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Documentation of Specific Mesh Implant at the Time of Midurethral Sling Surgery in Women With Stress Incontinence

Kassis, Nadine C. MD*; Thompson, Jennifer C. MD; Scheidler, Anne M. BS; Daggy, Joanne K. PhD; Hale, Douglass S. MD*

Female Pelvic Medicine & Reconstructive Surgery: January/February 2015 - Volume 21 - Issue 1 - p 43–45
doi: 10.1097/SPV.0000000000000106
Original Articles

Objective We aimed to assess documentation completeness of the operative record for mesh implanted at the time of midurethral sling surgery and to identify modifiable predictors of documentation completeness.

Methods A retrospective cross-sectional study of women with stress incontinence who underwent midurethral sling placement between January 2009 and December 2011 was conducted. Data from the dictated operative note and nursing operative record were extracted to determine if the specific mesh implanted during surgery was documented. The primary outcome was the rate of documentation of mesh implanted in the physician’s dictated operative note and in the nursing record. Logistic regression was used to determine if any characteristics were associated with the rate of documentation while accounting for correlation of patients from the same dictating surgeon.

Results There were 816 surgeries involving the implantation of a midurethral sling during the study period. All surgeries were performed at 6 Indiana University hospitals. Fifty-two surgeons of varying specialties and levels of training dictated the operative notes. A urogynecologist dictated 71% of the operative notes. The rate of documentation completeness for mesh implanted in the physician’s note was 10%. The rate of documentation completeness for mesh implanted in the nursing operative record was 92%. Documentation of mesh implanted in the physician’s note was not significantly associated with the level of training, specialty, or year of surgery.

Conclusions Documentation completeness for specific mesh implant in the physician’s note is low, independent of specialty and level of training. Nursing documentation practices are more rigorous. Postmarket surveillance, currently mandated by the Food and Drug Administration, may not be feasible if only the physician’s note is available or if nursing practices are inconsistent. Development of documentation guidelines for physicians would improve the feasibility of surveillance.

Documentation completeness for the specific mesh implanted at the time of mid-urethral sling is low.

From the *Methodist Hospital, Indiana University Health, Urogynecology Associates; †Department of Obstetrics and Gynecology, Indiana University; and ‡Indiana University School of Medicine, Indianapolis, IN.

Reprints: Nadine C. Kassis, MD, Urogynecology Associates, 1633 N, Capitol Ave, Suite 436, Indianapolis, IN 46032. E-mail:

Disclosure: Dr Douglass S. Hale is an investigator with Allergan and Pelvalon. The remaining authors have no relevant financial disclosures.

Presented at the American Urogynecologic Society 34th Annual Scientific Meeting, Las Vegas, NV, October 16 to 19, 2013.

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