Do patients prefer mesh or anterior colporrhaphy for primary correction of anterior vaginal wall prolapse: a labelled discrete choice experiment

K.J.B. Notten, B.A. Essers, M. Weemhoff, A.G.H. Rutten, J.J.A.E. Donners, I. van Gestel, R.F.P.M. Kruitwagen, J.P. Roovers, C.D. Dirksen

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

ObjectiveWe investigated patients' preferences for anterior colporrhaphy or mesh surgery as surgical correction of anterior vaginal wall prolapse.

DesignLabelled discrete choice experiment.

SettingThree Dutch teaching hospitals.

PopulationWomen with anterior vaginal wall prolapse Pelvic Organ Prolapse Quantification stage 2 or more, indicated for anterior colporrhaphy (n=100).

MethodsDiscrete choice experiments are an attribute-based survey method for measuring preferences. In this experiment, women were asked to choose between two treatment scenarios, mesh surgery or anterior colporrhaphy. These surgical treatments differed in four treatment attributes: (i) recurrence rate, (ii) exposure rate, (iii) infection rate, (iv) dyspareunia. Data were analysed using a multinomial logit model.

Main outcome measuresWomen's preferences for anterior colporrhaphy or mesh surgery for the repair of vaginal wall prolapse.

ResultsAll treatment attributes, i.e. recurrence, exposure, infection and dyspareunia, proved to be significant in the woman's decision to choose mesh surgery (P

ConclusionThis study showed that next to the risk of recurrence, other aspects like risk of infection, dyspareunia and exposure play a role in the woman's preference for a surgical treatment. In addition, our results indicate that anterior colporrhaphy is preferred in the majority of the choices, followed by a preference for mesh surgery in a quarter of all choice sets. However, these results represent the average preference of a sample of women and cannot be taken as the preference of each individual. In the medical decision-making context, information from the current study should be personalised to fit patient's unique circumstances. For patients to construct their own, individual preferences, they should be well informed about the existence and magnitude of the potential benefits and risks related to either anterior colporrhaphy or mesh surgery.

Original languageEnglish
Pages (from-to)873-880
Number of pages8
JournalBjog-an International Journal of Obstetrics and Gynaecology
Volume122
Issue number6
DOIs
Publication statusPublished - May 2015

Keywords

  • Anterior colporrhaphy
  • anterior vaginal wall prolapse
  • discrete choice experiment
  • mesh related complications
  • mesh surgery
  • patients' preferences
  • PELVIC-ORGAN PROLAPSE
  • RANDOMIZED-CONTROLLED-TRIAL
  • POLYPROPYLENE MESH
  • URINARY-INCONTINENCE
  • TRANSVAGINAL MESH
  • HEALTH-CARE
  • REPAIR
  • SURGERY
  • RESOLUTION
  • RCT

Cite this

@article{e6c2e23fcc3d43b39188b5855b5c0d2a,
title = "Do patients prefer mesh or anterior colporrhaphy for primary correction of anterior vaginal wall prolapse: a labelled discrete choice experiment",
abstract = "ObjectiveWe investigated patients' preferences for anterior colporrhaphy or mesh surgery as surgical correction of anterior vaginal wall prolapse.DesignLabelled discrete choice experiment.SettingThree Dutch teaching hospitals.PopulationWomen with anterior vaginal wall prolapse Pelvic Organ Prolapse Quantification stage 2 or more, indicated for anterior colporrhaphy (n=100).MethodsDiscrete choice experiments are an attribute-based survey method for measuring preferences. In this experiment, women were asked to choose between two treatment scenarios, mesh surgery or anterior colporrhaphy. These surgical treatments differed in four treatment attributes: (i) recurrence rate, (ii) exposure rate, (iii) infection rate, (iv) dyspareunia. Data were analysed using a multinomial logit model.Main outcome measuresWomen's preferences for anterior colporrhaphy or mesh surgery for the repair of vaginal wall prolapse.ResultsAll treatment attributes, i.e. recurrence, exposure, infection and dyspareunia, proved to be significant in the woman's decision to choose mesh surgery (PConclusionThis study showed that next to the risk of recurrence, other aspects like risk of infection, dyspareunia and exposure play a role in the woman's preference for a surgical treatment. In addition, our results indicate that anterior colporrhaphy is preferred in the majority of the choices, followed by a preference for mesh surgery in a quarter of all choice sets. However, these results represent the average preference of a sample of women and cannot be taken as the preference of each individual. In the medical decision-making context, information from the current study should be personalised to fit patient's unique circumstances. For patients to construct their own, individual preferences, they should be well informed about the existence and magnitude of the potential benefits and risks related to either anterior colporrhaphy or mesh surgery.",
keywords = "Anterior colporrhaphy, anterior vaginal wall prolapse, discrete choice experiment, mesh related complications, mesh surgery, patients' preferences, PELVIC-ORGAN PROLAPSE, RANDOMIZED-CONTROLLED-TRIAL, POLYPROPYLENE MESH, URINARY-INCONTINENCE, TRANSVAGINAL MESH, HEALTH-CARE, REPAIR, SURGERY, RESOLUTION, RCT",
author = "K.J.B. Notten and B.A. Essers and M. Weemhoff and A.G.H. Rutten and J.J.A.E. Donners and {van Gestel}, I. and R.F.P.M. Kruitwagen and J.P. Roovers and C.D. Dirksen",
year = "2015",
month = "5",
doi = "10.1111/1471-0528.12924",
language = "English",
volume = "122",
pages = "873--880",
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issn = "1470-0328",
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Do patients prefer mesh or anterior colporrhaphy for primary correction of anterior vaginal wall prolapse: a labelled discrete choice experiment. / Notten, K.J.B.; Essers, B.A.; Weemhoff, M.; Rutten, A.G.H.; Donners, J.J.A.E.; van Gestel, I.; Kruitwagen, R.F.P.M.; Roovers, J.P.; Dirksen, C.D.

