Treatment patterns of primary care physicians vs specialists prior to subspecialty urogynaecology referral for women suffering from pelvic floor disorders

World Journal of Methodology
Abigail PrenticeMuhammad Faisal Aslam

Abstract

There are approximately 25% of women in the United States suffering from pelvic floor disorders (PFDs) and this number is predicted to rise. The potential complications and increasing healthcare costs that exist with an operation indicate the importance of conservative treatment options prior to attempting surgery. Considering the prevalence of PFDs, it is important for primary care physician and specialists (obstetricians and gynecologists) to be familiar with the initial work-up and the available conservative treatment options prior to subspecialist (urogynecologist) referral. To assess the types of treatments that specialists attempted prior to subspecialty referral and determine the differences in referral patterns. This is a retrospective cohort study of 234 patients from a community teaching hospital referred to a single female pelvic medicine and reconstructive surgery (FPMRS) provider for PFD. Specialist vs primary care provider (PCP) referrals were compared. Number, length and treatment types were studied using descriptive statistics. There were 184 referrals (78.6%) by specialists and 50 (21.4%) by PCP. Treatment (with Kegel exercises, pessary placements, and anticholinergic medications) was attempted on 51% (n = 26) ...Continue Reading

References

Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
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Sep 12, 2015·Deutsches Ärzteblatt International·Katharina JundtHeribert Kentenich
May 17, 2017·Journal of the Turkish German Gynecological Association·Muhammad Faisal AslamBlake Osmundsen
May 27, 2017·International Urogynecology Journal·Donna MazloomdoostRachel N Pauls
Jan 9, 2018·Female Pelvic Medicine & Reconstructive Surgery·Nazema Y SiddiquiCatherine S Bradley

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Citations

Aug 18, 2020·Journal of Minimally Invasive Gynecology·Ritchie DelaraMegan Wasson

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