The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study.

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: L773:1433 3023 > (2020-2024) > The influence of ag...

Details
MARC

Gyhagen, Julia (author)

The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study.

Article/chapterEnglish2023

Publisher, publication year, extent ...

2022-10-01
Springer Science and Business Media LLC,2023

Numbers

LIBRIS-ID:oai:gup.ub.gu.se/325222
https://gup.ub.gu.se/publication/325222URI
https://doi.org/10.1007/s00192-022-05364-6DOI

Supplementary language notes

Language:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Female
Humans
Aged
Suburethral Slings
adverse effects
Urologic Surgical Procedures
methods
Urinary Incontinence
surgery
Health Status
Logistic Models
Urinary Incontinence
Stress
surgery

Added entries (persons, corporate bodies, meetings, titles ...)

Åkervall, Sigvard (author)
Larsudd-Kåverud, Jennie (author)
Molin, Mattias (author)
Milsom, Ian,1950Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology(Swepub:gu)xmilia (author)
Wagg, Adrian (author)
Gyhagen, MariaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology(Swepub:gu)xgyhma (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi (creator_code:org_t)

Related titles

In:International urogynecology journal: Springer Science and Business Media LLC34:4, s. 939-9471433-30230937-3462

Internet link

Find in a library

International urogynecology journal (Search for host publication in LIBRIS)

To the university's database

Find more in SwePub

By the author/editor: Gyhagen, Julia; Åkervall, Sigvar ...; Larsudd-Kåverud, ...; Molin, Mattias; Milsom, Ian, 195 ...; Wagg, Adrian; show more...; Gyhagen, Maria; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

Articles in the publication: International ur ...

By the university: University of Gothenburg

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se