Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery
ObjectiveTo report age- and population-adjusted trends in the prevalence of inpatient vaginal prolapse (VP), rectal prolapse (RP), and concurrent VP/RP surgical procedures in women in Washington State over a 12-year period. MethodsThe Comprehensive Hospital Abstract Reporting System, an inpatient c...
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| Format: | Article |
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MDPI AG
2023-05-01
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| Series: | Société Internationale d’Urologie Journal |
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| Online Access: | https://siuj.org/index.php/siuj/article/view/263/211 |
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| author | Justina Tam Hanna G. Koenig Celine R. Soriano Alvaro Lucioni Jennifer A. Kaplan Kathleen C. Kobashi Vlad V. Simianu Una J. Lee |
| author_facet | Justina Tam Hanna G. Koenig Celine R. Soriano Alvaro Lucioni Jennifer A. Kaplan Kathleen C. Kobashi Vlad V. Simianu Una J. Lee |
| author_sort | Justina Tam |
| collection | DOAJ |
| description | ObjectiveTo report age- and population-adjusted trends in the prevalence of inpatient vaginal prolapse (VP), rectal prolapse (RP), and concurrent VP/RP surgical procedures in women in Washington State over a 12-year period.
MethodsThe Comprehensive Hospital Abstract Reporting System, an inpatient claims database, was queried for female patients aged 20 years or older with a diagnosis of VP and/or RP and associated surgical procedures from 2008 to 2019. Rates for female patients were adjusted by age and population based on census results.
ResultsBetween 2008 and 2019, inpatient admissions for concurrent VP/RP surgery remained stable, with adjusted rates ranging from 1.42 to 3.38 per 100 000, with a majority performed in patients < 80 years old. The population-adjusted rate of inpatient RP repairs remained stable at 3.12 to 5.14 per 100 000. The population-adjusted rate of inpatient VP repairs decreased dramatically, from 81.79 to 6.96 per 100 000.
ConclusionsThe rate of inpatient RP and combined RP/VP surgical procedures was low and remained stable, while inpatient VP surgical repairs decreased substantially. Since the dataset is limited to inpatient surgery, this trend may reflect a shift to outpatient settings for VP surgeries. Nationally in the United States, there has been a trend toward multidisciplinary surgical management of concurrent VP/RP. However, this same trend does not appear to be reflected in Washington State, suggesting that nationwide trends may not be reflective of trends within each state. Further study is needed to understand how and why local trends in the management concurrent VP/RP may differ from national trends, and potentially improve concurrent VP/RP management using multidisciplinary approaches. |
| format | Article |
| id | doaj-art-ed01c2c517f64fdaa5248cd6cc046118 |
| institution | DOAJ |
| issn | 2563-6499 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Société Internationale d’Urologie Journal |
| spelling | doaj-art-ed01c2c517f64fdaa5248cd6cc0461182025-08-20T03:06:30ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992023-05-014318018610.48083/KUPV7345Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse SurgeryJustina Tamhttps://orcid.org/0000-0002-1069-0901Hanna G. Koenighttps://orcid.org/0000-0003-2215-0301Celine R. Sorianohttps://orcid.org/0000-0003-0440-9439Alvaro Lucionihttps://orcid.org/0000-0002-9188-677XJennifer A. KaplanKathleen C. Kobashi https://orcid.org/0000-0002-5668-251XVlad V. Simianuhttps://orcid.org/0000-0003-1255-0221Una J. Leehttps://orcid.org/0000-0003-1128-5083ObjectiveTo report age- and population-adjusted trends in the prevalence of inpatient vaginal prolapse (VP), rectal prolapse (RP), and concurrent VP/RP surgical procedures in women in Washington State over a 12-year period. MethodsThe Comprehensive Hospital Abstract Reporting System, an inpatient claims database, was queried for female patients aged 20 years or older with a diagnosis of VP and/or RP and associated surgical procedures from 2008 to 2019. Rates for female patients were adjusted by age and population based on census results. ResultsBetween 2008 and 2019, inpatient admissions for concurrent VP/RP surgery remained stable, with adjusted rates ranging from 1.42 to 3.38 per 100 000, with a majority performed in patients < 80 years old. The population-adjusted rate of inpatient RP repairs remained stable at 3.12 to 5.14 per 100 000. The population-adjusted rate of inpatient VP repairs decreased dramatically, from 81.79 to 6.96 per 100 000. ConclusionsThe rate of inpatient RP and combined RP/VP surgical procedures was low and remained stable, while inpatient VP surgical repairs decreased substantially. Since the dataset is limited to inpatient surgery, this trend may reflect a shift to outpatient settings for VP surgeries. Nationally in the United States, there has been a trend toward multidisciplinary surgical management of concurrent VP/RP. However, this same trend does not appear to be reflected in Washington State, suggesting that nationwide trends may not be reflective of trends within each state. Further study is needed to understand how and why local trends in the management concurrent VP/RP may differ from national trends, and potentially improve concurrent VP/RP management using multidisciplinary approaches.https://siuj.org/index.php/siuj/article/view/263/211concurrent surgeryrectal prolapsevaginal prolapsemultidisciplinary care |
| spellingShingle | Justina Tam Hanna G. Koenig Celine R. Soriano Alvaro Lucioni Jennifer A. Kaplan Kathleen C. Kobashi Vlad V. Simianu Una J. Lee Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery Société Internationale d’Urologie Journal concurrent surgery rectal prolapse vaginal prolapse multidisciplinary care |
| title | Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery |
| title_full | Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery |
| title_fullStr | Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery |
| title_full_unstemmed | Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery |
| title_short | Age- and Population-Adjusted Trends in Inpatient Surgical Management of Vaginal Prolapse, Rectal Prolapse, and Concurrent Vaginal and Rectal Prolapse Surgery |
| title_sort | age and population adjusted trends in inpatient surgical management of vaginal prolapse rectal prolapse and concurrent vaginal and rectal prolapse surgery |
| topic | concurrent surgery rectal prolapse vaginal prolapse multidisciplinary care |
| url | https://siuj.org/index.php/siuj/article/view/263/211 |
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