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

Vol. 35 No. 1 (2023)
Published: 30 October 2023
Frailty, pelvic floor disorders, incontinence
Abstract Views: 636
PDF: 121
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Authors

Stephanie W. Zuo
zuos@upmc.edu
https://orcid.org/0000-0003-0067-9159
Department of Obstetrics and Gynecology, University of Pittsburgh Medical Center Magee Women’s Hospital, Pittsburgh, PA, United States.
Jaden R. Kohn
Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, United States.
Chi Chiung Grace Chen
https://orcid.org/0000-0003-3402-7714
Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, United States.
Laura Tellechea
https://orcid.org/0009-0004-8149-6526
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, NY, United States.
Harley Roberts
Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, United States.
Ilir Agalliu
https://orcid.org/0000-0002-6248-5790
Department of Urology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, NY; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, NY , United States.
Ava Leegant
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, NY, United States.
Nitya Abraham
https://orcid.org/0000-0002-8304-4388
Department of Urology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, NY, United States.
Melissa Laudano
Department of Urology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, NY, United States.

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.

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Assessing frailty in urogynecology patients: a comparative analysis of the Edmonton frail scale and pelvic floor symptom severity. (2023). Urogynaecologia, 35(1). https://doi.org/10.4081/uij.2023.309
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