Systematic review of definitions for success in pelvic organ prolapse surgery

International Urogynecology Journal
Joseph T KowalskiCatherine S Bradley

Abstract

The current literature on pelvic organ prolapse (POP) employs wildly varying definitions of surgical success. Understanding which definitions of success have been used and how these may impact reported outcomes is critical. Therefore, we performed a systematic review to identify and summarize these definitions and how they have changed over time. A PubMed search was performed for studies reporting POP surgical outcomes (1996 and later). Inclusion criteria were: original research, English, adult women with POP, nonobliterative surgical treatment, comparison group, reported prolapse-specific outcomes, and clear definition of treatment success. This definition was categorized according to presence of anatomic, subjective, retreatment, or other components and whether these components were evaluated individually or in a composite definition (in which all components must be present for success). One-hundred forty articles were included. The number of included studies increased over time (r = 0.90, p < 0.00001). Ninety-five studies (67.9%) reported an anatomic-only definition of success, 43 (30.7%) included a subjective component to their definition of success, and 23 (16.4%) reported a composite definition of success, including 11 (7...Continue Reading

References

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Dec 18, 2001·American Journal of Obstetrics and Gynecology·A M WeberL A Ballard
May 2, 2008·Obstetrics and Gynecology·Catherine S BradleyUNKNOWN Women's Health Initiative
Aug 25, 2009·Obstetrics and Gynecology·Matthew D BarberUNKNOWN Pelvic Floor Disorders Network
May 7, 2011·American Journal of Obstetrics and Gynecology·Lauren ChmielewskiMatthew D Barber
Oct 22, 2013·International Urogynecology Journal·Christopher Maher
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
May 9, 2014·Obstetrics and Gynecology·Jennifer M WuMichele Jonsson Funk
Sep 30, 2016·International Urogynecology Journal·Joseph T KowalskiCatherine S Bradley

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Citations

Sep 2, 2020·International Urogynecology Journal·Pamela A MoalliUNKNOWN NICHD Pelvic Floor Disorders Network
Aug 2, 2020·International Urogynecology Journal·Junwei LiYisong Chen
Mar 14, 2019·International Urogynecology Journal·Alessio Miceli, José-Luis Dueñas-Diez
Oct 12, 2020·American Journal of Obstetrics and Gynecology·J Eric JelovsekUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Pelvic Floor Disorders Network
Jul 20, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Günter K NoéIbrahim Alkatout
Jul 17, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alexandra N GarciaCarlos A Medina

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