Back to Search
Start Over
Comparison of two scoring systems for diagnosing levator ani muscle damage.
- Source :
-
International urogynecology journal [Int Urogynecol J] 2013 Sep; Vol. 24 (9), pp. 1501-6. Date of Electronic Publication: 2013 Feb 12. - Publication Year :
- 2013
-
Abstract
- Introduction and Hypothesis: Levator defects are risk factors for pelvic organ prolapse (POP) and its recurrence. The most widely used scoring systems for severity of defects shown on magnetic resonance imaging (MRI) and perineal ultrasound (US) are not identical. The aim of this study was to investigate the differences between these classification systems with regard to levator defects on US and their clinical relevance for recurrence after prolapse surgery.<br />Methods: Women with previous cystocele repair underwent transperineal 3D US. Levator defects were graded according to the scoring system described with regard to MRI (DeLancey et al.) and perineal US (Dietz et al.). The results were compared using the weighted kappa and receiver operating characteristic (ROC) curves (SPSS version 20.0).<br />Results: We assessed 152 women. On US classification, more defects were categorized as highest grade compared with MRI classification [n = 64 (42 %) vs. n = 41 (28 %), p < 0.01]. The grades of levator defects on both scoring systems showed very good agreement, with a weighted kappa of 0.82 [95 % confidence interval (CI) 0.75-0.88). The predictive value of scoring systems for cystocele recurrence after prolapse surgery showed an area under the receiver operating curve (AUC) of 0.63 and 0.64, respectively.<br />Conclusions: Comparison of the two scoring systems showed good agreement but was lowest for the highest-grade defects. There was no difference in predictive value between scoring systems for cystocele recurrence after prolapse surgery.
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Imaging, Three-Dimensional methods
Middle Aged
Muscles diagnostic imaging
Muscles pathology
Pelvic Floor diagnostic imaging
Pelvic Floor pathology
Predictive Value of Tests
ROC Curve
Risk Factors
Wounds and Injuries classification
Magnetic Resonance Imaging
Muscles injuries
Pelvic Floor injuries
Pelvic Organ Prolapse complications
Ultrasonography
Wounds and Injuries diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1433-3023
- Volume :
- 24
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- International urogynecology journal
- Publication Type :
- Academic Journal
- Accession number :
- 23404551
- Full Text :
- https://doi.org/10.1007/s00192-013-2052-8