Trends in Mesh Use for Pelvic Organ Prolapse Repair From the Medicare Database

Urology
Lily C WangRichard K Lee

Abstract

To investigate recent trends in mesh use for pelvic organ prolapse (POP)-related reconstruction procedures. Using the 2001-2011 5% Medicare claims database, we identified POP diagnoses and related procedures. Transvaginal mesh use and sacrocolpopexy were first reported in 2005 and 2004, respectively. A total of 613,160 cases of vaginal and abdominal POP repair procedures were identified. The majority of procedures involved multiple compartments. The rate of mesh use increased dramatically from 2% of repairs in 2005 to 35% by 2008. After the Food and Drug Administration warning in 2008, mesh use plateaued and then decreased in 2011. Mesh was used more commonly in younger (odds ratio [OR] 0.722, P < .001), white (OR 0.712-0.791 for other races, P < .001) women in the South (OR 0.741-0.848 for non-South regions, P < .001). Starting in 2008, the rate of sacrocolpopexy procedures almost doubled yearly until 2011. Sacrocolpopexy was more common in younger patients (49% in women <70 years) and in white women (88%); the majority of sacrocolpopexies were performed in the South (60%) and laparoscopically (83%-98%). The treatment of POP has changed over time. The use of mesh increased significantly until 2008, after which it plateaued fol...Continue Reading

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Citations

Jan 3, 2016·Urology·Marisa M CliftonHoward B Goldman
Jun 5, 2016·The Surgical Clinics of North America·Ilija Aleksic, Elise J B De
Jul 13, 2016·Female Pelvic Medicine & Reconstructive Surgery·Kimberly KentonJennifer T Anger
Feb 27, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V H EisenbergL Lowenstein
Apr 12, 2017·The Journal of Urology·Marissa C TheofanidesDoreen E Chung
Dec 15, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Muhammad F AslamWilliam T Gregory
Jul 19, 2017·Current Urology Reports·Janine L Oliver, Ja-Hong Kim
Feb 9, 2018·Obstetrics and Gynecology·Anne G SammarcoDaniel M Morgan
Sep 7, 2017·Neurourology and Urodynamics·Mauricio PlataCarlos G Trujillo
Sep 11, 2017·International Urogynecology Journal·Charelle M Carter-BrooksJonathan P Shepherd
Jul 18, 2019·International Urogynecology Journal·Ericka M SohlbergLisa Rogo-Gupta
Aug 24, 2016·Current Opinion in Obstetrics & Gynecology·Arnaud WattiezLarissa Schindler
Jul 6, 2019·World Journal of Urology·Sandra ElmerCaroline Dowling
Oct 27, 2020·International Urogynecology Journal·Perrine CapmasMaryse Larouche
Jan 31, 2021·Journal of Minimally Invasive Gynecology·Elizabeth J GellerCatherine A Matthews
Feb 24, 2021·Female Pelvic Medicine & Reconstructive Surgery·Narinta LimtrakulPedro A Maldonado
Apr 16, 2021·Journal of Minimally Invasive Gynecology·Andrea JaresovaJanet Li
Jun 26, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Omri LevorJacob Bornstein
Jun 24, 2017·Journal of Gynecology Obstetrics and Human Reproduction·P PanelS Abramowicz

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