PMID- 31187179 OWN - NLM STAT- MEDLINE DCOM- 20200515 LR - 20221207 IS - 1433-3023 (Electronic) IS - 0937-3462 (Linking) VI - 30 IP - 12 DP - 2019 Dec TI - A longitudinal qualitative evaluation of patient perspectives of adverse events after pelvic reconstructive surgery. PG - 2023-2028 LID - 10.1007/s00192-019-03998-7 [doi] AB - INTRODUCTION AND HYPOTHESIS: Patient perception of adverse events (AEs) after pelvic floor disorder surgery is incompletely understood and may differ from providers' views of AEs. Our objective is to describe patient perceptions of AEs related to pelvic floor disorder surgery and how perceptions change over time. METHODS: Mixed-method study of longitudinal patient interviews and surveys. Women planning pelvic floor disorder surgery completed three one-on-one interviews: preoperatively (< 12 weeks before surgery), 6-8 weeks postoperatively, and 6 months postoperatively. Interviews explored the patient experience of surgery and their perception of AEs over time. Participants ranked self-identified AEs by severity. De-identified transcripts of audio recordings were coded and analyzed using an iterative, thematic, team-based process using NVivo software (QSR International). RESULTS: Twenty women each completed three separate interviews for a total of 60 interviews. Their mean age was 55.3 (+/- 12.7) years, and 50% were Non-Hispanic white. Women's perceptions of AEs changed as more time passed from surgery. Women identified potential problems related to surgery such as anesthesia complications, pain, injury, catheter issues, and an unsuccessful surgery as the most concerning AEs preoperatively. Postoperatively (6-8 weeks), women expressed concern about functional outcomes (e.g., performing daily activities, symptom reduction). Late postoperatively (6 months), the majority identified unsuccessful surgery, incontinence, and sexual dysfunction as severe AEs. These findings are consistent with prior work that suggests women perceive functional outcomes as fundamental to their recovery. CONCLUSIONS: These findings contribute to a more nuanced understanding of patient-centered perspectives on AEs. Patients view poor functional outcomes as severe AEs. FAU - Dunivan, Gena C AU - Dunivan GC AD - Division of Urogynecology, Department of OBGYN, University of New Mexico, 1 University of New Mexico, MSC 10-5580, Albuquerque, NM, 87131-0001, USA. gdunivan@salud.unm.edu. FAU - McGuire, Brenna L AU - McGuire BL AD - Department of OBGYN, University of New Mexico, Albuquerque, NM, USA. FAU - Rishel Brakey, Heidi A AU - Rishel Brakey HA AD - Clinical and Translational Science Center, University of New Mexico, Albuquerque, NM, USA. FAU - Komesu, Yuko M AU - Komesu YM AD - Division of Urogynecology, Department of OBGYN, University of New Mexico, 1 University of New Mexico, MSC 10-5580, Albuquerque, NM, 87131-0001, USA. FAU - Rogers, Rebecca G AU - Rogers RG AD - Department of Women' Health, Dell Medical School, University of Texas at Austin, Austin, TX, USA. FAU - Sussman, Andrew L AU - Sussman AL AD - Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA. LA - eng GR - UL1TR001449/Center for Clinical and Translational Science, University of New Mexico (US)/International GR - N/A/Dedicated Health Reserach Funds from the University of New Mexico School of Medicine/International PT - Evaluation Study PT - Journal Article DEP - 20190611 PL - England TA - Int Urogynecol J JT - International urogynecology journal JID - 101567041 SB - IM CIN - Int Urogynecol J. 2019 Dec;30(12):2029. PMID: 31410517 MH - Adult MH - Female MH - Humans MH - Longitudinal Studies MH - Middle Aged MH - Patient Satisfaction MH - Pelvic Floor Disorders/psychology/*surgery MH - Pelvis/*surgery MH - Postoperative Complications/etiology/*psychology MH - Qualitative Research MH - Plastic Surgery Procedures/adverse effects/methods/*psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - Functional outcomes OT - Pelvic floor disorders OT - Qualitative mixed method study OT - Surgical adverse events EDAT- 2019/06/13 06:00 MHDA- 2020/05/16 06:00 CRDT- 2019/06/13 06:00 PHST- 2019/04/04 00:00 [received] PHST- 2019/05/22 00:00 [accepted] PHST- 2019/06/13 06:00 [pubmed] PHST- 2020/05/16 06:00 [medline] PHST- 2019/06/13 06:00 [entrez] AID - 10.1007/s00192-019-03998-7 [pii] AID - 10.1007/s00192-019-03998-7 [doi] PST - ppublish SO - Int Urogynecol J. 2019 Dec;30(12):2023-2028. doi: 10.1007/s00192-019-03998-7. Epub 2019 Jun 11.