Short-term Outcomes of Vaginal Mesh Placement Among Female Medicare Beneficiaries
| Autor: | J. Quentin Clemens, Erin Chong, Jennifer T. Anger, Karyn S. Eilber, Aqsa Khan, Stephanie Histed, Chris L. Pashos, Ning Wu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Reoperation
medicine.medical_specialty Sling (implant) Urinary Incontinence Stress Urology Urinary incontinence Medicare Pelvic Floor Disorders Pelvic Organ Prolapse Article Cohort Studies medicine Humans Aged Aged 80 and over Suburethral Slings Urinary retention business.industry Pelvic pain Surgical Mesh United States Surgery Treatment Outcome Urinary Incontinence medicine.anatomical_structure Surgical mesh Concomitant Vagina Current Procedural Terminology Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Urology. 83:768-773 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2013.10.072 |
| Popis: | Objective To compare short-term outcomes between prolapse repairs with and without mesh using a national data set. Mesh use in surgical treatment of pelvic organ prolapse has gained wide popularity. However, mesh complications have increased concomitantly with its use. Methods Public Use File data were obtained for a 5% random national sample of female Medicare beneficiaries aged 65 years and older. Women who underwent prolapse surgery were identified using Current Procedural Terminology Coding System, Fourth Edition (CPT-4) codes. Because the code for mesh placement was effected in 2005, we separated patients into 3 cohorts as follows: those who underwent prolapse repairs from 1999 to 2000 (presumably without mesh), those who underwent repairs from 2007 to 2008 (presumably without mesh), and those with mesh (based on CPT-4 code 57267) from 2007 to 2008. One-year outcomes were identified using International Classification of Diseases, Ninth Revision diagnosis and procedure codes and CPT-4 procedure codes. Results A total of 9180 prolapse repairs without mesh were performed from 1999 to 2000, 7729 without mesh from 2007 to 2008, and 1804 prolapse repairs with mesh from 2007 to 2008. Prolapse reoperation within 1 year of surgery was higher in nonmesh vs mesh cohorts (6%-7% vs 4%, P |
| Databáze: | OpenAIRE |
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