https://doi.org/10.4081/uij.2023.309
Assessing frailty in urogynecology patients: a comparative analysis of the Edmonton frail scale and pelvic floor symptom severity
Submitted: 18 April 2023
Accepted: 18 October 2023
Published: 30 October 2023
Accepted: 18 October 2023
Abstract Views: 571
PDF: 111
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
This study aimed to measure frailty using the Edmonton frail scale (EFS) and examine whether frailty is associated with presenting complaints or worse pelvic floor symptom severity in older urogynecology outpatients. We conducted a cross-sectional study of new urogynecology patients aged 50 and older at 2 urban academic centers between November 2018 and January 2020. Pelvic floor symptom severity was assessed using surveys [overactive bladder validated 8-question screener (OAB-V8), pelvic floor distress inventory, and 6-item female sexual function index]. Multivariable linear and logistic regression analyses were performed to compare chief complaint and questionnaire scores by EFS score, frailty status, and EFS component. A total of 138 women were recruited, with a mean age of 65 years (standard deviation 9.3). 11.6% met the criteria for frailty. Frail women had 6.2 greater adjusted odds of endorsing urinary incontinence symptoms as their presenting complaint, and women with higher EFS scores had worse OAB-V8 scores (adjusted ß=0.04, p=0.03). Depression/sadness were associated with worse urinary and prolapse symptoms. Frailty is common in older urogynecology outpatients, especially those presenting with urinary incontinence. Individual components of the EFS associated with symptomatic pelvic floor dysfunction included depressed mood, lack of reliable help, and incontinence.
Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: a review. Eur J Intern Med 2016;31:3-10.
DOI: https://doi.org/10.1016/j.ejim.2016.03.007
Kikuchi JY, Hoyt K, Nomura AI, et al. Impact of frailty in benign gynecologic surgery: a systematic review. Int Urogynecol J 2021;32:2921-35.
DOI: https://doi.org/10.1007/s00192-021-04942-4
Luchristt D, Siddiqui NY, Bretschneider CE, Jelovsek JE. Quantifying the added value of 2 common frailty measures for predicting adverse outcomes after elective hysterectomy. Urogynecology 2022;28:526-32.
DOI: https://doi.org/10.1097/SPV.0000000000001198
Amin KA, Lee W, Moskowitz D, et al. A rapid method to preoperatively assess frailty for older patients with pelvic floor conditions. J Urol 2020;203:1172-7.
DOI: https://doi.org/10.1097/JU.0000000000000739
Rolfson DB, Majumdar SR, Tsuyuki RT, et al. Validity and reliability of the Edmonton frail scale. Age Ageing 2006;35:526-9.
DOI: https://doi.org/10.1093/ageing/afl041
Erekson EA, Fried TR, Martin DK, et al. Frailty, cognitive impairment, and functional disability in older women with female pelvic floor dysfunction. Int Urogynecol J 2015;26:823-30.
DOI: https://doi.org/10.1007/s00192-014-2596-2
Coyne KS, Zyczynski T, Margolis MK, et al. Validation of an overactive bladder awareness tool for use in primary care settings. Adv Ther 2005;22:381-94.
DOI: https://doi.org/10.1007/BF02850085
Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 2005;193:103-13.
DOI: https://doi.org/10.1016/j.ajog.2004.12.025
Isidori AM, Pozza C, Esposito K, et al. Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction. J Sex Med 2010;7:1139-46.
DOI: https://doi.org/10.1111/j.1743-6109.2009.01635.x
Perna S, Francis MD, Bologna C, et al. Performance of Edmonton frail scale on frailty assessment: its association with multi-dimensional geriatric conditions assessed with specific screening tools. BMC Geriatr 2017;17:2.
DOI: https://doi.org/10.1186/s12877-016-0382-3
Theou O, Brothers TD, Mitnitski A, Rockwood K. Operationalization of frailty using eight commonly used scales and comparison of their ability to predict all-cause mortality. J Am Geriatr Soc 2013;61:1537-51.
DOI: https://doi.org/10.1111/jgs.12420
Aucoin SD, Hao M, Sohi R, et al. Accuracy and feasibility of clinically applied frailty instruments before surgery: a systematic review and meta-analysis. Anesthesiology 2020;133:78-95.
DOI: https://doi.org/10.1097/ALN.0000000000003257
Gil-Salcedo A, Dugravot A, Fayosse A, et al. Healthy behaviors at age 50 years and frailty at older ages in a 20-year follow-up of the UK Whitehall II cohort: a longitudinal study. PLoS Med 2020;17:e1003147.
