Application of patient-reported outcome instruments in nonsurgical management of pelvic organ prolapse: a scoping review.

OBJECTIVE

To review the content, characteristics, and current application status of patient-reported outcomes (PROs) for non-surgical treatment of pelvic organ prolapse (POP), providing information for future research.

METHODS

In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines, a systematic search of PubMed, Web of Science, Embase, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, and Chinese Biomedicine Literature Database (CBM-SinoMed) was conducted. The search period covered the inception of each database through January 16, 2025.

RESULT: A total of 1548 studies were identified, of which 19 were included in the review. In the context of non-surgical POP, PROs were primarily used to evaluate clinical effectiveness, quality of life, and symptoms. Across the included literature, 29 PRO instruments were described, covering aspects such as patients' physiological and psychological status, treatment satisfaction, and treatment goals.

CONCLUSION

PROs application in non-surgical POP management remains limited. Future efforts should expand its scope, implement dynamic assessment across treatment stages, and utilize digital technology to improve the convenience and efficiency of assessment.