Association of Age With Adverse Events After Pelvic Organ Prolapse Surgery
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View abstract on PubMed
Summary
This summary is machine-generated.Pelvic organ prolapse (POP) surgery outcomes are favorable across age groups, including those over 80. Older patients (60-79) experienced fewer major complications compared to younger individuals, demonstrating the safety of POP procedures in diverse age demographics.
Area Of Science
- Urogynecology
- Surgical Outcomes Research
- Geriatric Surgery
Background
- Pelvic organ prolapse (POP) affects many women, with surgical intervention being a common treatment.
- Patient age is a critical factor in surgical decision-making for POP, yet its impact on perioperative outcomes requires further elucidation.
Purpose Of The Study
- To investigate the association between patient age and 30-day perioperative outcomes following surgical repair of pelvic organ prolapse.
- To determine if age influences the risk of major or minor complications after POP surgery.
Main Methods
- Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program database (2011-2022).
- Analysis included 133,058 women undergoing POP surgery, categorized into age groups (18-59, 60-69, 70-79, 80+).
- Multivariate logistic regression and interaction models assessed age-related complication risks and the impact of concomitant procedures.
Main Results
- Women aged 60-79 years demonstrated significantly lower rates of major complications compared to those younger than 60.
- Patients aged 80 and older showed similar rates of major complications to the youngest cohort.
- The addition of a hysterectomy slightly increased major complication risk only in patients younger than 60.
Conclusions
- Surgical treatment for pelvic organ prolapse is associated with a low risk of perioperative complications across all age groups, including the elderly.
- These findings support the safety and efficacy of POP surgery in older adult populations, informing surgical decision-making.
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