PMID- 36166063 OWN - NLM STAT- MEDLINE DCOM- 20221018 LR - 20221206 IS - 1433-3023 (Electronic) IS - 0937-3462 (Linking) VI - 33 IP - 11 DP - 2022 Nov TI - The PSR13, a tool for evaluating patient-perceived recovery after vaginal prolapse repair surgery. PG - 3195-3202 LID - 10.1007/s00192-022-05372-6 [doi] AB - INTRODUCTION AND HYPOTHESIS: Surgical recovery is the return to preoperative functional, psychologic, and social activity, or a return to normalcy. To date, little is known about the global post-surgical recovery experience from the patients' perspective. The aim of this study was to validate the Post-Discharge Surgical Recovery scale 13 (PSR13) in women undergoing vaginal prolapse repair procedures and evaluate the patient-perceived postoperative recovery experience over a 12-week period. METHODS: Fifty women undergoing vaginal prolapse repairs completed the PSR13 and global surgical recovery scale (GSR) at 1, 2, 4, 6, and 12 weeks post-surgery. Validity, the minimal clinically important difference (MCID), and responsiveness to change over time of the PSR13 was evaluated using descriptive statistics and linear regression models. The proportion of patients deemed fully recovered at each time point (defined as PSR13 score >/= 80) was also assessed. RESULTS: The PSR13 correlated significantly (p < 0.001) with the single-item recovery scale and showed excellent internal consistency reliability (Cronbach alpha = 0.91, range 0.77 to 0.93). The MCID was estimated at 7.0 points. The PSR13 scores improved at varying rates over time, with the greatest amount of patient-perceived recovery occurring between 4 and 6 weeks after surgery. The proportion of patients deemed fully recovered at 6- and 12- weeks postoperatively was 37% and 56%, respectively. CONCLUSIONS: The PSR13 is a useful instrument to assess overall return to normalcy from the patient's perspective and can be applied to evaluate the recovery experience among women undergoing vaginal prolapse repairs, in both the research and clinical setting. CI - (c) 2022. The International Urogynecological Association. FAU - Brandon, Caroline A AU - Brandon CA AUID- ORCID: 0000-0002-5704-267X AD - Department of Urology, New York University Langone Health, 222 E. 41st street, 11th Floor, New York, NY, 10017, USA. Care.brandon@gmail.com. AD - Department of Obstetrics & Gynecology, New York University Langone Health, New York, NY, USA. Care.brandon@gmail.com. FAU - Friedman, Steven AU - Friedman S AD - Department of Population Health, New York University Langone Health, New York, NY, USA. FAU - Rosenblum, Nirit AU - Rosenblum N AD - Department of Urology, New York University Langone Health, 222 E. 41st street, 11th Floor, New York, NY, 10017, USA. AD - Department of Obstetrics & Gynecology, New York University Langone Health, New York, NY, USA. FAU - Escobar, Christina M AU - Escobar CM AD - Department of Urology, New York University Langone Health, 222 E. 41st street, 11th Floor, New York, NY, 10017, USA. AD - Department of Obstetrics & Gynecology, New York University Langone Health, New York, NY, USA. FAU - Stewart, Lauren E AU - Stewart LE AD - Department of Urology, New York University Langone Health, 222 E. 41st street, 11th Floor, New York, NY, 10017, USA. AD - Department of Obstetrics & Gynecology, New York University Langone Health, New York, NY, USA. FAU - Brucker, Benjamin M AU - Brucker BM AD - Department of Urology, New York University Langone Health, 222 E. 41st street, 11th Floor, New York, NY, 10017, USA. AD - Department of Obstetrics & Gynecology, New York University Langone Health, New York, NY, USA. LA - eng PT - Journal Article DEP - 20220927 PL - England TA - Int Urogynecol J JT - International urogynecology journal JID - 101567041 SB - IM MH - Aftercare MH - Female MH - Gynecologic Surgical Procedures/methods MH - Humans MH - Patient Discharge MH - *Pelvic Organ Prolapse/surgery MH - Reproducibility of Results MH - *Uterine Prolapse/surgery OTO - NOTNLM OT - Patient-perceived outcome measures OT - Post-discharge surgical recovery 13 (PSR13) OT - Postoperative recovery OT - Vaginal prolapse repair EDAT- 2022/09/28 06:00 MHDA- 2022/10/19 06:00 CRDT- 2022/09/27 11:55 PHST- 2022/06/10 00:00 [received] PHST- 2022/08/28 00:00 [accepted] PHST- 2022/09/28 06:00 [pubmed] PHST- 2022/10/19 06:00 [medline] PHST- 2022/09/27 11:55 [entrez] AID - 10.1007/s00192-022-05372-6 [pii] AID - 10.1007/s00192-022-05372-6 [doi] PST - ppublish SO - Int Urogynecol J. 2022 Nov;33(11):3195-3202. doi: 10.1007/s00192-022-05372-6. Epub 2022 Sep 27.