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

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004043naa a2200517 4500
001oai:gup.ub.gu.se/325222
003SwePub
008240528s2023 | |||||||||||000 ||eng|
0247 a https://gup.ub.gu.se/publication/3252222 URI
0247 a https://doi.org/10.1007/s00192-022-05364-62 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Gyhagen, Julia4 aut
2451 0a The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study.
264 c 2022-10-01
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a 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
7001 a Åkervall, Sigvard4 aut
7001 a Larsudd-Kåverud, Jennie4 aut
7001 a Molin, Mattias4 aut
7001 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
7001 a Wagg, Adrian4 aut
7001 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
7102 a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi4 org
7730 t International urogynecology journald : Springer Science and Business Media LLCg 34:4, s. 939-947q 34:4<939-947x 1433-3023x 0937-3462
8564 8u https://gup.ub.gu.se/publication/325222
8564 8u https://doi.org/10.1007/s00192-022-05364-6

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