Todd_et_al_2022.pdf (1.34 MB)
How is pain associated with pelvic mesh implants measured? Refinement of the construct and a scoping review of current assessment tools
journal contribution
posted on 2023-07-26, 15:58 authored by Jennifer Todd, Jane E. Aspell, Michael Lee, Nikesh ThiruchelvamBackground: Recommendations for the management of pain related to pelvic mesh implants are still under development. One limitation that has impeded progress in this area is that mesh-related pain has not been consistently
defined or measured. Here, we reviewed the ways in which pain associated with pelvic mesh implants has been
measured, and mapped the ways in which these existing measures capture the construct.
Methods: First, we reviewed existing accounts of the pain associated with pelvic mesh implants to develop a multifaceted construct definition, which includes aspects related to pain intensity, timing, body location, phenomenological qualities, impact/interference with daily living, and patient expectations and beliefs. Next, we reviewed the ways
that the construct has been measured in the extant literature.
Results: Within 333 eligible studies, 28 different assessments of pain associated with pelvic mesh were identified,
and 61% of studies reported using more than one measurement tool. Questionnaire measures included measures
designed to assess urological and/or pelvic symptoms, generic measures and unvalidated measures. We did not
identify any validated questionnaire measures designed to assess pain associated with pelvic mesh implants. The
phenomenological, location, and expectation/belief components of the construct were not captured well by the
identified questionnaire measures, and there is no evidence that any of the identified measures have appropriate
psychometric properties for the assessment of pain related to pelvic mesh implants.
Conclusions: We recommend further qualitative research regarding women’s experiences of pelvic mesh-related
pain assessment, and the development of a condition-speciifc patient reported outcome measure.
History
Refereed
- Yes
Publication title
BMC Women's HealthISSN
1472-6874Publisher
BioMed CentralFile version
- Published version
Language
- eng
Official URL
Legacy posted date
2022-09-15Legacy creation date
2022-09-15Legacy Faculty/School/Department
Faculty of Science & EngineeringUsage metrics
Categories
No categories selectedLicence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC