Changing trends of surgical approaches for uterine prolapse: An 11-year population-based nationwide descriptive study

Ming-Ping Wu, Cheng Yu Long, Kuan Hui Huang, Chin Chen Chu, Ching Chung Liang, Chao Hsiun Tang

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23 Citations (Scopus)

Abstract

Introduction and hypothesis: The interest of uterus-preserving surgery has been growing. Based on a nationwide database, we examined surgical procedures for uterine prolapse in Taiwan during the study period of 1997-2007, a total of 11 years. Methods: The operations, either uterine suspension or hysterectomy, due to the diagnosis of uterine prolapse were indentified into the study. Data on several parameters were collected for analysis, i.e., the surgical type, patient factors (age and concomitant anti-incontinence surgery), surgeon factors (age and gender), and hospital factors (accreditation level and ownership). Data of this study were obtained from the inpatient expenditures by admission files of the National Health Insurance Research Database (NHIRD). The NHIRD was established by the National Health Research Institute with the aim of promoting research into current and emerging medical issues in Taiwan. Results: In total, 31,038 operations were identified for this study. There was a trend for increased use of uterine suspension with uterine preservation during the latter years, evidenced by joinpoint regression analyses. More women who were younger (

Original languageEnglish
Pages (from-to)865-872
Number of pages8
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume23
Issue number7
DOIs
Publication statusPublished - Jul 2012

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Keywords

  • Hospital accreditation
  • Hospital ownership
  • Hysterectomy
  • National Health Insurance Research Database (NHIRD)
  • Pelvic organ prolapse (POP)
  • Uterine prolapse
  • Uterine suspension
  • Vaginal suspension

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

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