Table 3.
Relationship of professional and hospital determinants on their actual mode of care concerning not routinely or routinely performing preoperative urodynamics (UDS) for women with (predominant) stress urinary incontinence (SUI)
| Characteristics of professionals | Routine UDS n (%) | No routine UDS n (%) | P value | |
|---|---|---|---|---|
| Number of professionals | 9 | 118 | ||
| Gender | Male | 7 (78%) | 58 (49%) | ns |
| Female | 2 (22%) | 60 (51%) | ||
| Profession | Gynecologist | 2 (22%) | 77 (65%) | 0.03 |
| Urologist | 7 (78%) | 41 (35%) | ||
| Years of experience | <5 years | 2 (22%) | 24 (20%) | ns |
| 5–10 years | 2 (22%) | 30 (26%) | ||
| 10–20 years | 4 (44%) | 39 (33%) | ||
| >20 years | 1 (11%) | 25 (21%) | ||
| Type of hospital | Academic | 5 (56%) | 13 (11%) | <0.01 |
| Teaching | 4 (44%) | 60 (51%) | ||
| Nonteaching | 0 (0%) | 45 (38%) | ||
| MUS yearly in own hospital | 0–10 | 3 (33%) | 1 (1%) | <0.01 |
| 10–50 | 4 (44%) | 70 (59%) | ||
| 50–100 | 2 (22%) | 39 (33%) | ||
| >100 | 0 (0%) | 8 (7%) | ||
| Performing MUS myself | Yes | 6 (67%) | 103 (87%) | ns |
| No | 3 (33%) | 15 (13%) | ||
| Able to interpret UDS | Yes No |
9 (100%) 0 (0%) |
102 (86%) 16 (14%) |
ns |
| UDS performed by (multiple answers allowed) |
Me or colleague Physician assistant Nurse Referral to other division |
3 (33%) 1 (11%) 6 (67%) 0 (0%) |
9 (8%) 20 (17%) 61 (52%) 36 (31%) |
ns |
| Working in inclusion centre | Yes No |
3 (33%) 6 (67%) |
36 (31%) 82 (69%) |
ns |
| Changes since VUSIS-II/ValUE publication | Yes] No |
1 (11%) 8 (89%) |
76 (64%) 42 (36%) |
<0.01 |
| knowledge of VUSIS-II study outcome | No Neutral Yes |
2 (22%) 1 (11%) 6 (67%) |
15 (13%) 16 (14%) 87 (74%) |
ns |
| knowledge of ValUE study outcome | No Neutral Yes |
4 (44%) 0 (0%) 5 (56%) |
27 (23%) 31 (26%) 60 (51%) |
ns |
| Performing UDS before VUSIS-II/ValUE publication | Mean percentage of women | 90% | 36% | |
| Performing UDS after VUSIS-II/ValUE publication | Mean percentage of women | 83% | 15% | |
VUISS-II Value of Urodynamics prior to Stress Incontinence Surgery, VaLUE Value of Urodynamic Evaluation, MUS midurethral sling, ns not significant
P values measured by Fisher’s exact test