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Trends in Mesh Use for Pelvic Organ Prolapse Repair From the Medicare Database.
- Source :
-
Urology . Nov2015, Vol. 86 Issue 5, p885-891. 7p. - Publication Year :
- 2015
-
Abstract
- <bold>Objective: </bold>To investigate recent trends in mesh use for pelvic organ prolapse (POP)-related reconstruction procedures.<bold>Materials and Methods: </bold>Using the 2001-2011 5% Medicare claims database, we identified POP diagnoses and related procedures. Transvaginal mesh use and sacrocolpopexy were first reported in 2005 and 2004, respectively.<bold>Results: </bold>A total of 613,160 cases of vaginal and abdominal POP repair procedures were identified. The majority of procedures involved multiple compartments. The rate of mesh use increased dramatically from 2% of repairs in 2005 to 35% by 2008. After the Food and Drug Administration warning in 2008, mesh use plateaued and then decreased in 2011. Mesh was used more commonly in younger (odds ratio [OR] 0.722, P < .001), white (OR 0.712-0.791 for other races, P < .001) women in the South (OR 0.741-0.848 for non-South regions, P < .001). Starting in 2008, the rate of sacrocolpopexy procedures almost doubled yearly until 2011. Sacrocolpopexy was more common in younger patients (49% in women <70 years) and in white women (88%); the majority of sacrocolpopexies were performed in the South (60%) and laparoscopically (83%-98%).<bold>Conclusion: </bold>The treatment of POP has changed over time. The use of mesh increased significantly until 2008, after which it plateaued following the Food and Drug Administration warning regarding mesh-related complications. Concurrently, the number of sacrocolpopexy procedures increased significantly starting in 2008 as the use of laparoscopic and/or robotic technique and concern regarding transvaginal mesh increased. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PELVIC organ prolapse
*MEDICAL databases
*DRUG administration
*LAPAROSCOPY
*DIAGNOSIS
*PATIENTS
*AGE distribution
*COMPARATIVE studies
*DATABASES
*GYNECOLOGIC surgery
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*MEDICARE
*RESEARCH
*RISK assessment
*SURGICAL complications
*DISEASE relapse
*SURGICAL equipment
*EVALUATION research
*TREATMENT effectiveness
*DISEASE incidence
*RETROSPECTIVE studies
*SEVERITY of illness index
*SURGERY
TREATMENT of surgical complications
Subjects
Details
- Language :
- English
- ISSN :
- 00904295
- Volume :
- 86
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Urology
- Publication Type :
- Academic Journal
- Accession number :
- 111055522
- Full Text :
- https://doi.org/10.1016/j.urology.2015.08.022