TY - JOUR
T1 - The surgical trends and time-frame comparison of primary surgery for stress urinary incontinence, 2006–2010 vs 1997–2005
T2 - a population-based nation-wide follow-up descriptive study
AU - Wu, Chia Jen
AU - Tong, Yat Ching
AU - Hsiao, Sheng Mou
AU - Liang, Ching Chung
AU - Liang, So Jung
AU - Weng, Shih Feng
AU - Wu, Ming Ping
N1 - Funding Information:
Acknowledgements The authors are grateful for the financial support provided by Chi Mei Foundation Hospital, Taiwan (CMFHR10231 and CMFHR10243). Dr S.M. Hsiao, C.C. Liang, S.J. Liang, and M.P. Wu are investigators of Taiwan Urogynecologic Group (TUGG), Taiwan Urogy-necology Association (TUGA), Taiwan.
Publisher Copyright:
© 2014, The International Urogynecological Association.
PY - 2014/11/18
Y1 - 2014/11/18
N2 - Introduction and hypothesis: The purpose of our study was to describe the surgical trends for female stress urinary incontinence (SUI) during 2006–2010, and a time-frame comparison with 1997–2005, based upon the National Health Insurance (NHI) claims data in Taiwan.Methods: Women who underwent various primary surgeries for SUI during 2006–2010 were identified, with a total of 15,099 inpatients. The variables included surgical types, patient age, surgeon age and gender, specialty, and hospital accreditation levels. Chi-squared tests and SAS version 9.3.1 were used for statistical analysis.Results: During the follow-up study, midurethral sling (MUS) application increased significantly from 53.09 % in 2006 to 78.74 % in 2010. It was associated concomitantly with a decrease in retropubic urethropexy (RPU) from 29.68 % to 12.99 %, and pubovaginal sling treatment (PVS) from 9.33 % to 3.46 %. MUS was most commonly used among all patients’ and surgeons’ age groups, and different accreditation hospital levels. MUS was more commonly used by gynecologists (71.38 %) than urologists (57.91 %); while PVS and periurethral injection were more commonly performed by urologists than gynecologists. Similar surgical trends were found during time-frame comparison, 2006–2010 vs 1997–2005. SUI surgeries increased in patients aged ≥60, surgeons aged ≥ 50, and in regional hospitals.Conclusion: This follow-up study depicts the increase in popularity of MUS and offers evidence of surgical trends and a paradigm shift for female SUI surgery. More older women were willing to seek healthcare and undergo surgery. The surgical skills and knowledge spread from medical centers into regional hospitals. The time-frame shift may have a profound impact on patients, as well as the healthcare providers.
AB - Introduction and hypothesis: The purpose of our study was to describe the surgical trends for female stress urinary incontinence (SUI) during 2006–2010, and a time-frame comparison with 1997–2005, based upon the National Health Insurance (NHI) claims data in Taiwan.Methods: Women who underwent various primary surgeries for SUI during 2006–2010 were identified, with a total of 15,099 inpatients. The variables included surgical types, patient age, surgeon age and gender, specialty, and hospital accreditation levels. Chi-squared tests and SAS version 9.3.1 were used for statistical analysis.Results: During the follow-up study, midurethral sling (MUS) application increased significantly from 53.09 % in 2006 to 78.74 % in 2010. It was associated concomitantly with a decrease in retropubic urethropexy (RPU) from 29.68 % to 12.99 %, and pubovaginal sling treatment (PVS) from 9.33 % to 3.46 %. MUS was most commonly used among all patients’ and surgeons’ age groups, and different accreditation hospital levels. MUS was more commonly used by gynecologists (71.38 %) than urologists (57.91 %); while PVS and periurethral injection were more commonly performed by urologists than gynecologists. Similar surgical trends were found during time-frame comparison, 2006–2010 vs 1997–2005. SUI surgeries increased in patients aged ≥60, surgeons aged ≥ 50, and in regional hospitals.Conclusion: This follow-up study depicts the increase in popularity of MUS and offers evidence of surgical trends and a paradigm shift for female SUI surgery. More older women were willing to seek healthcare and undergo surgery. The surgical skills and knowledge spread from medical centers into regional hospitals. The time-frame shift may have a profound impact on patients, as well as the healthcare providers.
KW - Midurethral sling
KW - National Health Insurance
KW - Pubovaginal sling
KW - Retropubic urethropexy
KW - Stress urinary incontinence
KW - Surgery
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U2 - 10.1007/s00192-014-2443-5
DO - 10.1007/s00192-014-2443-5
M3 - Article
C2 - 24973098
AN - SCOPUS:84911807361
SN - 0937-3462
VL - 25
SP - 1683
EP - 1691
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
IS - 12
ER -