Evidence map›Paper›PMID 32894328›Full record

ArticleInternational urogynecology journal2021

Change over time in the surgical management of pelvic organ prolapse between 2008 and 2014 in France: patient profiles, surgical approaches, and outcomes.

Mathilde Hendriks, Stéphanie Bartolo, Géraldine Giraudet, Michel Cosson, Emmanuel Chazard

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Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mathilde HendriksCHU Lille, Pôle Femme Mère Nouveau-né, Université de Lille, Avenue Eugène Avinée, 59000, Lille, France. mathilde.hendriks@wanadoo.fr.ORCID http://orcid.org/0000-0001-6186-576X
Stéphanie BartoloDouai Hospital, Gynecology-Obstetric Unit, route de Cambrai, BP10740, 59507, Douai cedex, France.
Géraldine GiraudetCHU Lille, Pôle Femme Mère Nouveau-né, Université de Lille, Avenue Eugène Avinée, 59000, Lille, France.
Michel CossonCHU Lille, Pôle Femme Mère Nouveau-né, Université de Lille, Avenue Eugène Avinée, 59000, Lille, France.
Emmanuel ChazardCHU Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Université de Lille, 59000, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPelvic organ prolapse (POP) is a common pathological condition that may require surgical management. Several surgical treatment options are possible, and practice varies from one center to another. The objective of the present study was to describe the surgical management and outcomes of POP in France from 2008 to 2014.

methodsWe performed a retrospective cohort study of all patients operated on for POP from 2008 to 2014, according to the French national hospital discharge summary database. Patient characteristics, surgical approaches, concomitant hysterectomy and/or incontinence surgery, the length of stay, the proportion of day-case operations, and patient outcomes were analyzed.

resultsWe analyzed 310,938 hospital stays with POP surgery between 2008 and 2014; 130,908 (42%) of the operations took place in hospitals performing more than 100 prolapse surgical procedures per year. The proportion of day-case operations was low, but rose significantly from 1.2% to 4.6% during the study period. More than half of the operations featured a vaginal approach. The proportions of operations with concomitant hysterectomy or urinary incontinence surgery fell from 41.0% to 36.1% and from 33.0% to 25.8% respectively. The proportions of laparoscopic procedures increased. The mortality rate was stable (0.07% for all years).

conclusionsThe number of patients undergoing POP surgery remained stable from 2008 to 2014. The proportion of laparoscopic procedures increased (in parallel with the rising proportion of day-case operations) and the proportion of procedures with concomitant hysterectomy or incontinence treatment decreased.

Indexed as

Pelvic Organ ProlapseUrinary IncontinenceFemaleFranceGynecologic Surgical ProceduresHumansHysterectomyRetrospective StudiesTreatment OutcomeHysterectomyPelvic organ prolapseUrinary incontinence

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.