Uphold Versus Robotic Surgery for Pelvic Prolapse Repair: A Decision Analytic Approach
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 90 |
| Updated: | 6/10/2017 |
| Start Date: | November 2010 |
| End Date: | August 2011 |
Within the general objective of investigating optimal medical techniques for pelvic prolapse
repair, this study proposes to: (1) test the hypothesis that the UPHOLD procedure is more
cost effective than robotic surgery for pelvic prolapse repair (2)using formal decision
analysis as the comparative strategy
repair, this study proposes to: (1) test the hypothesis that the UPHOLD procedure is more
cost effective than robotic surgery for pelvic prolapse repair (2)using formal decision
analysis as the comparative strategy
The cumulative incidence of pelvic organ prolapse was approximately 2% in 2001. Given the
aging demographics in the U.S., the incidence of prolapse is projected to increase to 30% or
more for women aged 60 years and older and become of greater concern to both patients and
physicians. The demand for gynecologic services is predicted to increase by more than 45% in
the next ten years. Prolapse is related to childbirth, aging, defects in collagen, and
smooth muscle structure and strength. Etiology includes intra-abdominal pressure from
obesity, with obesity becoming an ever increasing factor in the US.
Treatment Choice of Patients:
Patients choose between pessary, surgery, and expectant management based on: age, prior
prolapse surgery, preoperative pelvic pain scores, and pelvic organ prolapse severity. These
are difficult decisions for patients.
When it comes to choosing between destinctive interventions with subtle advantages and
disadvantages, patients typically want to hear their physician's views of the scientific
merits of each procedure. Informed consent becomes extremely difficult when issues of
cost-effectiveness are at hand. Thus, the proposed project.
aging demographics in the U.S., the incidence of prolapse is projected to increase to 30% or
more for women aged 60 years and older and become of greater concern to both patients and
physicians. The demand for gynecologic services is predicted to increase by more than 45% in
the next ten years. Prolapse is related to childbirth, aging, defects in collagen, and
smooth muscle structure and strength. Etiology includes intra-abdominal pressure from
obesity, with obesity becoming an ever increasing factor in the US.
Treatment Choice of Patients:
Patients choose between pessary, surgery, and expectant management based on: age, prior
prolapse surgery, preoperative pelvic pain scores, and pelvic organ prolapse severity. These
are difficult decisions for patients.
When it comes to choosing between destinctive interventions with subtle advantages and
disadvantages, patients typically want to hear their physician's views of the scientific
merits of each procedure. Informed consent becomes extremely difficult when issues of
cost-effectiveness are at hand. Thus, the proposed project.
Inclusion Criteria:
- Female
- Underwent either UPHOLD procedure or Robotic Surgery for Pelvic Organ prolapse
Exclusion Criteria:
- Other vaginal procedure to correct prolapse
We found this trial at
1
site
Click here to add this to my saved trials
