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A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse

BACKGROUND: It has been a global trend that increasing complications related to pelvic floor surgeries have been reported over time. The current study aimed to outline the development of Chinese pelvic floor surgeries related to pelvic organ prolapse (POP) over the past 14 years and investigate the...

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Autores principales: Sun, Zhi-Jing, Wang, Xiu-Qi, Lang, Jing-He, Xu, Tao, Lu, Yong-Xian, Hua, Ke-Qin, Han, Jin-Song, Li, Huai-Fang, Tong, Xiao-Wen, Wang, Ping, Wang, Jian-Liu, Yang, Xin, Huang, Xiang-Hua, Liu, Pei-Shu, Song, Yan-Feng, Jin, Hang-Mei, Xie, Jing-Yan, Wang, Lu-Wen, Wu, Qing-Kai, Gong, Jian, Wang, Yan, Wang, Li-Qun, Li, Zhao-Ai, Xu, Hui-Cheng, Xia, Zhi-Jun, Gu, Li-Na, Liu, Qing, Zhu, Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817324/
https://www.ncbi.nlm.nih.gov/pubmed/33443938
http://dx.doi.org/10.1097/CM9.0000000000001237
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author Sun, Zhi-Jing
Wang, Xiu-Qi
Lang, Jing-He
Xu, Tao
Lu, Yong-Xian
Hua, Ke-Qin
Han, Jin-Song
Li, Huai-Fang
Tong, Xiao-Wen
Wang, Ping
Wang, Jian-Liu
Yang, Xin
Huang, Xiang-Hua
Liu, Pei-Shu
Song, Yan-Feng
Jin, Hang-Mei
Xie, Jing-Yan
Wang, Lu-Wen
Wu, Qing-Kai
Gong, Jian
Wang, Yan
Wang, Li-Qun
Li, Zhao-Ai
Xu, Hui-Cheng
Xia, Zhi-Jun
Gu, Li-Na
Liu, Qing
Zhu, Lan
author_facet Sun, Zhi-Jing
Wang, Xiu-Qi
Lang, Jing-He
Xu, Tao
Lu, Yong-Xian
Hua, Ke-Qin
Han, Jin-Song
Li, Huai-Fang
Tong, Xiao-Wen
Wang, Ping
Wang, Jian-Liu
Yang, Xin
Huang, Xiang-Hua
Liu, Pei-Shu
Song, Yan-Feng
Jin, Hang-Mei
Xie, Jing-Yan
Wang, Lu-Wen
Wu, Qing-Kai
Gong, Jian
Wang, Yan
Wang, Li-Qun
Li, Zhao-Ai
Xu, Hui-Cheng
Xia, Zhi-Jun
Gu, Li-Na
Liu, Qing
Zhu, Lan
author_sort Sun, Zhi-Jing
collection PubMed
description BACKGROUND: It has been a global trend that increasing complications related to pelvic floor surgeries have been reported over time. The current study aimed to outline the development of Chinese pelvic floor surgeries related to pelvic organ prolapse (POP) over the past 14 years and investigate the potential influence of enhanced monitoring conducted by the Chinese Association of Urogynecology since 2011. METHODS: A total of 44,594 women with POP who underwent pelvic floor surgeries between October 1, 2004 and September 30, 2018 were included from 22 tertiary academic medical centers. The data were reported voluntarily and obtained from a database. We compared the proportion of each procedure in the 7 years before and 7 years after September 30, 2011. The data were analyzed by performing Z test (one-sided). RESULTS: The number of different procedures during October 1, 2011−September 30, 2018 was more than twice that during October 1, 2004−September 30, 2011. Regarding pelvic floor surgeries related to POP, the rate of synthetic mesh procedures increased from 38.1% (5298/13,906) during October 1, 2004–September 30, 2011 to 46.0% (14,107/30,688) during October 1, 2011–September 30, 2018, whereas the rate of non-mesh procedures decreased from 61.9% (8608/13,906) to 54.0% (16,581/30,688) (Z = 15.53, P < 0.001). Regarding synthetic mesh surgeries related to POP, the rates of transvaginal placement of surgical mesh (TVM) procedures decreased from 94.1% (4983/5298) to 82.2% (11,603/14,107) (Z = 20.79, P < 0.001), but the rate of laparoscopic sacrocolpopexy (LSC) procedures increased from 5.9% (315/5298) to 17.8% (2504/14,107). CONCLUSIONS: The rate of synthetic mesh procedures increased while that of non-mesh procedures decreased significantly. The rate of TVM procedures decreased while the rate of LSC procedures increased significantly. TRIAL REGISTRATION NUMBER: NCT03620565, https://register.clinicaltrials.gov.
