Urogynecology (Philadelphia, Pa.) · 2026
Age and Perioperative Outcomes Following Minimally Invasive Sacrocolpopexy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Neal Samantha Erin, Ashmore Sarah, Shi Jinxuan, Tang Wei, Samsel Tara, Mueller Margaret G, Kenton Kimberly
Аннотация
IMPORTANCE: Literature surrounding the effect of age on perioperative outcomes following minimally invasive sacrocolpopexy (MI-SCP) is limited and conflicting.
OBJECTIVE: The objective of this study was to determine the effect of age on postoperative complications following MI-SCP, utilizing a large, national database.
STUDY DESIGN: This was a retrospective cohort study using the 2014-2021 American College of Surgeons National Surgical Quality Improvement Program database to determine the effect of age on postoperative complications following MI-SCP. Women undergoing robotic and laparoscopic sacrocolpopexy for prolapse were included, and surgical procedures were identified using Current Procedural Terminology codes. Our primary outcome was the 30-day postoperative complication rate. Women were stratified into 2 cohorts: (1) 65 years or older and (2) younger than 65 years. Standard group comparisons were performed. A multivariable logistic regression was completed to determine if age affected the postoperative complication rate after accounting for other variables.
RESULTS: A total of 6,794 women underwent MI-SCP; 3,726 (54.8%) were younger than 65 years, and 3,068 (45.2%) were 65 years or older. Overall, the 30-day postoperative complication rate following MI-SCP was 5.02%, and women 65 years or older were less likely to experience a postoperative complication compared with women younger than 65 years (3.98% vs 5.88%, P <0.001). In logistic regression, age younger than 65 years was associated with increased odds of 30-day postoperative complications (adjusted odds ratio [aOR], 1.56; 95% CI, 1.22-2.00). Class 3 obesity (aOR, 1.87) and longer length of stay (aOR, 1.13) were also associated with increased odds of postoperative complications.
CONCLUSIONS: Our findings suggest that age 65 years or older is not associated with increased postoperative complications following MI-SCP.
OBJECTIVE: The objective of this study was to determine the effect of age on postoperative complications following MI-SCP, utilizing a large, national database.
STUDY DESIGN: This was a retrospective cohort study using the 2014-2021 American College of Surgeons National Surgical Quality Improvement Program database to determine the effect of age on postoperative complications following MI-SCP. Women undergoing robotic and laparoscopic sacrocolpopexy for prolapse were included, and surgical procedures were identified using Current Procedural Terminology codes. Our primary outcome was the 30-day postoperative complication rate. Women were stratified into 2 cohorts: (1) 65 years or older and (2) younger than 65 years. Standard group comparisons were performed. A multivariable logistic regression was completed to determine if age affected the postoperative complication rate after accounting for other variables.
RESULTS: A total of 6,794 women underwent MI-SCP; 3,726 (54.8%) were younger than 65 years, and 3,068 (45.2%) were 65 years or older. Overall, the 30-day postoperative complication rate following MI-SCP was 5.02%, and women 65 years or older were less likely to experience a postoperative complication compared with women younger than 65 years (3.98% vs 5.88%, P <0.001). In logistic regression, age younger than 65 years was associated with increased odds of 30-day postoperative complications (adjusted odds ratio [aOR], 1.56; 95% CI, 1.22-2.00). Class 3 obesity (aOR, 1.87) and longer length of stay (aOR, 1.13) were also associated with increased odds of postoperative complications.
CONCLUSIONS: Our findings suggest that age 65 years or older is not associated with increased postoperative complications following MI-SCP.