Sökning: onr:"swepub:oai:gup.ub.gu.se/325222" > The influence of ag...
Fältnamn | Indikatorer | Metadata |
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000 | 04043naa a2200517 4500 | |
001 | oai:gup.ub.gu.se/325222 | |
003 | SwePub | |
008 | 240910s2023 | |||||||||||000 ||eng| | |
024 | 7 | a https://gup.ub.gu.se/publication/3252222 URI |
024 | 7 | a https://doi.org/10.1007/s00192-022-05364-62 DOI |
040 | a (SwePub)gu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Gyhagen, Julia4 aut |
245 | 1 0 | a The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study. |
264 | c 2022-10-01 | |
264 | 1 | b Springer Science and Business Media LLC,c 2023 |
520 | a The efficacy of mid-urethral sling (MUS) surgery in older women and women with a significant disease burden is limited. We aimed to determine the influence of chronological age and physical status (assessed by the American Society of Anesthesiologists Physical Status, ASA) classification on outcomes.Cure rate, change in frequency of lower urinary tract symptoms, satisfaction, impact, and adverse events after MUS surgery were assessed in 5200 women aged 55-94 years with MUS surgery (2010-2017). Data were analysed by multivariate logistic regression and Mantel-Haenszel chi-square statistics.The cure rate was 64.2% (95% CI, 60.0-68.4) in the ≥ 75-year cohort compared to 88.5% (95% CI, 87.1-89.8) in the 55-64-year cohort (trend p < 0.0001). The estimated probability of cure, improvement, and satisfaction with the procedure decreased by aOR10yr = 0.51 for cure to aOR10yr = 0.59 for satisfaction (all p < 0.0001). Women with a significant health burden (ASA class 3-4) had lower cure rates and satisfaction than those without (65.5% vs. 83.7%, p < 0.0001 and 65.7% vs. 80.6%, p < 0.0001). Older age was more likely to be associated with de novo urgency (p = 0.0022) and nocturia ≥ 2 (p < 0.0001). Adverse events, readmission, and 30-day mortality rates were low. Women, irrespective of age, were equally satisfied if they experienced a decrease of at least one step in leakage frequency.Even if MUS surgery in older women and those with ASA class 3-4 was associated with a lower cure rate and less satisfactory outcome, a majority were satisfied provided they experienced a reduction of incontinence episodes. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng |
653 | a Female | |
653 | a Humans | |
653 | a Aged | |
653 | a Suburethral Slings | |
653 | a adverse effects | |
653 | a Urologic Surgical Procedures | |
653 | a methods | |
653 | a Urinary Incontinence | |
653 | a surgery | |
653 | a Health Status | |
653 | a Logistic Models | |
653 | a Urinary Incontinence | |
653 | a Stress | |
653 | a surgery | |
700 | 1 | a Åkervall, Sigvard4 aut |
700 | 1 | a Larsudd-Kåverud, Jennie4 aut |
700 | 1 | a Molin, Mattias4 aut |
700 | 1 | a Milsom, Ian,d 1950u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology4 aut0 (Swepub:gu)xmilia |
700 | 1 | a Wagg, Adrian4 aut |
700 | 1 | a Gyhagen, Mariau Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology4 aut0 (Swepub:gu)xgyhma |
710 | 2 | a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi4 org |
773 | 0 | t International urogynecology journald : Springer Science and Business Media LLCg 34:4, s. 939-947q 34:4<939-947x 1433-3023x 0937-3462 |
856 | 4 8 | u https://gup.ub.gu.se/publication/325222 |
856 | 4 8 | u https://doi.org/10.1007/s00192-022-05364-6 |
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