The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
Effectiveness and cost-effectiveness of pessary treatment compared with pelvic floor muscle training in older women with pelvic organ prolapse: 2-year follow-up of a randomized controlled trial in primary care
Open accessAbstract
Objective: We investigated the effectiveness and cost-effectiveness of pessary treatment compared with pelvic floor muscle training (PFMT) in women with pelvic organ prolapse over a 2-year period. Methods: Randomized controlled trial with women (≥55 y) with symptomatic pelvic organ prolapse, identified by screening. Participants were recruited from 20 primary care practices (October 2009-December 2012). Primary outcome was the difference in change of pelvic floor symptoms (PFDI-20 score) between groups over 24 months. Secondary outcomes included prolapse, urinary, and anorectal symptoms; quality of life; costs; sexual functioning; prolapse stage; pelvic floor muscle function; and participants’ perceived symptom improvement. Results: There was a nonsignificant difference in the primary outcome between pessary treatment (n = 82) and PFMT (n = 80) with a mean difference of −3.7 points (95% CI, −12.8 to 5.3; P = 0.42) in favor of pessary treatment. A significantly greater improvement in the prolapse symptom score was, however, seen with pessary treatment (mean difference −3.2 points [95% CI, −6.3 to −0.0; P = 0.05]). Direct medical costs over the 2-year study were $309 and $437 per person for pessary treatment and PFMT, respectively. Conclusions: In older women with symptomatic prolapse, there was no significant difference between pessary treatment and PFMT in reducing pelvic floor symptoms, but specific prolapse-related symptoms did improve more with pessary treatment. Pessary treatment was preferable in the cost-effectiveness analysis. When counseling women for prolapse treatment it should, however, be taken into account that pessary fitting fails in a considerable portion of women and that pessary treatment was associated with more side effects compared with PFMT.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Citations
Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
(1997) · doi:10.1097/00005650-199711000-00002 · Cited by 4,544
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
Bump, R. C., Mattiasson, A., Bø, K., Brubaker, L. P., DeLancey, J. O. L., Klarskov, P., Shull, B. L., & Smith, A. R. B. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70243-0 · Cited by 4,275
Haylen, B. T., Ridder, D. J. M. K. D., Freeman, R. M., Swift, S., Berghmans, B. C. M., Lee, J., Monga, A. K., Petri, E., Rizk, D. E. E., Sand, P. K., et al. (2009) · Neurourology and Urodynamics · doi:10.1002/nau.20798 · Cited by 3,090
Barber, M. D., Walters, M. D., & Bump, R. C. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.025 · Cited by 1,357
Applied Longitudinal Data Analysis for Epidemiology: A Practical Guide
Twisk, J. W. R. (2003) · Cited by 1,244
Jelovsek, J. E., Maher, C., & Barber, M. D. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60462-0 · Cited by 976
A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)
Rogers, R. G., Coates, K. W., KAMMERER-DOAK, D. N., Khalsa, S., & Qualls, C. (2003) · International Urogynecology Journal · doi:10.1007/s00192-003-1063-2 · Cited by 754
Swift, S., Woodman, P., O'Boyle, A., Kahn, M., Valley, M., Bland, D., Wang, W., & Schaffer, J. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.10.602 · Cited by 752
Messelink, B., Benson, T., Berghmans, B. C. M., Bø, K., Corcos, J., Fowler, C. J., Laycock, J., Lim, P. H., van Lunsen, R. H. W., Nijeholt, G. A. B. L. À., et al. (2005) · Neurourology and Urodynamics · doi:10.1002/nau.20144 · Cited by 545
Flagged first, then by citations
Cited by
Sorted by citations
Carcelén‐Fraile, M. D. C., Aibar‐Almazán, A., Martínez‐Amat, A., Cruz‐Díaz, D., Díaz-Mohedo, E., Peiró, M. T. R., & Hita‐Contreras, F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082680 · Cited by 94
Pessaries (mechanical devices) for managing pelvic organ prolapse in women
Bugge, C., Adams, E. J., Gopinath, D., Stewart, F., Dembinsky, M., Sobiesuo, P., & Kearney, R. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004010.pub4 · Cited by 80
Bø, K., Anglès-Acedo, S., Batra, A., Brækken, I. H., Chan, Y. L., Jorge, C. H., Kruger, J., Yadav, M., & Dumoulin, C. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05324-0 · Cited by 64
Robinson, D., Prodigalidad-Jabson, L. T., Chan, S. S. C., Serati, M., Lozo, S., Lowder, J. L., Ghetti, C. C., Hullfish, K. L., Hagen, S., & Dumoulin, C. L. (2022) · International Urogynecology Journal · doi:10.1007/s00192-021-04997-3 · Cited by 39
Laser therapy for urinary incontinence and pelvic organ prolapse: a systematic review
Macková, K., Daele, L. V., Page, A., Geraerts, I., Krofta, L., & Deprest, J. A. (2020) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.16273 · Cited by 34
Metadata
- Authors
- Panman, C. M. C. R., Wiegersma, M., Kollen, B. J., Berger, M. Y., Lisman-van Leeuwen, Y., Vermeulen, K. M., & Dekker, J. H.
- Affiliations
- Department of General Practice
- University Medical Center Groningen (NL)
- Corresponding author
- Dekker, Janny H.
- Venue
- Menopause
- Published
- 2016-12
- Volume
- 23
- Issue
- 12
- Pages
- 1307-1318
- ISSN
- 1072-3714 (ISSN-L)
- 1530-0374
- OpenAlex
- W2513095721
- Cited by
- 61
- References
- 49
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 11 · 2019: 2 · 2018: 4 · 2017: 3
- FWCI
- 3.19
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- other-oa
- Locations
- Menopause The Journal of The North American Menopause Society (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- ZonMw (4201.1001)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- pelvic organ prolapse, pessary, pelvic floor muscle training, older women, cost-effectiveness, pelvic floor symptoms, PFDI-20, urinary symptoms, anorectal symptoms, quality of life, sexual function, primary care
- MeSH terms
- Aged, Cost-Benefit Analysis, Exercise Therapy, Female, Follow-Up Studies, Humans, Middle Aged, Pessaries, Primary Health Care, Treatment Outcome, Pelvic Floor, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
