PURPOSE OF REVIEW: To highlight the lack of consistency in the terminology and indicators related to obstetric fistula care and to put forward a call for consensus. RECENT FINDINGS: Recent studies show at least some degree of statistical correlation between outcome and the following clinical factors: degree of scarring/fibrosis, fistula location, fistula size, damage to the urethra, presence of circumferential fistula, bladder capacity, and prior attempt at fistula repair. SUMMARY: Consensus about basic definitions of clinical success does not yet exist. Opinions vary widely about the prognostic parameters for success or failure. Commonly agreed upon definitions and outcome measures will help ensure that site reviews are accurate and conducted fairly. To properly compare technical innovations with existing methods, agreement must be reached on definitions of success. Standardized indicators for mortality and morbidity associated with fistula repair will improve the evidence base and contribute to quality of care.
PURPOSE OF REVIEW: To highlight the lack of consistency in the terminology and indicators related to obstetric fistula care and to put forward a call for consensus. RECENT FINDINGS: Recent studies show at least some degree of statistical correlation between outcome and the following clinical factors: degree of scarring/fibrosis, fistula location, fistula size, damage to the urethra, presence of circumferential fistula, bladder capacity, and prior attempt at fistula repair. SUMMARY: Consensus about basic definitions of clinical success does not yet exist. Opinions vary widely about the prognostic parameters for success or failure. Commonly agreed upon definitions and outcome measures will help ensure that site reviews are accurate and conducted fairly. To properly compare technical innovations with existing methods, agreement must be reached on definitions of success. Standardized indicators for mortality and morbidity associated with fistula repair will improve the evidence base and contribute to quality of care.
Authors: Rahel Nardos; Elena K Phoutrides; Laura Jacobson; Allyson Knapper; Christopher K Payne; L Lewis Wall; Bharti Garg; Senait Tarekegn; Almaz Teamir; Melaku Abriha Marye Journal: Int Urogynecol J Date: 2020-03-16 Impact factor: 2.894
Authors: Imran O Morhason-Bello; Sikiru A Adebayo; Rukiyat A Abdusalam; Oluwasomidoyin O Bello; Kehinde H Odubamowo; Olatunji O Lawal; E Oluwabunmi Olapade-Olaopa; Oladosu A Ojengbede Journal: Case Rep Urol Date: 2014-12-23
Authors: Alexandre Delamou; Moustapha Diallo; Abdoul Habib Beavogui; Thérèse Delvaux; Sita Millimono; Mamady Kourouma; Karen Beattie; Mark Barone; Thierno Hamidou Barry; Mohamed Khogali; Mary Edginton; Sven Gudmund Hinderaker; Joseph Ruminjo; Wei-Hong Zhang; Vincent De Brouwere Journal: Trop Med Int Health Date: 2015-03-06 Impact factor: 2.622