A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolaps
- PDF / 862,435 Bytes
- 14 Pages / 595.276 x 790.866 pts Page_size
- 41 Downloads / 160 Views
ORIGINAL ARTICLE
A qualitative evidence synthesis using meta-ethnography to understand the experience of living with pelvic organ prolapse Francine Toye 1
&
Jeannine Pearl 2 & Katy Vincent 3 & Karen Barker 4
Received: 11 June 2020 / Accepted: 13 August 2020 # The Author(s) 2020
Abstract Introduction and hypothesis Pelvic organ prolapse (POP) affects the lives of many people. We aimed to systematically search for, identify and synthesize qualitative research that explores what it is like to live with POP and make this knowledge available for healthcare improvement. Methods We systematically searched Medline, PsychInfo, Embase and CINAHL, from inception to March 2020, for qualitative research exploring the experience of living with POP. We used meta-ethnography to synthesize findings. This is a conceptual approach to qualitative evidence synthesis. We used the recent guidelines for reporting meta-ethnography. Results We screened 3103 titles and 255 abstracts and included 37 primary studies. These incorporated the experience of 777 women, (aged 18 to 95 years) from a range of countries. We organized 162 ideas into 27 conceptual categories and 10 themes. We developed a conceptual model that helps us to understand the experience of pelvic organ prolapse. This model indicates that (1) the physical losses of POP are intricately linked to loss of identity; (2) women conceptualized POP as part of womanhood, yet also its thief; (3) there is a vicious cycle of taboo, silence and misunderstanding about POP and its treatment; (4) this silence is exacerbated by a feeling that POP is not taken seriously in healthcare. Conclusions This meta-ethnography helps us to understand the experience of living with a POP. Our model illustrates the complex process of healthcare decision making. Further studies to explore the complexity of decision making from the perspective of patient and health professional are timely. Keywords Meta-ethnography . Pelvic organ prolapse . Qualitative evidence synthesis . Qualitative research . Urogynaecology
Introduction Pelvic organ prolapse (POP) occurs when the muscles and tissues supporting the pelvic organs become weakened, causing one or more of the organs to bulge down out of position. Symptomatic POP has a prevalence of 3–6%, although this
* Francine Toye [email protected] 1
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Windmill Road, Oxford OX3 7LD, UK
2
Suffolk, UK
3
Nuffield Department of Women’s and Reproductive Health (NDWRH), University of Oxford, Oxford, UK
4
Physiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
may be has high as 50% when based upon vaginal examination [1, 2]. In the UK, 96,286 surgical procedures for POP were performed between 2008 and 2017 [3]. This number is likely to increase with an ageing population. Public concern about the use of mesh for POP surgery, and the subsequent withdrawal of these procedures [3], has highlighted the importance of incorpora
Data Loading...
