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Graphic integration of causal factors of pelvic floor disorders: an integrated life span model
Open accessAbstract
There is growing interest in causal factors for pelvic floor disorders. These conditions include pelvic organ prolapse and urinary and fecal incontinence and are affected by a myriad of factors that increase occurrence of symptomatic disease. Unraveling the complex causal network of genetic factors, birth-induced injury, connective tissue aging, lifestyle and comorbid factors is challenging. We describe a graphical tool to integrate the factors affecting pelvic floor disorders. It plots pelvic floor function in 3 major life phases: (1) development of functional reserve during an individual's growth, (2) variations in the amount of injury and potential recovery that occur during and after vaginal birth, and (3) deterioration that occurs with advancing age. This graphical tool accounts for changes in different phases to be integrated to form a disease model to help assess the overlap of different causal factors.
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“POP is common in middle-aged and elderly women, which seriously affects the health and quality of life of those women with symptomatic disorders, and easily induces anxiety, depression, and other mental disorders (Whiteside et al. 2004, Delancey et al. 2008, Dietz 2008).”
From Risk factors for the recurrence of pelvic organ prolapse: a meta-analysis (2023) · cites this paper as Delancey et al. 2008
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“According to the literature, the recurrence rate of POP after reconstructive surgery can be as high as 58% (Whiteside et al. 2004, Delancey et al. 2008, Fritel et al. 2009, Friedman et al. 2018).”
From Risk factors for the recurrence of pelvic organ prolapse: a meta-analysis (2023) · cites this paper as Delancey et al. 2008
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In recent years, it has been reported that genetic factors, parity, obesity, birth-induced injury during delivery, etc. are risk factors for POP development and recurrence after operation (Tegerstedt and Hammarstr€ om 2004, Diez-Itza, Aizpitarte and Becerro 2007, Delancey et al. 2008, Fritel et al. 2009, Friedman et al. 2018).”
From Risk factors for the recurrence of pelvic organ prolapse: a meta-analysis (2023) · cites this paper as Delancey et al. 2008
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Metadata
- Authors
- DeLancey, J. O. L., Kane Low, L., Miller, J. M., Patel, D. A., & Tumbarello, J. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- DeLancey, John O.L.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 199
- Issue
- 6
- Pages
- 610.e1-610.e5
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC2764236
- OpenAlex
- W2142301107
- Cited by
- 267
- References
- 7
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 32 · 2023: 21 · 2022: 33 · 2021: 12 · 2020: 27 · 2019: 14 · 2018: 12 · 2017: 12 · 2016: 12 · 2015: 13 · 2014: 11 · 2013: 10 · 2012: 5
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50HD044406)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- pelvic floor dysfunction, causal factors, pelvic organ prolapse, urinary incontinence, fecal incontinence, probabilistic graphical models, connective tissue aging, genetic factors, disease models
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Computer Graphics, Computer Simulation, Fecal Incontinence, Female, Humans, Human Development, Life Style, Middle Aged, Models, Biological, Pregnancy, Quality of Life, Risk Factors, Sensitivity and Specificity, Severity of Illness Index, Urinary Incontinence, Uterine Prolapse, Comorbidity, Incidence, Age Distribution, Pelvic Floor, Delivery, Obstetric, Young Adult
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