INTRODUCTION AND HYPOTHESIS: The purpose of this study is to examine the inter-observer reliability of the pelvic organ prolapse quantification (POP-Q) system in left lateral position. METHODS: Women attending urogynaecology outpatient clinics were examined in the left lateral position using a digital examination and POP-Q. This was repeated separately by a second blinded clinician. The inter-observer agreement was calculated using the Cohen's kappa coefficient. The POP-Q examination was then performed with a woman lying in dorsal lithotomy position. The POP-Q findings in the two positions were compared. RESULTS: Two hundred and eighteen women were recruited. The digital examination had a moderate inter-observer reliability with a kappa value of 0.54. The POP-Q showed a high degree of reliability (0.88). There was a high degree of correlation between the POP-Q findings in left lateral and lithotomy position (rho > 0.95, p < 0.001). CONCLUSION: The POP-Q in the left lateral position is reliable, easy to perform, acceptable for patients, and is not a time-consuming examination.
INTRODUCTION AND HYPOTHESIS: The purpose of this study is to examine the inter-observer reliability of the pelvic organ prolapse quantification (POP-Q) system in left lateral position. METHODS:Women attending urogynaecology outpatient clinics were examined in the left lateral position using a digital examination and POP-Q. This was repeated separately by a second blinded clinician. The inter-observer agreement was calculated using the Cohen's kappa coefficient. The POP-Q examination was then performed with a woman lying in dorsal lithotomy position. The POP-Q findings in the two positions were compared. RESULTS: Two hundred and eighteen women were recruited. The digital examination had a moderate inter-observer reliability with a kappa value of 0.54. The POP-Q showed a high degree of reliability (0.88). There was a high degree of correlation between the POP-Q findings in left lateral and lithotomy position (rho > 0.95, p < 0.001). CONCLUSION: The POP-Q in the left lateral position is reliable, easy to perform, acceptable for patients, and is not a time-consuming examination.
Authors: R C Bump; A Mattiasson; K Bø; L P Brubaker; J O DeLancey; P Klarskov; B L Shull; A R Smith Journal: Am J Obstet Gynecol Date: 1996-07 Impact factor: 8.661
Authors: Steven Swift; Sarah Morris; Vikki McKinnie; Robert Freeman; Eckhard Petri; Richard J Scotti; Peter Dwyer Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-04-06
Authors: A F Hall; J P Theofrastous; G W Cundiff; R L Harris; L F Hamilton; S E Swift; R C Bump Journal: Am J Obstet Gynecol Date: 1996-12 Impact factor: 8.661
Authors: W Andre Silva; Steven Kleeman; Jeffrey Segal; Rachel Pauls; Scott E Woods; Mickey M Karram Journal: Obstet Gynecol Date: 2004-07 Impact factor: 7.661