Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/162046 |
Resumo: | OBJECTIVE: To identify the factors associated with the prescription of vaginal pessaries (VPs) as a conservative treatment for pelvic organ prolapse (POP). METHODS: A cross-sectional study was performed during two annual urogynecology and general obstetrics and gynecology meetings in 2017 (Sa˜o Paulo, SP, Brazil). A 19-item deidentified questionnaire regarding experiences and practices in prescribing VPs for POP patients was distributed among gynecologists. Our primary outcome was the frequency of prescribing VPs as a conservative treatment for POP. The reasons for prescribing or not prescribing VPs were also investigated. Univariate and multivariate analyses with crude and adjusted odds ratios (ORs) were performed for variables associated with the prescription of pessaries. RESULTS: Three hundred forty completed surveys were analyzed. Half of the respondents (53.53%) were between 30-49 years old; most of them were female (73.53%), were from the Southeast Region (64.12%), were trained in obstetrics and gynecology (80.24%) or urogynecology (61.18%) and worked in private offices (63.42%). More than one-third (36.48%) attended four or more POP cases/week, and 97.65% (n=332) had heard or knew about VPs for POP; however, only 47.06% (n=160) prescribed or offered this treatment to patients. According to the multivariate analysis, physicians aged 18-35 years (OR=1.97[1.00-3.91]; p=0.04), those who participated in a previous urogynecology fellowship (OR=2.34[1.34-4.09]; po0.01), those with relatively high volumes of POP cases (4 or +) (OR=2.23[1.21-4.47]; p=0.01) and those with PhD degrees (OR=2.75[1.01-7.54]; p=0.05) prescribed more pessaries. CONCLUSIONS: Most gynecologists did not prescribe VPs. Younger physician age, participation in a previous urogynecology fellowship, a PhD degree, and a relatively high volume of POP cases were associated with increased VP prescription rates. |
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Clinics |
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Factors associated with the prescription of vaginal pessaries for pelvic organ prolapseSurveyPessaryPelvic Organ ProlapseGynecologistsPracticeKnowledgeOBJECTIVE: To identify the factors associated with the prescription of vaginal pessaries (VPs) as a conservative treatment for pelvic organ prolapse (POP). METHODS: A cross-sectional study was performed during two annual urogynecology and general obstetrics and gynecology meetings in 2017 (Sa˜o Paulo, SP, Brazil). A 19-item deidentified questionnaire regarding experiences and practices in prescribing VPs for POP patients was distributed among gynecologists. Our primary outcome was the frequency of prescribing VPs as a conservative treatment for POP. The reasons for prescribing or not prescribing VPs were also investigated. Univariate and multivariate analyses with crude and adjusted odds ratios (ORs) were performed for variables associated with the prescription of pessaries. RESULTS: Three hundred forty completed surveys were analyzed. Half of the respondents (53.53%) were between 30-49 years old; most of them were female (73.53%), were from the Southeast Region (64.12%), were trained in obstetrics and gynecology (80.24%) or urogynecology (61.18%) and worked in private offices (63.42%). More than one-third (36.48%) attended four or more POP cases/week, and 97.65% (n=332) had heard or knew about VPs for POP; however, only 47.06% (n=160) prescribed or offered this treatment to patients. According to the multivariate analysis, physicians aged 18-35 years (OR=1.97[1.00-3.91]; p=0.04), those who participated in a previous urogynecology fellowship (OR=2.34[1.34-4.09]; po0.01), those with relatively high volumes of POP cases (4 or +) (OR=2.23[1.21-4.47]; p=0.01) and those with PhD degrees (OR=2.75[1.01-7.54]; p=0.05) prescribed more pessaries. CONCLUSIONS: Most gynecologists did not prescribe VPs. Younger physician age, participation in a previous urogynecology fellowship, a PhD degree, and a relatively high volume of POP cases were associated with increased VP prescription rates.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2019-05-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/16204610.6061/clinics/2019/e934Clinics; Vol. 74 (2019); e934Clinics; v. 74 (2019); e934Clinics; Vol. 74 (2019); e9341980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/162046/155935https://www.revistas.usp.br/clinics/article/view/162046/155936Coelho, Suelene AlbuquerqueBrito, Luiz Gustavo O.Araújo, Camila Carvalho deAguiar, Luiza BorgesHaddad, Jorge M.Giraldo, Paulo C.Juliato, Cássia R. T.info:eu-repo/semantics/openAccess2019-09-09T13:44:31Zoai:revistas.usp.br:article/162046Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-09-09T13:44:31Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
