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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Racial Disparities in Pelvic Floor Disorders
Carlotta Sarzo1, Nur Nurmahomed, Charlotte Ralston
1Pelvic Floor, Guy's and St Thomas Foundation Trust, London, UK.
Annals of Surgery
|January 31, 2024
Summary
Racial disparities and socioeconomic status significantly impact colorectal pelvic floor disorder (PFD) care, leading to unequal diagnosis and treatment. Addressing these inequalities is crucial for equitable healthcare access.
Area of Science:
- Colorectal surgery
- Pelvic floor disorders
- Health disparities
Background:
- Racial disparities in colorectal pelvic floor disorder (PFD) care are under-researched.
- Existing research primarily focuses on urogynecological PFD.
Purpose of the Study:
- To investigate the influence of racial disparities on colorectal PFD care.
- To examine the impact of socioeconomic status on colorectal PFD management.
Main Methods:
- Retrospective study of 2001 patients with colorectal PFD (2013-2018).
- Patients categorized by Index of Multiple Deprivation (IMD) quintiles.
- Analysis of patient complaints, referrals, investigations, multidisciplinary meeting (MDM) discussions, treatment, and follow-up.
Main Results:
- Constipation was the most frequent complaint across all ethnic groups.
- White British and Asian patients had higher rates of consultant and surgical referrals.
- Patients in the most deprived IMD quintiles received fewer diagnostic tests, MDM discussions, and surgical treatments.
Conclusions:
- Significant disparities in colorectal PFD diagnosis and treatment exist based on ethnicity and socioeconomic status.
- Inequalities in care access and provision were observed.
- The findings support the need for service provision frameworks to mitigate healthcare inequalities.
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