دورية أكاديمية
أعرض في EDS

Perioperative complication rates of colpocleisis performed with or without concomitant hysterectomy: a large population-based study.

التفاصيل البيبلوغرافية
العنوان: Perioperative complication rates of colpocleisis performed with or without concomitant hysterectomy: a large population-based study.
المؤلفون: Raina J; Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada., Bastrash MP; Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada., Suarthana E; Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.; Health Technology Assessment Unit, McGill University Health Center, Montreal, QC, Canada., Larouche M; Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada. ml.larouche@mcgill.ca.; St. Mary's Research Centre, 3830 Lacombe Avenue, Montreal, QC, H3T 1M5, Canada. ml.larouche@mcgill.ca.
المصدر: International urogynecology journal [Int Urogynecol J] 2023 May; Vol. 34 (5), pp. 1111-1118. Date of Electronic Publication: 2023 Jan 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Springer
مواضيع طبية MeSH: Colpotomy*/adverse effects , Colpotomy*/methods , Pelvic Organ Prolapse*/surgery , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology , Postoperative Complications*/surgery, Adult ; Female ; Humans ; Pregnancy ; Hysterectomy/adverse effects ; Hysterectomy/methods ; Retrospective Studies
مستخلص: Introduction and Hypothesis: We aimed to compare perioperative complications for women who underwent colpocleisis with and without concomitant hysterectomy, and report the rate of concomitant hysterectomy.
Methods: We conducted a retrospective study using the Healthcare Cost and Utilization Project (HCUP) - Nationwide Inpatient Sample 2004 to 2014. We used International Classification of Diseases, Ninth Revision (ICD-9) codes to identify women with pelvic organ prolapse (POP) who underwent colpocleisis with or without concomitant hysterectomy. Trend over time of each procedure type was created. We calculated odds ratios (ORs) to determine the risk of perioperative complications with or without concomitant hysterectomy. ORs were adjusted for age, race, income, insurance plan, and hypertension.
Results: Of 253,100 adult women who underwent POP repair, 7,431 had colpocleisis. Colpocleisis with concomitant hysterectomy was performed in 1,656 (22.2%) and 5,775 (77.7%) underwent colpocleisis alone (2,469 [33.2%] had a previous hysterectomy). Hysterectomy rates among women with POP undergoing colpocleisis remained relatively steady, whereas those undergoing colpocleisis without hysterectomy declined over time. Prevalence of any complications was higher among those with concomitant hysterectomy (11.4% vs 9.5%, p=0.023). Adjusted OR showed that concomitant hysterectomy increased the risk of complications (OR 1.93, 95% CI 1.45-2.57, p<0.001).
Conclusions: Our large administrative data analysis suggests an increased risk of complications when performing a hysterectomy at the time of colpocleisis. A concomitant hysterectomy was performed in 22% of cases. Whether or not to include hysterectomy at the time of colpocleisis is based on shared decision making, influenced by individual patients' values, comorbidities, and risk of complications.
(© 2023. The International Urogynecological Association.)
التعليقات: Comment in: Int Urogynecol J. 2023 May;34(5):1119. (PMID: 36708405)
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فهرسة مساهمة: Keywords: Colpocleisis; Database; Epidemiology; Hysterectomy; Pelvic organ prolapse; Perioperative complication
تواريخ الأحداث: Date Created: 20230127 Date Completed: 20230514 Latest Revision: 20230712
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9881524
DOI: 10.1007/s00192-023-05457-w
PMID: 36705729
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-3023
DOI:10.1007/s00192-023-05457-w