دورية أكاديمية
أعرض في EDS

Patient characteristics, surgery outcomes, presumed aetiology and other characteristics of fistula surgeries and related procedures supported by Fistula Foundation from 2019 to 2021: a multicentre, retrospective observational study.

التفاصيل البيبلوغرافية
العنوان: Patient characteristics, surgery outcomes, presumed aetiology and other characteristics of fistula surgeries and related procedures supported by Fistula Foundation from 2019 to 2021: a multicentre, retrospective observational study.
المؤلفون: Pollaczek L; Fistula Foundation, San Jose, California, USA lindsey@fistulafoundation.org., Rajagopal K; Fistula Foundation, San Jose, California, USA., Chu J; Fistula Foundation, San Jose, California, USA.
المصدر: BMJ open [BMJ Open] 2024 Mar 13; Vol. 14 (3), pp. e078426. Date of Electronic Publication: 2024 Mar 13.
نوع المنشور: Observational Study; Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Vesicovaginal Fistula*/etiology , Vesicovaginal Fistula*/surgery , Dystocia*, Pregnancy ; Female ; Humans ; Retrospective Studies ; Quality of Life ; Obstetric Surgical Procedures/adverse effects
مستخلص: Objectives: Obstetric fistula is a devastating childbirth injury primarily caused by prolonged, obstructed labour. It leaves women incontinent, severely stigmatised and isolated. Fistula repair surgery can restore a woman's health and well-being. Fistula Foundation, a non-profit organisation, works in partnership with local hospitals and community organisations in Africa and Asia to address key barriers to treatment and to increase the number of women receiving surgical care. This paper presents data on fistula and fistula repair surgery across a large global network of hospitals supported by Fistula Foundation. The data were collected between 2019 and 2021.
Design: Multicentre, retrospective, observational, descriptive study.
Setting and Participants: The study analysed deidentified data from 24 568 surgical repairs supported by Fistula Foundation to treat women with obstetric fistula at 110 hospitals in 27 countries.
Results: The data highlight patient characteristics and key trends and outcomes from obstetric fistula repair surgeries and related procedures. Of those surgeries, 87% resulted in a successful outcome (fistula dry and closed) at the time of discharge, highlighting the effectiveness of fistula repair in restoring continence and improving quality of life. Over the period studied, the number of supported surgeries increased by 14%, but there remains an urgent need to strengthen local surgical capacity and improve access to treatment. Women suffered an average of 5.7 years before they received surgery and only 4% of women sought care independently. This underscores the importance of enhancing community awareness and strengthening referral networks.
Conclusions: This research provides essential insight from a vast, global network of hospitals providing highly effective fistula repair surgery. Further investment is needed to strengthen surgical capacity, increase awareness of fistula and remove financial barriers to treatment if stakeholders are to make significant progress towards the United Nations' ambitious vision of ending fistula by 2030.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: GYNAECOLOGY; Health Services Accessibility; Hospitals; Urogynaecology
تواريخ الأحداث: Date Created: 20240314 Date Completed: 20240318 Latest Revision: 20240318
رمز التحديث: 20240318
مُعرف محوري في PubMed: PMC10941128
DOI: 10.1136/bmjopen-2023-078426
PMID: 38485171
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-078426