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.
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
Infection Prevention After Gynecologic Procedures, Obstet Gynecol; ePub 2018 Jun; Soper, Chelmow, et al
Treatment Update for Polycystic Ovary Syndrome, Obstet Gynecol; ePub 2018 Jun; Legro, et al
Preconception Vitamin D Key After Pregnancy Loss, Lancet Diabetes Endocrinol; ePub 2018 May 30; Mumford, et al
Hysterectomy Performed by Very Low-Volume Surgeons, Obstet Gynecol; ePub 2018 May 7; Ruiz, et al
Place of Death in Patients with Gynecologic Cancer, Obstet Gynecol; ePub 2018 May 7; Hicks-Courant, et al
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