Cargando…

Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm

(1) Background: Pelvic organ prolapse (POP) can be managed using a vaginal pessary. However, the decision-making process whereby health professionals choose the right pessary is unclear. The objective of this study was to focus on the experience of experts in pessary use and to propose an algorithm....

Descripción completa

Detalles Bibliográficos
Autores principales: Le Quoy, Marie-Amélie, Cotelle, Odile, de Tayrac, Renaud, Happillon, Florence, Pelhuche, Antoine, Wenner-Vidal, Valérie, Liagre, Blandine, Cour, Florence, Armengaud, Camille, Chene, Gautier, Cerutti, Emilie, Doucet, Fabienne, Pizzoferrato, Anne-Cécile, Deffieux, Xavier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958774/
https://www.ncbi.nlm.nih.gov/pubmed/36836083
http://dx.doi.org/10.3390/jcm12041548
_version_ 1784895108209967104
author Le Quoy, Marie-Amélie
Cotelle, Odile
de Tayrac, Renaud
Happillon, Florence
Pelhuche, Antoine
Wenner-Vidal, Valérie
Liagre, Blandine
Cour, Florence
Armengaud, Camille
Chene, Gautier
Cerutti, Emilie
Doucet, Fabienne
Pizzoferrato, Anne-Cécile
Deffieux, Xavier
author_facet Le Quoy, Marie-Amélie
Cotelle, Odile
de Tayrac, Renaud
Happillon, Florence
Pelhuche, Antoine
Wenner-Vidal, Valérie
Liagre, Blandine
Cour, Florence
Armengaud, Camille
Chene, Gautier
Cerutti, Emilie
Doucet, Fabienne
Pizzoferrato, Anne-Cécile
Deffieux, Xavier
author_sort Le Quoy, Marie-Amélie
collection PubMed
description (1) Background: Pelvic organ prolapse (POP) can be managed using a vaginal pessary. However, the decision-making process whereby health professionals choose the right pessary is unclear. The objective of this study was to focus on the experience of experts in pessary use and to propose an algorithm. (2) Methods: A prospective study, based on face-to-face semi-directive interviews and group discussions, was conducted on a multidisciplinary panel of professional experts specialized in pessary prescriptions. A consensual algorithm was established, and its accuracy was assessed by expert and non-expert panels. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were used. (3) Results: 17 semi-directive interviews were conducted. The parameters involved in the decision-making process regarding the choice of vaginal pessaries were: desire for self-management (65%), associated urinary stress incontinence (47%), POP type (41%), and POP stage (29%). The algorithm was developed step by step (4 iterations) using the Delphi technique. Most of the expert panel (76%) rated the relevance of the algorithm as 7 or more out of 10 on a visual analog scale according to their own experience (reference activity). Finally, most (81%) of the non-expert panel (n = 230) rated the usefulness of this algorithm as 7 or more out of 10 on a visual analog scale. (4) Conclusions: This study provides an expert panel-based algorithm that may help in the prescription of pessaries for POP.
format Online
Article
Text
id pubmed-9958774
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99587742023-02-26 Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm Le Quoy, Marie-Amélie Cotelle, Odile de Tayrac, Renaud Happillon, Florence Pelhuche, Antoine Wenner-Vidal, Valérie Liagre, Blandine Cour, Florence Armengaud, Camille Chene, Gautier Cerutti, Emilie Doucet, Fabienne Pizzoferrato, Anne-Cécile Deffieux, Xavier J Clin Med Article (1) Background: Pelvic organ prolapse (POP) can be managed using a vaginal pessary. However, the decision-making process whereby health professionals choose the right pessary is unclear. The objective of this study was to focus on the experience of experts in pessary use and to propose an algorithm. (2) Methods: A prospective study, based on face-to-face semi-directive interviews and group discussions, was conducted on a multidisciplinary panel of professional experts specialized in pessary prescriptions. A consensual algorithm was established, and its accuracy was assessed by expert and non-expert panels. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were used. (3) Results: 17 semi-directive interviews were conducted. The parameters involved in the decision-making process regarding the choice of vaginal pessaries were: desire for self-management (65%), associated urinary stress incontinence (47%), POP type (41%), and POP stage (29%). The algorithm was developed step by step (4 iterations) using the Delphi technique. Most of the expert panel (76%) rated the relevance of the algorithm as 7 or more out of 10 on a visual analog scale according to their own experience (reference activity). Finally, most (81%) of the non-expert panel (n = 230) rated the usefulness of this algorithm as 7 or more out of 10 on a visual analog scale. (4) Conclusions: This study provides an expert panel-based algorithm that may help in the prescription of pessaries for POP. MDPI 2023-02-15 /pmc/articles/PMC9958774/ /pubmed/36836083 http://dx.doi.org/10.3390/jcm12041548 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Le Quoy, Marie-Amélie
Cotelle, Odile
de Tayrac, Renaud
Happillon, Florence
Pelhuche, Antoine
Wenner-Vidal, Valérie
Liagre, Blandine
Cour, Florence
Armengaud, Camille
Chene, Gautier
Cerutti, Emilie
Doucet, Fabienne
Pizzoferrato, Anne-Cécile
Deffieux, Xavier
Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title_full Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title_fullStr Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title_full_unstemmed Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title_short Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm
title_sort identification of key factors influencing the choice of the type of vaginal pessary for women presenting with pelvic organ prolapse: semi-directive interviews and development of an algorithm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958774/
https://www.ncbi.nlm.nih.gov/pubmed/36836083
http://dx.doi.org/10.3390/jcm12041548
work_keys_str_mv AT lequoymarieamelie identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT cotelleodile identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT detayracrenaud identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT happillonflorence identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT pelhucheantoine identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT wennervidalvalerie identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT liagreblandine identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT courflorence identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT armengaudcamille identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT chenegautier identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT ceruttiemilie identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT doucetfabienne identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT pizzoferratoannececile identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm
AT deffieuxxavier identificationofkeyfactorsinfluencingthechoiceofthetypeofvaginalpessaryforwomenpresentingwithpelvicorganprolapsesemidirectiveinterviewsanddevelopmentofanalgorithm