Obesity and outcomes after sacrocolpopexy
Objective The purpose of this study was to compare outcomes after sacrocolpopexy (SC) between obese and healthy-weight women. Study Design Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspensio...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2008-01, Vol.199 (6), p.690.e1-690.e8 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Bradley, Catherine S., MD, MSCE Kenton, Kimberly S., MD, MS Richter, Holly E., PhD, MD Gao, Xin, MS Zyczynski, Halina M., MD Weber, Anne M., MD, MS Nygaard, Ingrid E., MD, MS |
| description | Objective The purpose of this study was to compare outcomes after sacrocolpopexy (SC) between obese and healthy-weight women. Study Design Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspension in stress continent women with stages II-IV prolapse. Outcomes and complications were compared between obese and healthy-weight women. Results CARE participants included 74 obese (body mass index ≥30 kg/m2 ), 122 overweight (25-29.9 kg/m2 ), and 125 healthy-weight (18.5-24.9 kg/m2 ) women, and 1 underweight (< 18.5 kg/m2 ) woman. Compared to healthy-weight women, obese women were younger (59.0 ± 9.9 vs 62.1 ± 10.3 yrs; P = .04), more likely to have stage II prolapse (25.7% vs 11.2%; P = .01), and had longer operative times (189 ± 52 vs 169 ± 58 min; P = .02). Two years after surgery, stress incontinence, prolapse, symptom resolution, and satisfaction did not differ between the obese and healthy-weight groups. Conclusion Most outcomes and complication rates after SC are similar in obese and healthy-weight women. |
| doi_str_mv | 10.1016/j.ajog.2008.07.030 |
| format | Article |
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Study Design Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspension in stress continent women with stages II-IV prolapse. Outcomes and complications were compared between obese and healthy-weight women. Results CARE participants included 74 obese (body mass index ≥30 kg/m2 ), 122 overweight (25-29.9 kg/m2 ), and 125 healthy-weight (18.5-24.9 kg/m2 ) women, and 1 underweight (< 18.5 kg/m2 ) woman. Compared to healthy-weight women, obese women were younger (59.0 ± 9.9 vs 62.1 ± 10.3 yrs; P = .04), more likely to have stage II prolapse (25.7% vs 11.2%; P = .01), and had longer operative times (189 ± 52 vs 169 ± 58 min; P = .02). Two years after surgery, stress incontinence, prolapse, symptom resolution, and satisfaction did not differ between the obese and healthy-weight groups. Conclusion Most outcomes and complication rates after SC are similar in obese and healthy-weight women.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2008.07.030</identifier><identifier>PMID: 18845288</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>abdominal sacrocolpopexy ; Aged ; Biological and medical sciences ; Body Mass Index ; Colposcopy - methods ; Female ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Metabolic diseases ; Middle Aged ; Obesity ; Obesity - complications ; Obesity - diagnosis ; Obstetrics and Gynecology ; postoperative complications ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Reference Values ; Risk Assessment ; Severity of Illness Index ; Suburethral Slings ; Surgical Mesh ; surgical outcomes ; Time Factors ; Treatment Outcome ; Urinary Incontinence, Stress - diagnosis ; Urinary Incontinence, Stress - surgery ; Urodynamics ; Urologic Surgical Procedures - adverse effects ; Urologic Surgical Procedures - methods ; Uterine Prolapse - diagnosis ; Uterine Prolapse - surgery</subject><ispartof>American journal of obstetrics and gynecology, 2008-01, Vol.199 (6), p.690.e1-690.e8</ispartof><rights>Mosby, Inc.