ArticlePublic health action2013
High loss to follow-up following obstetric fistula repair surgery in rural Burundi: is there a way forward?
Article in Public health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Prevalence and associated risk factors for failed obstetric fistula repair in East African countries: A systematic review and meta-analysis.SAGE open medicine · 2023Article
- The Experience of Women with Obstetric Fistula following Corrective Surgery: A Qualitative Study in Benadir and Mudug Regions, Somalia.Obstetrics and gynecology international · 2018Article
- Fistula recurrence, pregnancy, and childbirth following successful closure of female genital fistula in Guinea: a longitudinal study.The Lancet. Global health · 2017Article
- A descriptive longitudinal study protocol: recurrence and pregnancy post-repair of obstetric fistula in Guinea.BMC pregnancy and childbirth · 2016Article
- Good clinical outcomes from a 7-year holistic programme of fistula repair in Guinea.Tropical medicine & international health : TM & IH · 2015Article
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Authors and funding
10 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
settingGitega Fistula Centre (GFC), a dedicated obstetric fistula repair centre providing comprehensive care at the Gitega District Hospital, rural Burundi.
objectivesTo describe 1) the proportion who returned for scheduled 3- and 6-month follow-up visits and 2) outcomes (fistula closure rates and continence status) at discharge from hospital and after 3 and 6 months among patients who underwent fistula repair surgery.
designRetrospective cohort analysis using programme data from April 2010 to December 2011.
resultsA total of 475 women with obstetric fistula underwent surgical repair. At discharge from hospital, 415 (87%) had a closed fistula, of whom 318 (77%) were continent of urine and/or faeces, while 97 (23%) remained incontinent despite closure. Of the 415 patients with closed fistula, only 244 (59%) were followed up at 3 months and 73 (18%) at 6 months (χ(2) for linear trend 576, P < 0.0001). This indicates progressive loss to follow-up, reaching 82% by 6 months.
conclusionWomen undergoing obstetric fistula repair surgery at GFC achieve good hospital exit outcomes. Thereafter, substantial and progressive loss to follow-up hinder the ability to judge programme success over time. Steps to address this operational problem are discussed.
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