Age and Perioperative Outcomes Following Minimally Invasive Sacrocolpopexy.

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.