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    Does specialty affect sling complication rate?

     

    Independent predictors of reoperation and readmission rates were ASA scores ≥3 (OR: 1.6%, 95% CI: 1.2-2.0; p=.001), prolonged operative time in the 75th percentile or higher (OR: 1.9, 95% CI: 1.5-2.3), and a gynecologist-conducted procedure (OR: 1.5, 95% CI: 1.2-1.9; p<.0001).

    Read: Data weigh neuromodulation’s impact on QoL at 3 years

    Dr. Löppenberg said the study was prompted when Dr. Trinh and co-author Christian Meyer, MD, were asked to comment on a December 2015 JAMA Surgery article that examined factors associated with synthetic mesh removal following surgical interventions for stress urinary incontinence (study, JAMA Surg 2015; 150:1167-75; comment, 1175-6). That study found that over a 10-year span, complications were not significantly influenced by the specialty of the surgeon conducting the procedure.

    Specialists at the Henry Ford Hospital Health System, Vattikuti Institute of Urology, Center for Outcomes Research, Analytics and Evaluation, Detroit, participated in the study. It will be presented again in a poster session at the AUA annual meeting in San Diego.

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