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

Prophylactic Antibiotic Use in Labor & Delivery, Obstet Gynecol; 2018 Sep; Coleman, et al

USPSTF on Screening for Cervical Cancer, JAMA; 2018 Aug 21; US Preventive Services Task Force

Prevention of Obstetric Lacerations at Vaginal Delivery, Obstet Gynecol; 2018 Sep; Cichowski, et al

Effect of Menstrual Bleeding on IUD Discontinuation, Am J Obstet Gynecol; ePub 2018 Aug 28; Hobby, et al

Leukemia risk after maternal contraception use, Hargreave M et al. Lancet Oncol. 2018 Sep 6. doi: 10.1016/S1470-2045(18)30479-0

Must Reads in Pelvic Floor Dysfunction

Pelvic Floor Disorders Knowledge in Pregnant Women, Female Pelvic Med Reconstr Surg; ePub 2018 Aug 2; Mckay, et al

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