Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Assessing Rate of POP Surgery in the US

Obstet Gynecol; 2018 Mar; Sammarco, et al

The use of pelvic organ prolapse surgery declined in the US from 2010-2013, regardless of mesh use, a recent study found. The retrospective cohort examined private claims from 3 insurance providers for inpatient and outpatient prolapse procedures. Primary outcomes were change in utilization or prolapse procedures, with and without mesh, before and after the July 2011 FDA communication. Secondary outcomes were the changes in payment and reimbursements for these procedures. Researchers found:

  • Utilization of prolapse procedures decreased from 12.3 to 9.7 per 10,000 women-years with a decrease of 30.7% in number of mesh procedures and 16.6% for nonmesh procedures.
  • Quarterly utilization of mesh procedures was increasing before the FDA communication and then significantly declined.
  • Inpatient utilization decreased 52.2, whereas outpatient utilization increased 18.5% during the study period.

Citation:

Sammarco AG, Swenson CW, Kamdar NS, et al. Rate of pelvic organ prolapse surgery among privately insured women in the United States, 2010-2013. Obstet Gynecol. 2018;131(3):484-492. doi:10.1097/AOG.0000000000002485.

This Week's Must Reads

Low-Dose Aspirin Use During Pregnancy, Obstet Gynecol; ePub 2018 Jul; ACOG, SMFM

Postpartum Pain & Fatigue Management , Obstet Gynecol; ePub 2018 Jul; ACOG

Vaginal Preparation Before Cesarean Section, Cochrane Library; ePub 2018 Jul 17; Haas, et al

Maternal Outcomes by Race in Women Aged ≥40 Years, Obstet Gynecol; ePub 2018 Jul 10; Booker, et al

Orilissa Approved for Pain Management of Endometriosis, AbbVie news release; 2018 July 24

Must Reads in Pelvic Floor Dysfunction

Concomitant POPUI Procedures & Gynecologic Cancer Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Apr 4; Bochenska, et al

Assessing Rate of POP Surgery in the US, Obstet Gynecol; 2018 Mar; Sammarco, et al

Opioid Administration After Pelvic Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Feb 27; Willis-Gray, et al

Robotic Surgery for Pelvic Organ Prolapse, Female Pelvic Med Reconstr Surg; ePub 2018 Jan 24; Chu, et al

Electronic Video Education & Pelvic Floor Disorders, Female Pelvic Med Reconstr Surg; ePub 2017 Dec 15; Padilla, et al