Perceived health status after mid-urethral sling revision in 287 women from the VIGI-MESH registry: A cross-sectional study

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2024-05-08 DOI:10.1111/1471-0528.17835

Hugo Camilli, Brigitte Fatton, Elise Gand, Sandrine Campagne-Loiseau, Renaud De Tayrac, Laurent Wagner, Christian Saussine, Jérôme Rigaud, Thibault Thubert, Xavier Deffieux, Michel Cosson, Philippe Ferry, Grégoire Capon, Laure Panel, Emmanuel Chartier-Kastler, Tristan Gauthier, Xavier Game, Cassandra Bouynat, Romane Bichon, Arnaud Fauconnier, Anne-Cécile Pizzoferrato, Xavier Fritel

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引用次数: 0

Abstract

Objective

To evaluate the health status and recovery of women after mid-urethral sling (MUS) revision in response to complications.

Design

Cross-sectional study using a questionnaire sent to women from a registry.

Setting

Twenty-two French surgical centres.

Population

A total of 287 women from the VIGI-MESH registry responded, having undergone MUS revision for complications.

Methods

Our sample of women were compared against a representative set of French women taken from the Eurostat database. Multivariate analysis was performed to identify clinical predictors for successful MUS revision. A qualitative analysis was carried out on free-text comments.

Main outcome measures

Health status, defined by the Minimum European Health Module, and recovery, assessed by Patient Global Impression of Improvement.

Results

The response rate was 76% (287/378), with 49% of the women (141/287, 95% CI 43%–55%) reporting good health status, which was 8 points lower than that expected from the comparator French set (57%, 95% CI 55%–58%). Overall, 53% (147/275, 95% CI 47%–59%) of the women reported feeling much better after MUS revision. Just over one-third (35%, 95/275, 95% CI 29%–40%) of respondents reported poor health with little or no improvement. Multivariate analysis showed that being operated on for pain at revision was associated with worse self-perceived health than being operated on for exposure (OR 0.36, 95% CI 0.14–0.95); women with pre-existing comorbidity reported a poorer health status following MUS revision (OR 0.22, 95% CI 0.13–0.38).

Conclusions

Our results suggest that half of the women recovered good health status after MUS revision, whereas a proportion appeared to be seriously affected by an MUS complication despite the revision.

查看原文本刊更多论文

来自 VIGI-MESH 登记处的 287 名妇女在中尿道吊带翻修后的健康状况感知：横断面研究。

目的：评估中段尿道吊带术后妇女的健康状况和恢复情况：评估因并发症而进行中段尿道吊带（MUS）翻修后妇女的健康状况和恢复情况：设计：横断面研究，通过登记册向妇女发放调查问卷：地点：22个法国外科中心：方法：将我们的样本与 VIGI-MESH 登记处的样本进行比较：方法：将我们的妇女样本与欧洲统计局数据库中具有代表性的法国妇女样本进行比较。进行了多变量分析，以确定MUS翻修成功的临床预测因素。对自由文本评论进行了定性分析：主要结果指标：健康状况（由欧洲最低健康标准模块定义）和康复情况（由患者对改善情况的总体印象评估）：回复率为 76% (287/378)，其中 49% 的女性（141/287，95% CI 43%-55%）报告健康状况良好，比法国参照组的预期值（57%，95% CI 55%-58%）低 8 个百分点。总体而言，53%（147/275，95% CI 47%-59%）的妇女表示在 MUS 术后感觉好多了。略高于三分之一（35%，95/275，95% CI 29%-40%）的受访者表示健康状况很差，几乎没有改善。多变量分析表明，与因暴露而接受手术相比，因疼痛而接受手术的妇女在翻修手术后的自我感觉健康状况更差（OR 0.6，95% CI 0.14-0.95）；原有合并症的妇女在接受 MUS 翻修手术后的健康状况更差（OR 0.22，95% CI 0.13-0.38）：我们的研究结果表明，半数妇女在进行MUS翻修后恢复了良好的健康状况，但也有一部分妇女在进行翻修后仍受到MUS并发症的严重影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.