Lucia Ehmann, Maresa Jäger, Lina Folger, Timo Schinköthe, Susanne Beyer, Lennard Schröder, Sven Mahner, Thomas Kolben
{"title":"Can the CANKADO online application improve quality of life monitoring via the endometriosis health profile-30 in endometriosis patients: A randomized cohort study on acceptance, usability, and correlations with demographics and media usage.","authors":"Lucia Ehmann, Maresa Jäger, Lina Folger, Timo Schinköthe, Susanne Beyer, Lennard Schröder, Sven Mahner, Thomas Kolben","doi":"10.1186/s12905-025-03736-w","DOIUrl":"10.1186/s12905-025-03736-w","url":null,"abstract":"<p><strong>Background: </strong>The global increase in interest in endometriosis highlights the importance of further investigations concerning this so-called benign gynecological disease. Owing to their severe presentation of symptoms, patients suffer from an enormous impact on their health-related quality of life (HRQoL). While the paper-based assessment of quality of life via, e.g., the \"Endometriosis Health Profile-30 questionnaire (EHP-30)\" seems to be largely accepted and implemented, the electronic measurement of this patient-reported outcome (ePRO) is still rarely applied. This study aimed to analyze the acceptance and usability of electronic assessments of HRQoL in endometriosis patients via the online platform CANKADO.</p><p><strong>Methods: </strong>The study was conducted at the Department of Gynecology and Obstetrics of LMU Munich between January 2022 and February 2023. Sixty conservatively treated patients with endometriosis were recruited for the randomized cohort study, followed by randomization due to their planned interrogation modality (n paper-based = 23, n online-based = 17). Afterwards, a HRQoL assessment via the EHP-30 questionnaire was performed. An evaluation of the interrogation modalities was performed at 0, 6 and 12 months. The metric or categorical variables were compared via Fisher's exact test or the Mann‒Whitney U test. Correlation analysis was performed by calculating the Kendall Tau coefficient or Eta coefficient.</p><p><strong>Results: </strong>Forty patients completed evaluation forms at T0 (0 months), with n = 23 evaluating the paper-based interrogation modality and n = 17 evaluating the online version. At all the time of assessment, more than 80% of the patients showed a positive response to routinely performed ePRO measurements in the clinical context, expecting simplified communication, faster diagnosis, and therapeutic improvement. The online modality was rated more suitably (T0: 72.7% vs. 76.5%; T3: 60.0% vs. 90.0%), less complex (T0: 59.1% vs. 76.5%; T3: 80.0% vs. 70.0%), and less laborious (T0: 72.7% vs. 70.6%; T3: 80% each). Completion time over ten minutes was significantly correlated with low coping ability (r = 0.530; p = 0.029), lower clarity (r = 0.530; p = 0.029) and greater effort (r = 0.593; p = 0.012).</p><p><strong>Conclusions: </strong>The findings indicate high acceptance and usability of regularly performed ePRO assessments in patients with endometriosis via the online tool CANKADO.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"205"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Junyu Chen, Dihan Fu, Tianqi Ma, Minghong Chen, Xuerui Wang, Jun Yi
{"title":"Global burden of metabolic disorders among women of child-bearing age, 1990-2021: a population-based study1990-2021:.","authors":"Junyu Chen, Dihan Fu, Tianqi Ma, Minghong Chen, Xuerui Wang, Jun Yi","doi":"10.1186/s12905-025-03749-5","DOIUrl":"https://doi.org/10.1186/s12905-025-03749-5","url":null,"abstract":"<p><strong>Background: </strong>Metabolic disorders have a significant impact on the health of women of childbearing age (WCBA) but remain underemphasized. This study aims to assess the global, regional, and national burden of metabolic disorders in WCBA from 1990 to 2021.</p><p><strong>Methods: </strong>Prevalence, mortality, and disability-adjusted life years (DALYs) related to metabolic disorders in WCBA from 1990 to 2021 were obtained from the Global Burden of Disease (GBD) 2021. Annual percentage changes were calculated, and stratified analyses were conducted based on age, region, nation, and socio-demographic index levels to assess the distribution of metabolic disorders in WCBA.</p><p><strong>Results: </strong>Globally, the overall burden of metabolic disorders among WCBA has increased. In 2021, obesity (330.21 [148.37-518.36]) had the highest age-standardized DALYs rate, followed by hypertension (200.75 [154.67-245.47]), type 2 diabetes mellitus (175.11 [134.18-223.42]), hyperlipidemia (139.02 [101.32-173.61]), and non-alcoholic fatty liver disease (10.1 [7.17-13.92]). The most significant changes of the overall metabolic disorders burden in WCBA were observed in younger age groups. The burden of metabolic disorders was higher in less-developed regions.</p><p><strong>Conclusions: </strong>Given the marked increase in the burden of metabolic disorders among younger WCBA, it is recommended that healthcare management be reinforced for this demographic. Furthermore, based on the varying burdens observed across regions, targeted metabolic interventions for WCBA should be tailored to local conditions.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"207"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jissy Cyriac, Gregory D Jenkins, Brittany A Strelow, Danielle J O' Laughlin, Joy N Stevens, Kathy L MacLaughlin, Jane W Njeru
{"title":"A cross-sectional analysis of factors associated with cervical cancer screening in a large midwest primary care setting.","authors":"Jissy Cyriac, Gregory D Jenkins, Brittany A Strelow, Danielle J O' Laughlin, Joy N Stevens, Kathy L MacLaughlin, Jane W Njeru","doi":"10.1186/s12905-025-03741-z","DOIUrl":"https://doi.org/10.1186/s12905-025-03741-z","url":null,"abstract":"<p><strong>Background: </strong>Lower cervical cancer screening (CCS) rates have been reported among non-White populations, older women, rural populations, and populations with low socioeconomic status (SES). We evaluate associations between CCS status and individual, healthcare, and SES variables in a large primary care setting in southeast Minnesota.</p><p><strong>Methods: </strong>We identified participants assigned female sex at birth, aged 21-65 years, without hysterectomy, and eligible for CCS via cross-sectional analysis of the electronic health record. Subjects were categorized as having up-to-date CCS or not. Logistic regression was used to model CCS status, with odds ratios (OR) and respective confidence intervals (95% CI) calculated for single predictor models for demographic factors, co-morbidities, and healthcare utilization.</p><p><strong>Results: </strong>Approximately 78% (30,670 subjects) were current with CCS (total N = 39,433). Individuals who were Hispanic [OR (95% CI): 0.69 (0.62, 0.76)], non-White [0.53 (0.5, 0.56)], foreign-born [0.49 (0.46, 0.52)], and/or had limited English proficiency [0.44 (0.40, 0.49)] had lower odds of up-to-date CCS compared to Non-Hispanic, White, US-born, and/or English-speaking individuals. Older age, higher comorbidity burden, greater healthcare utilization, and having a female primary care provider were associated with higher odds of up-to-date CCS, while an inactive online patient portal account had lower odds of up-to-date CCS. Individuals with lower SES had lower odds of up-to-date CCS compared to those with higher SES.</p><p><strong>Conclusions: </strong>In our sample, disparities in CCS status were associated with specific individual, healthcare, and SES factors/characteristics. Our results identify populations that may benefit from targeted interventions to address CCS uptake.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"204"},"PeriodicalIF":2.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ai-Ping Min, Die Zeng, Rui-Jin Zhang, Ting-Ting Pan, Xin Feng, Jia-Qi Luo
{"title":"A cross-sectional investigation on the function of the female pelvic floor in the Sichuan Province, China.","authors":"Ai-Ping Min, Die Zeng, Rui-Jin Zhang, Ting-Ting Pan, Xin Feng, Jia-Qi Luo","doi":"10.1186/s12905-025-03720-4","DOIUrl":"https://doi.org/10.1186/s12905-025-03720-4","url":null,"abstract":"<p><strong>Background: </strong>Pelvic floor dysfunction significantly impacts patients' quality of life, and its incidence is steadily increasing over time. However, there remains a lack of sufficient awareness regarding this condition. This study aims to enhance public awareness through relevant surveys.</p><p><strong>Methods: </strong>A total of 368 married women were randomly recruited from the Obstetrics and Gynecology Department of Leshan People's Hospital from May 2018 to December 2023 for pelvic floor function screening. Of these, 122 married women did not have children (group A), 122 married women had children before menopause (group B), and 124 women were postmenopausal (group C). Through questionnaire survey, Pelvic Organ Prolapse Quantification score, and myoelectric assessment, the data were collected and statistically analyzed.</p><p><strong>Results: </strong>The electrophysiological indicators of the three groups revealed statistically significant differences in the prevalence of manual muscle strength ≥ grade 3, anal lift muscle strength ≥ grade 3, Class I muscle fatigue, and maximum systolic pressure among the groups (p < 0.05). However, there was no statistically significant difference observed in Class II muscle fatigue. (p ≥ 0.05). The results of pelvic organ prolapse in the three groups showed statistically significant differences (p < 0.05). When comparing the Aa value and C value between groups, there were statistically significant differences between group A and group B as well as between group A and group C (p < 0.05). However, the differences between group B and group C were not statistically significant (p > 0.05). In terms of the D value comparison, there was a statistically significant difference between group A and group C (p < 0.05), but no significance was found when comparing group A with group B or when comparing group B with group C (p > 0.05). Additionally, there were statistically significant variations observed in Ap values among the three groups (p < 0.05).