</rights><rights>2008 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-2ee092fd6ac51acc130a403408daa6c178e62205895c217983759b61d532924d3</citedby><cites>FETCH-LOGICAL-c538t-2ee092fd6ac51acc130a403408daa6c178e62205895c217983759b61d532924d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2008.07.030$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,309,310,314,780,784,789,790,885,3548,23929,23930,25139,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20956301$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18845288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bradley, Catherine S., MD, MSCE</creatorcontrib><creatorcontrib>Kenton, Kimberly S., MD, MS</creatorcontrib><creatorcontrib>Richter, Holly E., PhD, MD</creatorcontrib><creatorcontrib>Gao, Xin, MS</creatorcontrib><creatorcontrib>Zyczynski, Halina M., MD</creatorcontrib><creatorcontrib>Weber, Anne M., MD, MS</creatorcontrib><creatorcontrib>Nygaard, Ingrid E., MD, MS</creatorcontrib><creatorcontrib>Pelvic Floor Disorders Network</creatorcontrib><title>Obesity and outcomes after sacrocolpopexy</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The purpose of this study was to compare outcomes after sacrocolpopexy (SC) between obese and healthy-weight women. Study Design Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspension in stress continent women with stages II-IV prolapse. Outcomes and complications were compared between obese and healthy-weight women. Results CARE participants included 74 obese (body mass index ≥30 kg/m2 ), 122 overweight (25-29.9 kg/m2 ), and 125 healthy-weight (18.5-24.9 kg/m2 ) women, and 1 underweight (< 18.5 kg/m2 ) woman. Compared to healthy-weight women, obese women were younger (59.0 ± 9.9 vs 62.1 ± 10.3 yrs; P = .04), more likely to have stage II prolapse (25.7% vs 11.2%; P = .01), and had longer operative times (189 ± 52 vs 169 ± 58 min; P = .02). Two years after surgery, stress incontinence, prolapse, symptom resolution, and satisfaction did not differ between the obese and healthy-weight groups. Conclusion Most outcomes and complication rates after SC are similar in obese and healthy-weight women.</description><subject>abdominal sacrocolpopexy</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Colposcopy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - diagnosis</subject><subject>Obstetrics and Gynecology</subject><subject>postoperative complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Suburethral Slings</subject><subject>Surgical Mesh</subject><subject>surgical outcomes</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Urinary Incontinence, Stress - diagnosis</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urodynamics</subject><subject>Urologic Surgical Procedures - adverse effects</subject><subject>Urologic Surgical Procedures - methods</subject><subject>Uterine Prolapse - diagnosis</subject><subject>Uterine Prolapse - surgery</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk9v1DAQxS0EotuFL8AB7QUkDgljO3FsCVWqKgpIlXoAziOvMykO2Xixk4r99jjaVflzwBfL8ps3z78xYy84lBy4etuXtg93pQDQJTQlSHjEVhxMUyit9GO2AgBRGNnoM3aeUr8chRFP2RnXuqqF1iv25nZLyU-HjR3bTZgnF3aUNrabKG6SdTG4MOzDnn4enrEnnR0SPT_ta_b1-v2Xq4_Fze2HT1eXN4WrpZ4KQQRGdK2yrubWOS7BViAr0K21yvFGkxICam1qJ3hjtGxqs1W8rWXOVrVyzS6Ovvt5u6PW0ThFO-A--p2NBwzW4983o_-Gd-EeheG6ApMNXp8MYvgxU5pw55OjYbAjhTmhMlprmdeaiaMwPzOlSN1DEw64EMYeF8K4EEZoMBPORS__jPe75IQ0C16dBDY5O3TRjs6nB50AUysJPOveHXWUYd57ipicp9FR6yO5Cdvg_5_j4p9yN_jR547f6UCpD3Mc85iQYxII-HkZ_vIVQGcTzo38BZrhrfY</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Bradley, Catherine S., MD, MSCE</creator><creator>Kenton, Kimberly S., MD, MS</creator><creator>Richter, Holly E., PhD, MD</creator><creator>Gao, Xin, MS</creator><creator>Zyczynski, Halina M., MD</creator><creator>Weber, Anne M., MD, MS</creator><creator>Nygaard, Ingrid E., MD, MS</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080101</creationdate><title>Obesity and outcomes after sacrocolpopexy</title><author>Bradley, Catherine S., MD, MSCE ; Kenton, Kimberly S., MD, MS ; Richter, Holly E., PhD, MD ; Gao, Xin, MS ; Zyczynski, Halina M., MD ; Weber, Anne M., MD, MS ; Nygaard, Ingrid E., MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-2ee092fd6ac51acc130a403408daa6c178e62205895c217983759b61d532924d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>abdominal