Patient's preference for sacrospinous hysteropexy or modified Manchester operation: A discrete choice experiment.
BJOG
; 130(1): 99-106, 2023 01.
Article
em En
| MEDLINE
| ID: mdl-36043332
ABSTRACT
OBJECTIVE:
To investigate women's preference for modified Manchester (MM) or sacrospinous hysteropexy (SH) as surgery for uterine prolapse.DESIGN:
Labelled discrete choice experiment (DCE).SETTING:
Eight Dutch hospitals. POPULATION Women with uterine prolapse, eligible for primary surgery and preference for uterus preservation.METHODS:
DCEs are attribute-based surveys. The two treatment options were labelled as MM and SH. Attributes in this survey were treatment success ( levels SH 84%, 89%, 94%; levels MM 89%, 93%, 96%), dyspareunia (levels 0%, 5%, 10%), cervical stenosis (levels 1%, 6%, 11%) and severe buttock pain (levels 0%, 1%). A different combination of attribute levels was used in each choice set. Women completed nine choice sets, making a choice based on attribute levels. Data were analysed in multinomial logit models. MAIN OUTCOMEMEASURES:
Women's preference for MM or SH.RESULTS:
137 DCEs were completed (1233 choice sets). SH was chosen in 49% of the choice sets, MM in 51%. Of all women, 39 (28%) always chose the same surgery. After exclusion of this group, 882 choice sets were analysed, in which women preferred MM, likely associated with a labelling effect, i.e. description of the procedure, rather than the tested attributes. In that group, MM was chosen in 53% of the choice sets and SH in 47%. When choosing MM, next to the label, dyspareunia was relevant for decision-making. For SH, all attributes were relevant for decision-making.CONCLUSIONS:
The preference of women for MM or SH seems almost equally divided. The variety in preference supports the importance of individualised healthcare.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prolapso Uterino
/
Dispareunia
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
BJOG
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Holanda