</p><p><strong>Conclusion: </strong>Before the onset of symptoms associated with pelvic floor dysfunction, there are changes in the position of pelvic organs and electrophysiological indicators of the pelvic floor. Therefore, early screening, detection, and treatment are crucial for preventing the development of pelvic floor dysfunction diseases.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"203"},"PeriodicalIF":2.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving cervical cancer screening participation by introducing HPV vaginal self-sampling to women living with HIV in Denmark- a pilot study.","authors":"Siri Nana Halling Svensgaard, Mette Tranberg, Berit Andersen, Lone Kjeld Petersen, Merete Storgaard, Sanne Jespersen","doi":"10.1186/s12905-025-03740-0","DOIUrl":"https://doi.org/10.1186/s12905-025-03740-0","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer, despite being largely preventable through vaccination and screening, continues to pose a significant global health challenge. Women living with HIV (WLWH) are at a six-fold higher risk of developing cervical cancer, primarily due to persistent infection with high-risk HPV (hrHPV). While effective screening methods have the potential to reduce this risk, WLWH remain inadequately screened. The aims of this pilot study were fourfold: To estimate the proportion of WLWH who are not screened according to WHO guidelines; to establish the proportion of WLWH who accepted the self-sampling offer; to estimate the hrHPV DNA prevalence; and to estimate the compliance to follow-up among women with a hrHPV-positive vaginal self-sample.</p><p><strong>Methods: </strong>This single-centre, pilot study was conducted from February to May 2022 at the Department of Infectious Diseases, Aarhus University Hospital, Central Denmark Region. Eligible women were contacted by phone and invited to participate. Participants were provided with a self-sampling kit (Evalyn<sup>®</sup> Brush) and detailed instructions. The collected samples were analysed for hrHPV DNA using the COBAS<sup>®</sup> 4800 assay. Demographic, clinical, and screening history data were obtained from medical records and the Danish Pathology Databank.</p><p><strong>Results: </strong>Of the 100 eligible participants, 50% (n = 50) accepted the offer of self-sampling, and 80% (n = 40/50) returned their samples for analysis. The prevalence of hrHPV among these women was 25% (n = 10/40). Follow-up compliance among hrHPV-positive women was 40% (n = 4/10). The analysis revealed that 41% (n = 41/100) of WLWH had not been screened in accordance with WHO guidelines, and 39% (n = 16/41) of the women had never undergone screening. No significant differences were observed in demographic or clinical characteristics between participants and non-participants.</p><p><strong>Conclusions: </strong>Vaginal hrHPV self-sampling was acceptable and feasible for WLWH, with high return rates but suboptimal follow-up compliance. Enhancing participation and adherence is crucial for effective cervical cancer prevention. Larger studies are needed to validate these findings and optimize screening strategies.</p><p><strong>Trial registration: </strong>The Central Denmark Region Committee on Health Research Ethics deemed this study as a quality improvement study on the 9th of November 2021 (request approval j.no: 204/1-10-72-274-21).</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"202"},"PeriodicalIF":2.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lanre Abdul-Rasheed Sulaiman, Oluwaseun T Ojogiwa, Chinyere Elsie Ajayi
{"title":"Intimate partner controlling behaviour and intimate partner violence among married women in rural areas in South Africa.","authors":"Lanre Abdul-Rasheed Sulaiman, Oluwaseun T Ojogiwa, Chinyere Elsie Ajayi","doi":"10.1186/s12905-025-03687-2","DOIUrl":"https://doi.org/10.1186/s12905-025-03687-2","url":null,"abstract":"<p><strong>Background: </strong>Violence against women is a critical public health issue, and Intimate Partner Violence (IPV) is prevalent globally as its predominant form. Despite extensive research on its prevalence, the connection between IPV and controlling behaviour has not been sufficiently researched, especially within the context of rural living. This study contributes to this gap by assessing the relationship between intimate partner controlling behaviour and IPV among rural dwellers in South Africa.</p><p><strong>Methods: </strong>The study used the domestic violence module data from the 2016 South Africa Demographic and Health Survey (SADHS). The data were analysed using both descriptive statistics- percentages, mean, and standard deviation- and inferential statistics-logistic regression.</p><p><strong>Result: </strong>The study found intimate partner controlling behaviour as a predictor of IPV among married women residing in rural communities in South Africa. Accusations of infidelity, restrictions on seeing family members, general movement control, and jealousy were the forms of intimate partner controlling behaviour that predicted the occurrence of IPV.</p><p><strong>Conclusion: </strong>Intimate partner controlling behaviour is associated with intimate partner violence. Based on this finding, we argue that preventative, and responsive approaches that combine education, awareness raising, pathways to help seeking, women's personal development and empowerment will have greater benefits in helping to tackle the problem of controlling behaviour and intimate partner violence against rural women in South Africa.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"199"},"PeriodicalIF":2.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nader Salari, Razie Hasheminezhad, Amin Hosseinian-Far, Masoud Mohammadi