sacrocolpopexy</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Colposcopy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - diagnosis</topic><topic>Obstetrics and Gynecology</topic><topic>postoperative complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Suburethral Slings</topic><topic>Surgical Mesh</topic><topic>surgical outcomes</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Urinary Incontinence, Stress - diagnosis</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urodynamics</topic><topic>Urologic Surgical Procedures - adverse effects</topic><topic>Urologic Surgical Procedures - methods</topic><topic>Uterine Prolapse - diagnosis</topic><topic>Uterine Prolapse - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bradley, Catherine S., MD, MSCE</creatorcontrib><creatorcontrib>Kenton, Kimberly S., MD, MS</creatorcontrib><creatorcontrib>Richter, Holly E., PhD, MD</creatorcontrib><creatorcontrib>Gao, Xin, MS</creatorcontrib><creatorcontrib>Zyczynski, Halina M., MD</creatorcontrib><creatorcontrib>Weber, Anne M., MD, MS</creatorcontrib><creatorcontrib>Nygaard, Ingrid E., MD, MS</creatorcontrib><creatorcontrib>Pelvic Floor Disorders Network</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bradley, Catherine S., MD, MSCE</au><au>Kenton, Kimberly S., MD, MS</au><au>Richter, Holly E., PhD, MD</au><au>Gao, Xin, MS</au><au>Zyczynski, Halina M., MD</au><au>Weber, Anne M., MD, MS</au><au>Nygaard, Ingrid E., MD, MS</au><aucorp>Pelvic Floor Disorders Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity and outcomes after sacrocolpopexy</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>199</volume><issue>6</issue><spage>690.e1</spage><epage>690.e8</epage><pages>690.e1-690.e8</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The purpose of this study was to compare outcomes after sacrocolpopexy (SC) between obese and healthy-weight women. Study Design Baseline and postoperative data were analyzed from the Colpopexy And Urinary Reduction Efforts (CARE) randomized trial of SC with or without Burch colposuspension in stress continent women with stages II-IV prolapse. Outcomes and complications were compared between obese and healthy-weight women. Results CARE participants included 74 obese (body mass index ≥30 kg/m2 ), 122 overweight (25-29.9 kg/m2 ), and 125 healthy-weight (18.5-24.9 kg/m2 ) women, and 1 underweight (< 18.5 kg/m2 ) woman. Compared to healthy-weight women, obese women were younger (59.0 ± 9.9 vs 62.1 ± 10.3 yrs; P = .04), more likely to have stage II prolapse (25.7% vs 11.2%; P = .01), and had longer operative times (189 ± 52 vs 169 ± 58 min; P = .02). Two years after surgery, stress incontinence, prolapse, symptom resolution, and satisfaction did not differ between the obese and healthy-weight groups. Conclusion Most outcomes and complication rates after SC are similar in obese and healthy-weight women.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>18845288</pmid><doi>10.1016/j.ajog.2008.07.030</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | abdominal sacrocolpopexy Aged Biological and medical sciences Body Mass Index Colposcopy - methods Female Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Medical sciences Metabolic diseases Middle Aged Obesity Obesity - complications Obesity - diagnosis Obstetrics and Gynecology postoperative complications Postoperative Complications - epidemiology Postoperative Complications - etiology Reference Values Risk Assessment Severity of Illness Index Suburethral Slings Surgical Mesh surgical outcomes Time Factors Treatment Outcome Urinary Incontinence, Stress - diagnosis Urinary Incontinence, Stress - surgery Urodynamics Urologic Surgical Procedures - adverse effects Urologic Surgical Procedures - methods Uterine Prolapse - diagnosis Uterine Prolapse - surgery |
| title | Obesity and outcomes after sacrocolpopexy |
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