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Related Experiment Video

Updated: Jun 5, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
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Decision-Making Interventions for Pelvic Organ Prolapse: A Systematic Review, Meta-Analysis, and Environmental Scan.

Renata W Yen1,2, Amanda C Coyle3, Kimberley C Siwak4

  • 1Geisel School of Medicine at Dartmouth, Center for Technology and Behavioral Health, Lebanon, New Hampshire, USA.

Journal of Women'S Health (2002)
|December 9, 2024
PubMed
Summary

Decision-making interventions for pelvic organ prolapse (POP) did not improve patient outcomes. Existing online resources for POP decision-making are low quality and poorly written, necessitating user-centered digital interventions for younger patients.

Keywords:
decision-makingdecisional conflictinterventionspelvic organ prolapse

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Area of Science:

  • Urogynecology and Women's Health
  • Health Services Research
  • Medical Decision Making

Background:

  • Pelvic organ prolapse (POP) necessitates preference-sensitive treatment decisions for patients.
  • Systematic review and meta-analysis were conducted to evaluate decision-making interventions for POP.
  • An environmental scan assessed the quantity and quality of online interventions for POP decision-making.

Purpose of the Study:

  • To determine the effect of decision-making interventions on patient-reported outcomes in POP.
  • To assess the quality and quantity of available online decision-making resources for POP.

Main Methods:

  • Systematic literature search of Ovid MEDLINE, Cochrane Trials, Scopus, trial registries, and reference lists.
  • Meta-analysis and narrative synthesis of eight studies involving 512 patients.
  • Environmental scan of online resources (Google, app stores, clinical society websites) using DISCERN, IPDAS checklist, and readability metrics.

Main Results:

  • No significant differences were found in decisional conflict, decision regret, satisfaction, knowledge, or shared decision-making.
  • Study quality was low to moderate; online interventions (32 assessed) were mostly non-interactive and of low overall quality.
  • Online interventions had a mean DISCERN score of 48.2/80 and a mean reading grade level of 10.0.

Conclusions:

  • Current decision-making interventions for POP do not enhance patient-reported outcomes.
  • Existing online POP decision-making interventions are of low quality, with poor readability and limited testing in younger populations.
  • Future research should focus on user-centered design of digital interventions, particularly for younger patient cohorts.