DOI: https://doi.org/10.1371/journal.pmed.1003147
Cohen SM, Lekan D, Risoli Jr T, et al. Association between dysphagia and inpatient outcomes across frailty level among patients ≥ 50 years of age. Dysphagia 2020;35:787-97.
DOI: https://doi.org/10.1007/s00455-019-10084-z
Usher T, Buta B, Thorpe RJ, et al. Dissecting the racial/ethnic disparity in frailty in a nationally representative cohort study with respect to health, income, and measurement. J Gerontol A Biol Sci Med Sci 2021;76:69-76.
DOI: https://doi.org/10.1093/gerona/glaa061
Davidson ERW, Myers EM, De La Cruz JF, Connolly A. Baseline understanding of urinary incontinence and prolapse in new urogynecology patients. Female Pelvic Med Reconstr Surg 2019;25:67-71.
DOI: https://doi.org/10.1097/SPV.0000000000000499
How to Cite
Zuo, S. W., Kohn, J. R., Chen, C. C. G., Tellechea, L., Roberts, H., Agalliu, I., … Laudano, M. (2023). Assessing frailty in urogynecology patients: a comparative analysis of the Edmonton frail scale and pelvic floor symptom severity. Urogynaecologia International Journal, 35(1). https://doi.org/10.4081/uij.2023.309
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
An Open Access Publication is one that meets the following two conditions:
- the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
- a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- Pau Sarrio-Sanz, Ana Isabel Lopez-Lopez, Laura Martinez-Cayuelas, Luis Gomez-Perez, Manuel Angel Ortiz-Gorraiz, Jesús Romero-Maroto, Is pelvic organ prolapse correction with vaginal mesh suitable with a correct indication and protocolized follow-up? , Urogynaecologia International Journal: Vol. 34 No. 1 (2022)
- Abdullahi Khalid, Abdullahi Alhassan, James Oche Ejembi, Abdullahi Abdulwahab-Ahmed, Atypical presentation of vesicouterine fistula (Youssef’s syndrome) post-caesarean gossypiboma: a case report , Urogynaecologia International Journal: Vol. 35 No. 1 (2023)
- F. Bernasconi, G. Pisani, G. Orfanotti, S. Arienti, G. Marelli, EPIDEMIOLOGY OF THE LOWER URINARY TRACT DYSFUNCTIONS IN THE FEMALE DIABETIC POPULATION , Urogynaecologia International Journal: Vol. 15 No. 3 (2001)
- Thibault Thubert, Yohann Dabi, Anne Sophie Boudy, Marion Joubert, Christophe Vaessen, Emmanuel Chartier-Kastler, Jean-Pierre Lefranc, Morgan Rouprêt, Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30 , Urogynaecologia International Journal: Vol. 30 No. 1 (2017)
- Samaa Siyam, Ismaiel Abu Mahfouz, Mais Al-Attar, Roaa Khatatbeh, Esraa Qandil, Leen Saifan, Conservative management of a rectovaginal fistula caused by a Gellhorn pessary. A case report , Urogynaecologia International Journal: Vol. 36 No. 1 (2024)
- Daniele Porru, Valentina Bobbi, Carmelo Di Franco, Alessandra Viglio, Mattia Novario, Carmine Tinelli, Barbara Gardella, Rossella Nappi, Arsenio Spinillo, Marco Paulli, Bruno Rovereto, Time of symptom onset and histologic findings in bladder pain syndrome/interstitial cystitis: new findings on useful correlations , Urogynaecologia International Journal: Vol. 30 No. 1 (2017)
- S. Bandiera, G. Raciti, A. Aloisi, M. Arena, R. Giordano, G. Giunta, M.G. Matarazzo, R. Morello, F. Rapisarda, S.G. Vitale, A. Cianci, DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE , Urogynaecologia International Journal: Vol. 22 No. 3 (2008)
- F. Magatti, P.L. Sirtori, C. Rumi, C. Belloni, TVT PROCEDURE FOR THE TREATMENT OF SUI: OUR EXPERIENCE , Urogynaecologia International Journal: Vol. 16 No. 1 (2002)
- J. BECO, J. MOUCHEL, PERINEOLOGY: A NEW AREA , Urogynaecologia International Journal: Vol. 17 No. 2 (2003)
- Jessica S. Zigman, Stephanie J. Handler, Stephanie Amaya, Aldene O. Zeno, Yoko Takashima, John J. Navas, Tajnoos Yazdany, Continuing posterior tibial nerve stimulation after twelve weekly sessions: a randomized controlled trial , Urogynaecologia International Journal: Vol. 34 No. 1 (2022)
You may also start an advanced similarity search for this article.