title |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
spellingShingle |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse Coelho, Suelene Albuquerque Survey Pessary Pelvic Organ Prolapse Gynecologists Practice Knowledge |
title_short |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
title_full |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
title_fullStr |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
title_full_unstemmed |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
title_sort |
Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse |
author |
Coelho, Suelene Albuquerque |
author_facet |
Coelho, Suelene Albuquerque Brito, Luiz Gustavo O. Araújo, Camila Carvalho de Aguiar, Luiza Borges Haddad, Jorge M. Giraldo, Paulo C. Juliato, Cássia R. T. |
author_role |
author |
author2 |
Brito, Luiz Gustavo O. Araújo, Camila Carvalho de Aguiar, Luiza Borges Haddad, Jorge M. Giraldo, Paulo C. Juliato, Cássia R. T. |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Coelho, Suelene Albuquerque Brito, Luiz Gustavo O. Araújo, Camila Carvalho de Aguiar, Luiza Borges Haddad, Jorge M. Giraldo, Paulo C. Juliato, Cássia R. T. |
dc.subject.por.fl_str_mv |
Survey Pessary Pelvic Organ Prolapse Gynecologists Practice Knowledge |
topic |
Survey Pessary Pelvic Organ Prolapse Gynecologists Practice Knowledge |
description |
OBJECTIVE: To identify the factors associated with the prescription of vaginal pessaries (VPs) as a conservative treatment for pelvic organ prolapse (POP). METHODS: A cross-sectional study was performed during two annual urogynecology and general obstetrics and gynecology meetings in 2017 (Sa˜o Paulo, SP, Brazil). A 19-item deidentified questionnaire regarding experiences and practices in prescribing VPs for POP patients was distributed among gynecologists. Our primary outcome was the frequency of prescribing VPs as a conservative treatment for POP. The reasons for prescribing or not prescribing VPs were also investigated. Univariate and multivariate analyses with crude and adjusted odds ratios (ORs) were performed for variables associated with the prescription of pessaries. RESULTS: Three hundred forty completed surveys were analyzed. Half of the respondents (53.53%) were between 30-49 years old; most of them were female (73.53%), were from the Southeast Region (64.12%), were trained in obstetrics and gynecology (80.24%) or urogynecology (61.18%) and worked in private offices (63.42%). More than one-third (36.48%) attended four or more POP cases/week, and 97.65% (n=332) had heard or knew about VPs for POP; however, only 47.06% (n=160) prescribed or offered this treatment to patients. According to the multivariate analysis, physicians aged 18-35 years (OR=1.97[1.00-3.91]; p=0.04), those who participated in a previous urogynecology fellowship (OR=2.34[1.34-4.09]; po0.01), those with relatively high volumes of POP cases (4 or +) (OR=2.23[1.21-4.47]; p=0.01) and those with PhD degrees (OR=2.75[1.01-7.54]; p=0.05) prescribed more pessaries. CONCLUSIONS: Most gynecologists did not prescribe VPs. Younger physician age, participation in a previous urogynecology fellowship, a PhD degree, and a relatively high volume of POP cases were associated with increased VP prescription rates. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/162046 10.6061/clinics/2019/e934 |
url |
https://www.revistas.usp.br/clinics/article/view/162046 |
identifier_str_mv |
10.6061/clinics/2019/e934 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/162046/155935 https://www.revistas.usp.br/clinics/article/view/162046/155936 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 74 (2019); e934 Clinics; v. 74 (2019); e934 Clinics; Vol. 74 (2019); e934 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222764566577152 |