Related Experiment Video
Updated: Jul 17, 2026
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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
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Investigating Racial, Ethnic, and Socioeconomic Disparities in Pelvic Organ Prolapse Surgery
Samantha DeAndrade1, Krystal DePorto2, Kaitlin Crawford3
1From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, MA.
Urogynecology (Philadelphia, Pa.)
|January 6, 2025
Summary
This study found no racial or socioeconomic disparities in pelvic organ prolapse surgery modes within a managed care system. These findings suggest structural factors may drive observed disparities in surgical care.
Area of Science:
- Urogynecology
- Health Services Research
- Surgical Outcomes
Background:
- Racial/ethnic and socioeconomic disparities in pelvic organ prolapse surgery modes are documented.
- Access to care and advanced surgical technology may contribute to these disparities.
- Investigating disparities in a controlled managed care setting is crucial.
Purpose of the Study:
- To determine if racial/ethnic or socioeconomic disparities exist in pelvic organ prolapse surgery modes.
- To minimize the impact of access differences in a managed care environment.
Main Methods:
- Retrospective cohort study of 2,798 patients undergoing apical pelvic organ prolapse surgery (2014-2017).
- Analysis included bivariate tests and multivariate logistic regression.
- Examined surgery mode by race/ethnicity and income level, controlling for confounders.
Main Results:
- No significant differences in apical prolapse surgery mode were found based on race/ethnicity.
- No significant differences in apical prolapse surgery mode were found based on income level.
- Patient characteristics and regional factors were adjusted for in the analysis.
Conclusions:
- Managed care settings may mitigate racial/ethnic and socioeconomic disparities in pelvic organ prolapse surgery.
- Structural factors, not individual patient characteristics, may be primary drivers of observed disparities.
- Further research into structural determinants of surgical care is warranted.
