Pelvic Organ Prolapse
Conditions
Brief summary
This is a retrospective chart review using TriHealth Electronic Privacy Identification Center (EPIC) to determine whether gynecologic surgeons at a large community hospital are already meeting the recently recommended best practice of supporting the vaginal apex.
Detailed description
The prevalence of pelvic organ prolapse (POP) in the United States is estimated to be between 40-50% with an anticipated increase over the next several decades. Approximately 300,000 women undergo surgeries to repair POP in the United States every year. Following pelvic reconstructive surgery, recurrence rates of symptomatic prolapse range between 6-30%. Our understanding of pelvic anatomy and its support has been significantly improved over recent decades, with many researchers reporting on details and mechanics previously not understood. In November 2017, the American College of Obstetricians and Gynecologists released a new practice bulletin outlining the current standard of care for the treatment of women with pelvic organ prolapse. In this bulletin, they state that a hysterectomy alone is not adequate treatment for pelvic organ prolapse, and further that any woman having a hysterectomy for pelvic organ prolapse should undergo a concurrent apical suspension procedure as a standard of care. The purpose of this study is to determine the proportion of patients already meeting the recently recommended best practice of supporting the vaginal apex at the time of hysterectomy for pelvic organ prolapse among the population who underwent the surgery performed at a TriHealth facility between October 2012 and October 2017.
Interventions
None listed
Sponsors
TriHealth Inc.
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults 18 years of age or older * Underwent hysterectomy for pelvic organ prolapse, performed at a TriHealth facility between October 2012 and October 2017
Exclusion criteria
* Age \< 18 years old * Pelvic Organ Prolapse was not an indication for their surgery * Surgery performed by a physician of Cincinnati Urogynecology Associates.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Patients Having Concurrent Apical Suspension Performed | at time of hysterectomy for pelvic organ prolapse | proportion of patients who had concurrent apical support procedures performed |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Pelvic Organ Prolapse patients who underwent hysterectomy for pelvic organ prolapse at any of the affiliated TriHealth hospitals between October 2012 and October of 2017 | 236 |
| Total | 236 |
Baseline characteristics
| Characteristic | Pelvic Organ Prolapse |
|---|---|
| Age, Continuous | 52.86 years STANDARD_DEVIATION 12.73 |
| Race/Ethnicity, Customized African American | 7 Participants |
| Race/Ethnicity, Customized Asian | 1 Participants |
| Race/Ethnicity, Customized Multiracial | 1 Participants |
| Race/Ethnicity, Customized Other | 1 Participants |
| Race/Ethnicity, Customized Unavailable | 1 Participants |
| Race/Ethnicity, Customized White | 225 Participants |
| Region of Enrollment United States | 236 participants |
| Sex: Female, Male Female | 236 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 236 |
| other Total, other adverse events | 0 / 236 |
| serious Total, serious adverse events | 0 / 236 |
Outcome results
Primary
Proportion of Patients Having Concurrent Apical Suspension Performed
proportion of patients who had concurrent apical support procedures performed
Time frame: at time of hysterectomy for pelvic organ prolapse
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Pelvic Organ Prolapse | Proportion of Patients Having Concurrent Apical Suspension Performed | 66 Participants |