The PFIQ is a patient report designed to assess life impact of pelvic floor disorders on women.
7
23 minutes
Average time taken for PFIQ and PFDI
Adult
18 - 64
yearsElderly Adult
65 +
yearsInitially reviewed by Elizabeth Buice, SPT, Stephanie Hare, SPT, Josh Holskey, SPT, Tash Kopecky, SPT, Daniel Chen, SPT, Chelsea Wolfe, SPT, Haley Carter, SPT, Kimberle Crastenberg, SPT, Justin Stambaugh, SPT, Brittany Torres, SPT, Keenan Whitesides, SPT, and Rebecca Schuck, SPT.
Originally, the PFIQ was 93-item patient report outcome. Subsequently a short form has been created with 7 items to decrease administration length. Upon assessment it was found that the long form and short form were substantially close in reliability and validity. The short form is more commonly used due to similar psychometric property values as well as decreased administration time.
(Ali – Ross et al, 2009)
The examiners were not blinded in this study and as such further testing should be done involving blinding examiners to information relative to the test.
(Barber et al, 2011)
Limitations: the subjects did not complete both short form and long form questionnaires, so the researchers derived the short form scores from the responses to the original long form. This is a minor limitation because they could not make direct comparisons or evaluate issues of question order, question fatigue, or item grouping. Next, the measures of responsiveness partly depended on effectiveness of interventions used, so the responsiveness stats are likely conservative estimates.
(El-Azab et al, 2009)
Limitations: Short follow up time and no test of sexual function. However, the addition of the prayer component to the questionnaire had good test-retest reliability and was internally consistent. This article highlights the importance of being able to adapt questionnaires to various cultural norms and accurately translate them to different languages.
(Kaplan et al, 2012)
Currently, need translation and validation for utilization with other languages.
(Barber et al, 2005)
This study had a small sample size and wide variability of change in scores, these values need to be confirmed by larger studies.
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Pelvic Disorders:
(Barber et al, 2005; n = 45 women with pelvic floor disorders who were scheduled to undergo surgery)
|
SEM |
|
|
PFIQ - 7 |
29.7 |
|
IIQ - 7 |
11.8 |
|
POPIQ - 7 |
13.7 |
|
CRAIQ - 7 |
9.89 |
Pelvic Disorders: (Barber et al, 2005)
|
MDC |
|
|
PFIQ - 7 |
64.8 |
|
IIQ - 7 |
28.3 |
|
POPIQ - 7 |
26.1 |
|
CRAIQ - 7 |
23.7 |
Pelvic Disorders:
(Barber et al, 2005)
Vaginal Reconstructive Sugery:
(Kaplan et al, 2012; n = 248 women with vaginal reconstructive surgery patients; Turkish women)
Pelvic Disorders:
(Barber et al, 2005)
Pelvic Disorders:
(Barber et al, 2005)
|
PFIQ - 7 |
r = 0.77 |
|
IIQ - 7 |
r = 0.81 |
|
POPIQ - 7 |
r = 0.70 |
|
CRAIQ - 7 |
r = 0.81 |
Pelvic Disorders:
(El-Azab et al, 2009; n = 20 Arabic Muslim women with symptomatic Pelvic Organ Prolapse to test the internal consistency and test retest reliability of the two questionnaires PFDI-20 and PFIQ-7; 78 Arabic Muslim women with Stage 2 symptomatic Pelvic Organ Prolapse awaiting surgical correction were recruited prospectively. Mean age = 42 (8) years)
(Barber et al, 2005)
Vaginal Reconstructive Surgery:
(Kaplan et al, 2012)
Prolapse Surgery:
(Ali – Ross et al, 2009; n = 54 women between the ages of 55 - 66 who were admitted to St Mary's Hospital, Manchester for prolapse surgery who were capable of performing adequate physical activity)
Vaginal Reconstructive Surgery:
(Kaplan et al, 2012)
Pelvic Disorders:
(Barber et al, 2011; n = 1,006 subjects enrolled in 1 of 4 prospective studies: 316 women from CARE trial with pelvic organ prolapse, 140 from colpocleisis trial with pelvic organ prolapse, 435 from ATLAS trial with stress urinary incontinence, 115 from ABBI trial with fecal incontinence; average age of participants was 58.4 (14.7) years)
(Barber et al, 2005)
*No correlation is shown for summary scores of the PFIQ-7 because, unlike the short forms, the PFIQ long forms do not have a summary score
Pelvic Disorders:
(Barber et al, 2011)
|
SRM |
3 Months |
12 Months |
|
UIQ |
0.58 |
0.70 |
|
POPIQ |
0.44 |
0.49 |
|
CRAIQ |
0.37 |
0.36 |
(El - Azab et al, 2009)
|
Effect Size |
|
|
PFIQ - 7 |
NA |
|
IIQ |
Large change: 0.78 |
|
POPIQ |
Moderate change: 0.49 |
|
CRAIQ |
Moderate change: 0.37 |
(Kaplan et al, 2012)
|
Effect Size |
|
|
PFIQ - 7 |
Large change: 1.25 |
|
UIQ |
Moderate change: 0.68 |
|
POPIQ |
Large change: 1.45 |
|
CRAIQ |
Moderate change: 0.26 |
(Barber et al, 2005)
|
Effect Size |
|
|
PFIQ - 7 |
Moderate change: 0.67 |
|
IIQ |
Moderate change: 0.68 |
|
POPIQ |
Moderate change: 0.52 |
|
CRAIQ |
Moderate change: 0.47 |
Ali-Ross, N. S., Smith, A. R., et al. (2009). "The effect of physical activity on pelvic organ prolapse." BJOG 116(6): 824-828. Find it on PubMed
Barber, M. D., Chen, Z., et al. (2011). "Further validation of the short form versions of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ)." Neurourol Urodyn 30(4): 541-546. Find it on PubMed
Barber, M. D., Walters, M. D., et al. (2005). "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 193(1): 103-113. Find it on PubMed
El-Azab, A. S., Abd-Elsayed, A. A., et al. (2009). "Patient reported and anatomical outcomes after surgery for pelvic organ prolapse." Neurourol Urodyn 28(3): 219-224. Find it on PubMed
Kaplan, P. B., Sut, N., et al. (2012). "Validation, cultural adaptation and responsiveness of two pelvic-floor-specific quality-of-life questionnaires, PFDI-20 and PFIQ-7, in a Turkish population." Eur J Obstet Gynecol Reprod Biol 162(2): 229-233. Find it on PubMed
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