The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA
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DOI:
10.1007/s00192-007-0457-y
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发表时间:
2008-03-01
影响因子:
1.8
通讯作者:
Hoyte, Lennox
Hoyte, Lennox
中科院分区:
医学3区
文献类型:
--
作者:
Shah, Aparna D.;Kohli, Neeraj;Hoyte, Lennox

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本研究的目的是描述2003年美国各年龄组盆腔器官脱垂(POP)手术的分布情况。患者分为四个年龄组:育龄期、围绝经期、绝经后和老年人。2003年全国出院调查和全国人口普查的数据被用来估计按年龄组的手术率。2003年,199,698名妇女共接受了311,587例POP手术。生殖年龄组、围绝经期组、绝经后组和老年组的脱垂手术率(每10,000名妇女)分别为7、24、31和17。在这些年龄组中,分别有28.8%、19.6%、18.6%和22.1%的女性发生手术并发症。死亡率不常见。虽然通常被认为是老年人的一种疾病,但这项研究表明,盆腔器官脱垂是一种影响整个生殖生命周期的女性的疾病,所有年龄段的女性都寻求手术治疗。
The objective of this study was to describe the distribution of pelvic organ prolapse (POP) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: Reproductive age, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Survey and National Census were used to estimate surgical rates by age group. In 2003, 199,698 women underwent a total of 311,587 surgical procedures for POP. Prolapse surgical rates (per 10,000 women) were 7, 24, 31, and 17 in reproductive age, perimenopausal, postmenopausal, and elderly age groups, respectively. Surgical complications occurred in 28.8, 19.6, 18.6, and 22.1% of women in these age groups, respectively. Mortality was uncommon. Although often considered a condition of the elderly, this study suggests that pelvic organ prolapse is a condition affecting women across the reproductive life cycle and for which women of all ages seek surgical treatment.