Variability in practice patterns in stress urinary incontinence and pelvic organ prolapse: results of an IUGA survey
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu časopisecké články
PubMed
27752749
DOI
10.1007/s00192-016-3174-6
PII: 10.1007/s00192-016-3174-6
Knihovny.cz E-zdroje
- Klíčová slova
- Academic practice, Pelvic floor disorders, Physician survey, Practice patterns, Stress urinary incontinence, Urodynamic studies,
- MeSH
- chirurgické síťky statistika a číselné údaje MeSH
- dospělí MeSH
- gynekologie statistika a číselné údaje MeSH
- internacionalita MeSH
- lékařská praxe - způsoby provádění statistika a číselné údaje MeSH
- lidé středního věku MeSH
- lidé MeSH
- magnetická rezonanční tomografie statistika a číselné údaje MeSH
- mladý dospělý MeSH
- pesary statistika a číselné údaje MeSH
- prolaps pánevních orgánů chirurgie MeSH
- průzkumy a dotazníky MeSH
- stresová inkontinence moči chirurgie MeSH
- suburetrální pásky statistika a číselné údaje MeSH
- ultrasonografie statistika a číselné údaje MeSH
- urologie statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION AND HYPOTHESIS: Members of the International Urogynecological Association (IUGA) come from different geographic locations and practice settings. A member survey regarding practice patterns provides valuable information for practitioners and researchers alike, and allows the IUGA to discover areas to focus on education and information dissemination. METHODS: A questionnaire was developed by the IUGA Research and Development committee and distributed electronically to IUGA surgeons. Answers were analyzed in reference to demographics, geographic distribution, and academic affiliation. RESULTS: Five hundred sixty-four members answered the questionnaire, representing a 28 % response rate, and closely reflecting the geographic distribution of IUGA membership. Preferred surgical treatment for uncomplicated SUI was the mid-urethral trans-obturator sling (49.7 %). Vaginal mesh was mainly used for repair of recurrent POP (20.4 %). Pessary use was offered "always" or "frequently" by 61.5 %, with no difference in academic affiliation, but significant differences based on region of practice. Compared to practitioners in non-academic centers, those with academic affiliation utilized Urodynamic studies (UDS) and Magnetic Resonance Imaging (MRI) more frequently in the evaluation of POP. Regions of practice significantly influenced the majority of practice patterns, with the highest impact found in the use of robotic assistance. CONCLUSIONS: Many practice patterns in the evaluation and treatment of POP and SUI depend on academic affiliation and geographic location. Practice patterns are not always based on most recent evidence-based data.
1st Faculty of Medicine Charles University Prague General University Hospital Prague Czech Republic
American University of Beirut Medical Center Beirut Lebanon
Women's Pelvic Specialty Care P C University of New Mexico Hospital Albuquerque NM USA
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