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spelling pubmed-78173242021-01-22 A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse Sun, Zhi-Jing Wang, Xiu-Qi Lang, Jing-He Xu, Tao Lu, Yong-Xian Hua, Ke-Qin Han, Jin-Song Li, Huai-Fang Tong, Xiao-Wen Wang, Ping Wang, Jian-Liu Yang, Xin Huang, Xiang-Hua Liu, Pei-Shu Song, Yan-Feng Jin, Hang-Mei Xie, Jing-Yan Wang, Lu-Wen Wu, Qing-Kai Gong, Jian Wang, Yan Wang, Li-Qun Li, Zhao-Ai Xu, Hui-Cheng Xia, Zhi-Jun Gu, Li-Na Liu, Qing Zhu, Lan Chin Med J (Engl) Original Articles BACKGROUND: It has been a global trend that increasing complications related to pelvic floor surgeries have been reported over time. The current study aimed to outline the development of Chinese pelvic floor surgeries related to pelvic organ prolapse (POP) over the past 14 years and investigate the potential influence of enhanced monitoring conducted by the Chinese Association of Urogynecology since 2011. METHODS: A total of 44,594 women with POP who underwent pelvic floor surgeries between October 1, 2004 and September 30, 2018 were included from 22 tertiary academic medical centers. The data were reported voluntarily and obtained from a database. We compared the proportion of each procedure in the 7 years before and 7 years after September 30, 2011. The data were analyzed by performing Z test (one-sided). RESULTS: The number of different procedures during October 1, 2011−September 30, 2018 was more than twice that during October 1, 2004−September 30, 2011. Regarding pelvic floor surgeries related to POP, the rate of synthetic mesh procedures increased from 38.1% (5298/13,906) during October 1, 2004–September 30, 2011 to 46.0% (14,107/30,688) during October 1, 2011–September 30, 2018, whereas the rate of non-mesh procedures decreased from 61.9% (8608/13,906) to 54.0% (16,581/30,688) (Z = 15.53, P < 0.001). Regarding synthetic mesh surgeries related to POP, the rates of transvaginal placement of surgical mesh (TVM) procedures decreased from 94.1% (4983/5298) to 82.2% (11,603/14,107) (Z = 20.79, P < 0.001), but the rate of laparoscopic sacrocolpopexy (LSC) procedures increased from 5.9% (315/5298) to 17.8% (2504/14,107). CONCLUSIONS: The rate of synthetic mesh procedures increased while that of non-mesh procedures decreased significantly. The rate of TVM procedures decreased while the rate of LSC procedures increased significantly. TRIAL REGISTRATION NUMBER: NCT03620565, https://register.clinicaltrials.gov. Lippincott Williams & Wilkins 2021-01-20 2021-01-14 /pmc/articles/PMC7817324/ /pubmed/33443938 http://dx.doi.org/10.1097/CM9.0000000000001237 Text en Copyright © 2020 The Chinese Medical Association, produced by Wolters Kluwer, Inc. under the CC-BY-NC-ND license. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Original Articles
Sun, Zhi-Jing
Wang, Xiu-Qi
Lang, Jing-He
Xu, Tao
Lu, Yong-Xian
Hua, Ke-Qin
Han, Jin-Song
Li, Huai-Fang
Tong, Xiao-Wen
Wang, Ping
Wang, Jian-Liu
Yang, Xin
Huang, Xiang-Hua
Liu, Pei-Shu
Song, Yan-Feng
Jin, Hang-Mei
Xie, Jing-Yan
Wang, Lu-Wen
Wu, Qing-Kai
Gong, Jian
Wang, Yan
Wang, Li-Qun
Li, Zhao-Ai
Xu, Hui-Cheng
Xia, Zhi-Jun
Gu, Li-Na
Liu, Qing
Zhu, Lan
A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title_full A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title_fullStr A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title_full_unstemmed A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title_short A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
title_sort 14-year multi-institutional collaborative study of chinese pelvic floor surgical procedures related to pelvic organ prolapse
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817324/
https://www.ncbi.nlm.nih.gov/pubmed/33443938
http://dx.doi.org/10.1097/CM9.0000000000001237
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