Developing a Risk-Adjustment Model for Stress Urinary Incontinence Procedures Using Australasian Pelvic Floor Procedure Registry Data.

IF 2 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2026-10-15 DOI:10.1007/s00192-026-06914-y

Stanley Johnson, Mohammad Amin Honardoost, Susannah Ahern, Rasa Ruseckaite, Rhiannon Whale, Bayley Matthews, Fiona Bach, Ailsa Wilson Edwards, Arul Earnest

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引用次数: 0

Abstract

Introduction and hypothesis: Surgical outcomes for stress urinary incontinence (SUI) procedures are influenced by factors beyond the surgeon's control. Using Australasian Pelvic Floor Procedure Registry data, this study is aimed at developing a risk-adjustment model for equitable benchmarking of clinician-reported outcomes for female SUI procedures.

Methods: Logistic regression was used to create multivariate models for clinician-reported outcomes of primary SUI procedures. Risk factors such as age, body mass index (BMI), diabetic status, and symptoms of bladder disease were selected for adjustment after consultation with clinicians. Sensitivity analysis was conducted to ensure the robustness of the primary model.

Results: The multivariate model for clinician-reported improvement indicated that age over 80 years (OR 3.09, 95% CI 1.55 to 6.16, p = 0.001), BMI within the obese range (OR 2.67, 95% CI 1.03 to 6.98, p = 0.044), and a history of overactive bladder (OR 2.08, 95% CI 1.19 to 3.63, p = 0.010) were significantly associated with poorer outcomes. The model showed an acceptable fit, with an area under the curve of 68.38%.

Conclusions: Clinician-reported outcomes for primary SUI procedures in women are significantly affected by age, BMI and pre-existing bladder disease. This model can be used to statistically adjust for differences in case-mix across different clinical facilities, allowing for unbiased and equitable benchmarking of surgical outcomes.

查看原文本刊更多论文

利用澳大利亚盆底手术登记数据建立压力性尿失禁手术的风险调整模型。

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

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion