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Current events in Obstetrics & Gynecology, updates on new web site features and links to other web sites of interest to ObGyns.

Saturday, May 24, 2014

Trailers (84): Lifetime risk of pelvic floor disorders

Wu et al. Lifetime risk of stress incontinence or pelvic organ prolapse surgery

Why should you read about this topic?

To understand better the public health impact of pelvic floor disorders, particularly with our aging population

What were the authors trying to do?

Estimate the lifetime risk of surgery for stress urinary incontinence or pelvic organ prolapse.

Who participated and in what setting?

Women (N=10,177,480) with commercial insurance and Medicare claims and encounters entered into a database for 2007-2011, excluding those with surgery in the prior three years.

What was the study design?

Population-based (administrative database) retrospective cohort

What were the main outcome measures?

Surgery for urinary incontinence or pelvic organ prolapse

What were the results?

Lifetime (cumulative to age 80) risk of urinary incontinence or pelvic organ prolapse surgery was 20%.  Age-specific annual incidence peaks in the early 70s.

What is the most interesting image in the paper?

Figure 1

What were the study strengths and weaknesses?

Strength: large population-based study. Weakness: administrative database

What does the study contribute for your practice?

For women in the US, lifetime risk of surgery for stress incontinence or pelvic organ prolapse is 20%