ArticleUrology2009
Trends in surgical management of stress urinary incontinence among female Medicare beneficiaries.
Article in Urology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Prospective and randomized clinical trial comparing transobturator versus retropubic sling in terms of efficacy and safety.International urogynecology journal · 2018Trial
- Pre-operative urodynamics in women with stress urinary incontinence increases physician confidence, but does not improve outcomes.Neurourology and urodynamics · 2014Trial
- Trends and Racial/Ethnic Disparities in Pharmacologic and Surgical Management of Treated Female Patients With Urinary Incontinence.Neurourology and urodynamics · 2026Observational
- Trifecta Outcomes after Robotic Sacrocolpopexy with Dual Mesh in Single-center Cohort.European urology open science · 2026Review
- Review
- Long-term Safety of Synthetic Midurethral Sling Implantation for the Treatment of Stress Urinary Incontinence in Adult Women: A Systematic Review.European urology open science · 2023Review
- Is the volume of Burch urethropexy sufficient for urogynecology fellows to meet the ACGME requirement?International urogynecology journal · 2023Article
- Frailty Is Associated with an Increased Risk of Complications and Need for Repeat Procedures after Sling Surgery in Older Adults.The Journal of urology · 2022Article
- The Impact of Provider Sex and Experience on the Quality of Care Provided for Women with Urinary Incontinence.The American journal of medicine · 2022Article
- The impact of the 2011 US Food and Drug Administration transvaginal mesh communication on utilization of synthetic mid-urethral sling procedures.International urogynecology journal · 2021Article
- Neurotoxicity of different amyloid beta subspecies in mice and their interaction with isoflurane anaesthesia.PloS one · 2020Article
- Health literacy, cognition, and urinary incontinence among geriatric inpatients discharged to skilled nursing facilities.Neurourology and urodynamics · 2018Article
- Midurethral slings in the mesh litigation era.Translational andrology and urology · 2017Review
- Midurethral sling complications.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2017Article
- Delayed Presentation of Suture Erosion following Burch Colposuspension.Case reports in obstetrics and gynecology · 2017Article
- Surgery for stress urinary incontinence in Finland 1987-2009.International urogynecology journal · 2016Article
- 5-year longitudinal followup after retropubic and transobturator mid urethral slings.The Journal of urology · 2015Observational
- The surgical trends and time-frame comparison of primary surgery for stress urinary incontinence, 2006-2010 vs 1997-2005: a population-based nation-wide follow-up descriptive study.International urogynecology journal · 2014Article
- Trends in the surgical management of stress urinary incontinence among female Medicare beneficiaries, 2002-2007.Urology · 2013Article
- Population-based trends in ambulatory surgery for urinary incontinence.International urogynecology journal · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo identify patterns in the surgical treatment of women with stress urinary incontinence in the United States from 1992 to 2001.
methodsAs a part of the Urologic Diseases in America Project, we analyzed data from a 5% national random sample of female Medicare beneficiaries aged > or =65 years. The data were obtained from the Centers for Medicare and Medicaid Services carrier and outpatient files from 1992, 1995, 1998, and 2001. Women in the sample with a diagnosis of urinary incontinence were identified using the International Classification of Diseases, 9th edition, codes. Surgical procedures were identified using the Current Procedural Terminology, 4th edition, codes. The patterns of care were then analyzed during the 10-year period.
resultsThe overall number of surgical procedures increased from 18 820 to 32 480 during the 10-year period, likely owing to the growing population of Medicare beneficiaries. Needle suspension was the most commonly performed incontinence procedure in 1992 and 1995. Collagen injections gained rapid popularity and became the most common procedure by 1998. A drastic increase in the numbers and rates of sling placements occurred from 1995 to 2001.
conclusionsA rapid shift occurred in the surgical management of stress urinary incontinence in the 1990s. The rapid increase in the use of sling procedures corresponded with a decrease in the use of the many other available anti-incontinence procedures. As in previous years, we identified a trend toward minimally invasive approaches to surgery, without the presence of randomized controlled clinical trials to support these trends. We anticipate that the analysis of Medicare claims from 2004 onward will demonstrate an additional increase in the use of sling procedures.
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