TY - JOUR
T1 - Patients of surgical educational course may have a poorer outcome for pelvic organ prolapse repair and higher complication rate
T2 - A case-control study in urogynecology
AU - Porena, Massimo
AU - Lazzeri, Massimo
AU - Bini, Vittorio
AU - Zucchi, Alessandro
AU - Del Zingaro, Michele
AU - Costantini, Elisabetta
PY - 2010/6
Y1 - 2010/6
N2 - Introduction and hypothesis: To investigate the outcome of the surgical educational course setting in patients undergoing urinary incontinence (UI)/pelvic organ prolapse (POP) repair. Methods: A case-control study of patients who underwent surgery for UI and/or POP during educational post-graduate courses (group A) or during routine hospital work (control-group B). The primary outcome measures were changes in the incontinence rate, presence/absence of POP, and complications. For 2×2 tables, χ 2 test was used. Multivariate logistic regression models were developed. Results: One hundred eighty-six patients belonged to group A and 158 to group B; median follow-up was 46.7 months. Failure, complication, and re-operation rates for UI repair were not significantly different in the two groups: p=0.162, p=0.110, p=0.188, respectively. The logistic regression analysis for POP repair showed that group A has higher risk for failure (OR=2.71; 95% CI: 1.31-5.61) and higher complication rate (OR=2.38; 95% CI: 1.31-4.32). Conclusion: Patients who underwent surgery during educational course developed a poorer outcome after POP repair and higher complication rate.
AB - Introduction and hypothesis: To investigate the outcome of the surgical educational course setting in patients undergoing urinary incontinence (UI)/pelvic organ prolapse (POP) repair. Methods: A case-control study of patients who underwent surgery for UI and/or POP during educational post-graduate courses (group A) or during routine hospital work (control-group B). The primary outcome measures were changes in the incontinence rate, presence/absence of POP, and complications. For 2×2 tables, χ 2 test was used. Multivariate logistic regression models were developed. Results: One hundred eighty-six patients belonged to group A and 158 to group B; median follow-up was 46.7 months. Failure, complication, and re-operation rates for UI repair were not significantly different in the two groups: p=0.162, p=0.110, p=0.188, respectively. The logistic regression analysis for POP repair showed that group A has higher risk for failure (OR=2.71; 95% CI: 1.31-5.61) and higher complication rate (OR=2.38; 95% CI: 1.31-4.32). Conclusion: Patients who underwent surgery during educational course developed a poorer outcome after POP repair and higher complication rate.
KW - Complications
KW - Educational course
KW - Pelvic organ prolapse
KW - Surgery outcome
KW - Urinary incontinence
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U2 - 10.1007/s00192-009-1086-4
DO - 10.1007/s00192-009-1086-4
M3 - Article
C2 - 20155352
AN - SCOPUS:77952978134
VL - 21
SP - 693
EP - 698
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
SN - 0937-3462
IS - 6
ER -