along with a patient-completed discomfort 
      score. Twenty-five women were invited for visit two, at which DPOP-Q was recorded 
      by the same clinician who undertook DPOP-Q at the first visit. This allowed 
      evaluation of inter- and intraobserver agreement together with examination 
      acceptability. RESULTS: One hundred and nine women were recruited [median age 
      55 years, parity 2, body mass index (BMI) 27.1]. Of the 25 patients invited, 23 
      returned for visit two. DPOP-Q had high interobserver reliability [kappa = 0.94, 95 % 
      confidence interval (CI) 0.878-0.996] and intraobserver reliability (alpha = 0.96) 
      with POPstix(R). DPOP-Q was significantly quicker (p = 0.02) and less uncomfortable 
      (p < 0.01) than POPstix(R) POP-Q. CONCLUSION: DPOP-Q is reliable, acceptable and 
      cost effective.
FAU - Thiagamoorthy, Ganesh
AU  - Thiagamoorthy G
AD  - King's College Hospital, London, SE5 9RS, UK. gans.t@nhs.net.
FAU - Zacche, Martino
AU  - Zacche M
AD  - King's College Hospital, London, SE5 9RS, UK.
FAU - Cardozo, Linda
AU  - Cardozo L
AD  - King's College Hospital, London, SE5 9RS, UK.
FAU - Naidu, Madhu
AU  - Naidu M
AD  - Croydon University Hospital, Croydon, CR7 7YE, UK.
FAU - Giarenis, Ilias
AU  - Giarenis I
AD  - King's College Hospital, London, SE5 9RS, UK.
FAU - Flint, Richard
AU  - Flint R
AD  - King's College Hospital, London, SE5 9RS, UK.
FAU - Srikrishna, Sushma
AU  - Srikrishna S
AD  - King's College Hospital, London, SE5 9RS, UK.
FAU - Robinson, Dudley
AU  - Robinson D
AD  - King's College Hospital, London, SE5 9RS, UK.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20150930
PL  - England
TA  - Int Urogynecol J
JT  - International urogynecology journal
JID - 101567041
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Over Studies
MH  - Female
MH  - Gynecological Examination/*methods
MH  - Humans
MH  - Middle Aged
MH  - Pelvic Organ Prolapse/*diagnosis
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - *Severity of Illness Index
OTO - NOTNLM
OT  - POP-Q
OT  - Pelvic
OT  - Prolapse assessment
OT  - Vaginal
EDAT- 2015/10/02 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/10/02 06:00
PHST- 2015/03/12 00:00 [received]
PHST- 2015/09/01 00:00 [accepted]
PHST- 2015/10/02 06:00 [entrez]
PHST- 2015/10/02 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1007/s00192-015-2841-3 [pii]
AID - 10.1007/s00192-015-2841-3 [doi]
PST - ppublish
SO  - Int Urogynecol J. 2016 Mar;27(3):433-7. doi: 10.1007/s00192-015-2841-3. Epub 2015 
      Sep 30.