{"title":"Global prevalence of female sexual dysfunction based on physical activity: a systematic review and meta-analysis.","authors":"Nader Salari, Razie Hasheminezhad, Amin Hosseinian-Far, Masoud Mohammadi","doi":"10.1186/s12905-025-03738-8","DOIUrl":"https://doi.org/10.1186/s12905-025-03738-8","url":null,"abstract":"<p><strong>Background: </strong>There is a strong connection between physical activity and major non-communicable diseases. Women's sexual health is a vital aspect of life at any age; however, it is influenced by many factors. The aim of this study is to investigate the global prevalence of female sexual dysfunction based on physical activity through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>In this study, electronic repositories including PubMed, Google scholar, Scopus, Web of Science, Embase, and ScienceDirect were systematically searched using specified keywords, without a lower time limit, up until March 2025. A random effects model was employed to perform the meta-analysis. The heterogeneity of the studies was assessed using the I<sup>2</sup> index. Data analysis was conducted within the Comprehensive Meta-Analysis (CMA) software (version 2).</p><p><strong>Results: </strong>In the review of 7 studies with a sample size of 1,776 participants, the pooled prevalence of female sexual dysfunction with high physical activity was estimated to be 47% (95% CI: 28.8-65.9). Also, in the review of 6 studies with a sample size of 2,094 participants, the pooled prevalence of female sexual dysfunction among those with low physical activity or a sedentary lifestyle was found to be 64.6% (95% CI: 44.5-80.6).</p><p><strong>Conclusion: </strong>In this meta-analysis, the pooled prevalence of sexual dysfunction among inactive women was reported to be higher and more significant than that of physically active women. Thus, it is necessary for health policymakers to further promote the importance of physical activity to prevent and reduce female sexual dysfunction.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"200"},"PeriodicalIF":2.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The association of women's empowerment dimensions and antenatal care utilization in Ethiopia; facility based cross-sectional study.","authors":"Yonas Abebe, Asresash Demissie, Kebebe Adugna","doi":"10.1186/s12905-025-03743-x","DOIUrl":"https://doi.org/10.1186/s12905-025-03743-x","url":null,"abstract":"<p><strong>Background: </strong>Women's empowerment is a multidimensional global development goal. Women in low-income countries are often disempowered, which can lead to increased mortality and morbidity by inhibiting their access to essential maternal health care, such as antenatal care. It is impossible to decrease maternal mortality without sufficient and timely antenatal care. However, the association between women's empowerment and antenatal care utilization has been understudied. Therefore, this research aims to assess the association of women's empowerment dimensions with antenatal care use.</p><p><strong>Method: </strong>A facility-based cross-sectional study was conducted from July 1 to August 31, 2022, in public hospitals within Jimma town, Ethiopia. Participants were 305 women who attended childbirth and postpartum services, selected by systematic random sampling. A structured, interviewer-administered questionnaire was used for data collection. Bivariate and multivariable logistic regression analyses were employed to determine the association between variables.</p><p><strong>Result: </strong>Of 305 respondents, 301 provided complete responses, resulting in a response rate of 99.1%. Approximately 187 (62%) study participants utilized adequate antenatal care [95% CI: 56.4-67.6]. In multivariate logistic regression women's empowerment dimensions showed statistically significant association with antenatal care utilization. High general self-efficacy [AOR = 1.89 (1.02-3.50)], high self-esteem [AOR = 3.10 (1.67-5.76)], an internal locus of control [AOR = 2.13 (1.17-3.86)], and labor work participation [AOR = 1.98 (1.06-3.72)]. All these factors were associated with increased antenatal care utilization.</p><p><strong>Conclusion: </strong>Women empowerment dimensions have a positive and statistically significant association with antenatal care use. So, to improve recommended antenatal care utilization by mothers, empowerment of women by health professionals, hospitals, and other stakeholders is very important.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"201"},"PeriodicalIF":2.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Majed Alhudhud, Shazia Maqsood, Maab El Hussein, Rifat Shaheen, Hiba Sarhan, Sadia Aslam, Hisham Al Khalidi, Amina Butt, Mazen Bishtawi
