Trends in Urogynecology-Transvaginal Mesh Surgery in Germany
Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to war...
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| Veröffentlicht in: | Journal of clinical medicine 2024-02, Vol.13 (4), p.987 |
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| creator | Degirmenci, Yaman Stewen, Kathrin Dionysopoulou, Anna Schiestl, Lina Judit Hofmann, Konstantin Skala, Christine Hasenburg, Annette Schwab, Roxana |
| description | Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA.
This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends.
The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (
= 0.147); however, a significant decline was noted in all other compartments (posterior:
< 0.001, enterocele surgery:
< 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (
= 0.045).
Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches. |
| doi_str_mv | 10.3390/jcm13040987 |
| format | Article |
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This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends.
The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (
= 0.147); however, a significant decline was noted in all other compartments (posterior:
< 0.001, enterocele surgery:
< 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (
= 0.045).
Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13040987</identifier><identifier>PMID: 38398300</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age groups ; Codes ; FDA approval ; Forecasts and trends ; Genitourinary organs ; Gynecology, Operative ; Methods ; Pelvic organ prolapse ; Prolapse ; Statistics ; Surgery ; Surgical mesh ; Surgical outcomes ; Trends ; Uterus ; Vagina</subject><ispartof>Journal of clinical medicine, 2024-02, Vol.13 (4), p.987</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-2f7be793306a57ed12de9dce9a8d24182c006995af81815f3deedf364a31aa983</cites><orcidid>0000-0002-1489-0011</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38398300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Degirmenci, Yaman</creatorcontrib><creatorcontrib>Stewen, Kathrin</creatorcontrib><creatorcontrib>Dionysopoulou, Anna</creatorcontrib><creatorcontrib>Schiestl, Lina Judit</creatorcontrib><creatorcontrib>Hofmann, Konstantin</creatorcontrib><creatorcontrib>Skala, Christine</creatorcontrib><creatorcontrib>Hasenburg, Annette</creatorcontrib><creatorcontrib>Schwab, Roxana</creatorcontrib><title>Trends in Urogynecology-Transvaginal Mesh Surgery in Germany</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA.
This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends.
The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (
= 0.147); however, a significant decline was noted in all other compartments (posterior:
< 0.001, enterocele surgery:
< 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (
= 0.045).
Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches.</description><subject>Age groups</subject><subject>Codes</subject><subject>FDA approval</subject><subject>Forecasts and trends</subject><subject>Genitourinary organs</subject><subject>Gynecology, Operative</subject><subject>Methods</subject><subject>Pelvic organ prolapse</subject><subject>Prolapse</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Surgical mesh</subject><subject>Surgical outcomes</subject><subject>Trends</subject><subject>Uterus</subject><subject>Vagina</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkU1LAzEQhoMoVmpP3qXgRZCt-domAS9StAqKB9tzSJPZumU3q0lX6L83S-snTg4ThmfeTOZF6ITgEWMKX65sTRjmWEmxh44oFiLDTLL9H_ceGsS4wimk5JSIQ9RLVSUZxkfoahbAuzgs_XAemuXGg22qlLNZMD6-m2XpTTV8hPgyfG7DEsKmQ6cQauM3x-igMFWEwS730fz2Zja5yx6epveT64fMMqHWGS3EAoRiDI9NLsAR6kA5C8pIRzmR1GI8Vio3hSSS5AVzAK5gY24YMSYN2kfnW93X0Ly1ENe6LqOFqjIemjZqqhjljOc8T-jZH3TVtCH9Ieq0JikoFWP1TS1NBbr0RbMOxnai-lpIjjmheffs6B8qHQd1aRsPRZnqvxoutg02NDEGKPRrKGsTNppg3dmlf9iV6NPdqO2iBvfFfprDPgCmg4yl</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Degirmenci, Yaman</creator><creator>Stewen, Kathrin</creator><creator>Dionysopoulou, Anna</creator><creator>Schiestl, Lina Judit</creator><creator>Hofmann, Konstantin</creator><creator>Skala, Christine</creator><creator>Hasenburg, Annette</creator><creator>Schwab, Roxana</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1489-0011</orcidid></search><sort><creationdate>20240201</creationdate><title>Trends in Urogynecology-Transvaginal Mesh Surgery in Germany</title><author>Degirmenci, Yaman ; 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The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA.
This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends.
The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (
= 0.147); however, a significant decline was noted in all other compartments (posterior:
< 0.001, enterocele surgery:
< 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (
= 0.045).
Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38398300</pmid><doi>10.3390/jcm13040987</doi><orcidid>https://orcid.org/0000-0002-1489-0011</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Age groups Codes FDA approval Forecasts and trends Genitourinary organs Gynecology, Operative Methods Pelvic organ prolapse Prolapse Statistics Surgery Surgical mesh Surgical outcomes Trends Uterus Vagina |
| title | Trends in Urogynecology-Transvaginal Mesh Surgery in Germany |
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