TY - JOUR
T1 - Changing trends of surgical approaches for uterine prolapse
T2 - An 11-year population-based nationwide descriptive study
AU - Wu, Ming-Ping
AU - Long, Cheng Yu
AU - Huang, Kuan Hui
AU - Chu, Chin Chen
AU - Liang, Ching Chung
AU - Tang, Chao Hsiun
N1 - Funding Information:
Acknowledgments We are appreciative of the grant support from Chang Gung Memorial Hospital, Kaohsiung Medical Center, CMRPG870821, and Chi Mei Foundation Hospital, CMNCKU9806. We thank Dr. Yu-Tung Huang of Chang Gung University of Science and Technology, for the assistance of statistical analysis for the trend test.
PY - 2012/7
Y1 - 2012/7
N2 - 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 (
AB - 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 (
KW - Hospital accreditation
KW - Hospital ownership
KW - Hysterectomy
KW - National Health Insurance Research Database (NHIRD)
KW - Pelvic organ prolapse (POP)
KW - Uterine prolapse
KW - Uterine suspension
KW - Vaginal suspension
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U2 - 10.1007/s00192-011-1647-1
DO - 10.1007/s00192-011-1647-1
M3 - Review article
C2 - 22270728
AN - SCOPUS:84865120818
SN - 0937-3462
VL - 23
SP - 865
EP - 872
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 7
ER -