{"title":"Cervical cancer screening: a comparative study of TruScreen vs. Pap Smear.","authors":"Majed Alhudhud, Shazia Maqsood, Maab El Hussein, Rifat Shaheen, Hiba Sarhan, Sadia Aslam, Hisham Al Khalidi, Amina Butt, Mazen Bishtawi","doi":"10.1186/s12905-025-03733-z","DOIUrl":"https://doi.org/10.1186/s12905-025-03733-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the potential of real-time optoelectronic device (TruScreen™; TS; TruScreen Group Limited, New Zealand) as an alternative or adjunct to Pap Smear (Liquid Based Cytology (LBC)) for cervical cancer screening.</p><p><strong>Method: </strong>We conducted a prospective observational pilot study involving 507 women who were routinely followed at gynecology clinics. All participants underwent TS and LBC examinations after study enrolment. Those with abnormal findings were referred for colposcopy and cervical biopsy within one month.</p><p><strong>Results: </strong>Overall, 507 women fulfilled the eligibility criteria and were included in this study, of which 30 women (5.9%) had abnormal TS findings and underwent colposcopy. Thirteen women (43.3%) had low-grade lesions, and only one (3.3%) had a high-grade lesion. Regarding biopsy findings, three women had cervical intraepithelial neoplasia (CIN) 1, two women had 'CIN2 + , and one had glandular hyperplasia. The TS yielded a sensitivity of 83.3% (95% CI: 35.9-99.6%) and a specificity of 95% (95% CI: 92.7- 96.8%) for the detection of cervical abnormality, compared to 66.7% (95% CI: 22.3-95.7%) and 98.2% (95%: CI 96.6%-99.2%) of the Pap smear, respectively. The difference between both screening tools was not statistically significant (p = 0.91). The sensitivity (100%, 95% CI 15.6-100%) and specificity (95.6%, 95% CI 93.4-97.2%) of TS and Pap smear for 'CIN2 + lesions were notably high.</p><p><strong>Conclusion: </strong>TS demonstrated potential as a screening tool for cervical neoplasms in this preliminary study. The tool did not require cervical samples, laboratory equipment, or highly trained personnel. While our findings suggest the potential for real-time and accurate screening, further research with a larger sample size is necessary to confirm its reliability and practicality.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"198"},"PeriodicalIF":2.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emrullah Akay, Osman Murat Güler, Hilal Künkül Bayraktar, Alime Dilayda Uzun Gül, Alper Türkoğlu
{"title":"Psychometric validity and reliability of the Turkish version of the questionnaire for urinary incontinence diagnosis in women with urinary incontinence.","authors":"Emrullah Akay, Osman Murat Güler, Hilal Künkül Bayraktar, Alime Dilayda Uzun Gül, Alper Türkoğlu","doi":"10.1186/s12905-025-03730-2","DOIUrl":"https://doi.org/10.1186/s12905-025-03730-2","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the psychometric validity and reliability of the Turkish version of the Questionnaire for Urinary Incontinence Diagnosis (QUID), which was developed for women with urinary incontinence.</p><p><strong>Methods: </strong>This cross-sectional, methodological study included 600 female participants aged 18 years and above with Turkish reading and writing skills. Psychometric methods comprised correlation analysis, internal consistency (Cronbach's alpha), test-retest reliability, and receiver operating characteristic (ROC) curve analysis. The QUID, King's Health Questionnaire (KHQ), and Incontinence Severity Index (ISI) were administered consecutively to assess construct validity and diagnostic performance. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The Turkish version of the QUID demonstrated high validity and reliability in distinguishing stress and urge urinary incontinence. The QUID scores were significantly positively correlated with the KHQ and ISI scores, indicating consistency with the established measures (p < 0.05). The test‒retest reliability analysis confirmed that the QUID scale provided consistent results over time, with high internal consistency reflected by a Cronbach's alpha coefficient of 0.858, which suggests the questionnaire's stability and reliability for repeated measurements. Additionally, receiver operating characteristic (ROC) curve analyses revealed area under the curve (AUC) values ranging from 0.886 to 0.996 for each subscale, highlighting the high discriminative power of the QUID in distinguishing different types of urinary incontinence effectively.</p><p><strong>Conclusions: </strong>The results of this study indicate that the Turkish version of the QUID is a reliable and valid tool for diagnosing urinary incontinence in clinical practice and may contribute positively to patients' quality of life by providing an accurate diagnosis.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"197"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}