In: Bjog-an International Journal of Obstetrics and Gynaecology, Vol. 122, No. 6, 05.2015, p. 873-880.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Do patients prefer mesh or anterior colporrhaphy for primary correction of anterior vaginal wall prolapse: a labelled discrete choice experiment

AU - Notten, K.J.B.

AU - Essers, B.A.

AU - Weemhoff, M.

AU - Rutten, A.G.H.

AU - Donners, J.J.A.E.

AU - van Gestel, I.

AU - Kruitwagen, R.F.P.M.

AU - Roovers, J.P.

AU - Dirksen, C.D.

PY - 2015/5

Y1 - 2015/5

N2 - ObjectiveWe investigated patients' preferences for anterior colporrhaphy or mesh surgery as surgical correction of anterior vaginal wall prolapse.DesignLabelled discrete choice experiment.SettingThree Dutch teaching hospitals.PopulationWomen with anterior vaginal wall prolapse Pelvic Organ Prolapse Quantification stage 2 or more, indicated for anterior colporrhaphy (n=100).MethodsDiscrete choice experiments are an attribute-based survey method for measuring preferences. In this experiment, women were asked to choose between two treatment scenarios, mesh surgery or anterior colporrhaphy. These surgical treatments differed in four treatment attributes: (i) recurrence rate, (ii) exposure rate, (iii) infection rate, (iv) dyspareunia. Data were analysed using a multinomial logit model.Main outcome measuresWomen's preferences for anterior colporrhaphy or mesh surgery for the repair of vaginal wall prolapse.ResultsAll treatment attributes, i.e. recurrence, exposure, infection and dyspareunia, proved to be significant in the woman's decision to choose mesh surgery (PConclusionThis study showed that next to the risk of recurrence, other aspects like risk of infection, dyspareunia and exposure play a role in the woman's preference for a surgical treatment. In addition, our results indicate that anterior colporrhaphy is preferred in the majority of the choices, followed by a preference for mesh surgery in a quarter of all choice sets. However, these results represent the average preference of a sample of women and cannot be taken as the preference of each individual. In the medical decision-making context, information from the current study should be personalised to fit patient's unique circumstances. For patients to construct their own, individual preferences, they should be well informed about the existence and magnitude of the potential benefits and risks related to either anterior colporrhaphy or mesh surgery.

AB - ObjectiveWe investigated patients' preferences for anterior colporrhaphy or mesh surgery as surgical correction of anterior vaginal wall prolapse.DesignLabelled discrete choice experiment.SettingThree Dutch teaching hospitals.PopulationWomen with anterior vaginal wall prolapse Pelvic Organ Prolapse Quantification stage 2 or more, indicated for anterior colporrhaphy (n=100).MethodsDiscrete choice experiments are an attribute-based survey method for measuring preferences. In this experiment, women were asked to choose between two treatment scenarios, mesh surgery or anterior colporrhaphy. These surgical treatments differed in four treatment attributes: (i) recurrence rate, (ii) exposure rate, (iii) infection rate, (iv) dyspareunia. Data were analysed using a multinomial logit model.Main outcome measuresWomen's preferences for anterior colporrhaphy or mesh surgery for the repair of vaginal wall prolapse.ResultsAll treatment attributes, i.e. recurrence, exposure, infection and dyspareunia, proved to be significant in the woman's decision to choose mesh surgery (PConclusionThis study showed that next to the risk of recurrence, other aspects like risk of infection, dyspareunia and exposure play a role in the woman's preference for a surgical treatment. In addition, our results indicate that anterior colporrhaphy is preferred in the majority of the choices, followed by a preference for mesh surgery in a quarter of all choice sets. However, these results represent the average preference of a sample of women and cannot be taken as the preference of each individual. In the medical decision-making context, information from the current study should be personalised to fit patient's unique circumstances. For patients to construct their own, individual preferences, they should be well informed about the existence and magnitude of the potential benefits and risks related to either anterior colporrhaphy or mesh surgery.

KW - Anterior colporrhaphy

KW - anterior vaginal wall prolapse

KW - discrete choice experiment

KW - mesh related complications

KW - mesh surgery

KW - patients' preferences

KW - PELVIC-ORGAN PROLAPSE

KW - RANDOMIZED-CONTROLLED-TRIAL

KW - POLYPROPYLENE MESH

KW - URINARY-INCONTINENCE

KW - TRANSVAGINAL MESH

KW - HEALTH-CARE

KW - REPAIR

KW - SURGERY

KW - RESOLUTION

KW - RCT

U2 - 10.1111/1471-0528.12924

DO - 10.1111/1471-0528.12924

M3 - Article

VL - 122

SP - 873

EP - 880

JO - Bjog-an International Journal of Obstetrics and Gynaecology

JF - Bjog-an International Journal of Obstetrics and Gynaecology

SN - 1470-0328

IS - 6

ER -