The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
The Effect of Age on Postoperative Morbidity in Women Undergoing Urogynecologic Surgery
Abstract
OBJECTIVES: The objectives of this study were to estimate the effect of older age on postoperative morbidity and to assess other factors associated with postoperative complications after urogynecologic surgery. METHODS: We conducted a retrospective cohort study of 508 women who underwent pelvic floor reconstructive surgery between March 2011 and June 2013. Our 2 cohorts were based on age--women younger than 65 years and women aged 65 years or older. Our primary outcome was clinically significant postoperative complications defined as Dindo-Clavien grade greater than or equal to 2. We compared the risk of postoperative morbidity between the cohorts and constructed a logistic regression analysis to adjust for potential confounders. RESULTS: Of the 508 patients, 300 (59.1%) were in the younger cohort and 208 (40.9%) were in the older cohort. For our primary outcome, we found that older women had a significantly higher rate of clinically significant postoperative complications (12.5% vs. 6.7%, P = 0.02). In a multivariate logistic regression model that included advanced prolapse, smoking status, Charlson Comorbidity Index, body mass index, and operative time, older age remained significantly associated with greater postoperative morbidity (odds ratio, 2.06; 95% confidence interval, 1.03-4.11). The length of surgery in hours was also associated with greater morbidity (odds ratio, 1.47; 95% confidence interval, 1.14-1.66). CONCLUSIONS: Women aged 65 years and older who underwent urogynecologic surgery had a higher risk of clinically significant postoperative complications based on the Dindo-Clavien Scale when compared with women younger than 65 years.
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Many studies addressing perioperative outcomes and frailty, including in gynecologic surgery, are retrospective in nature or database driven.
“Many studies--including those looking at gynecologic surgery--addressing perioperative outcomes and frailty are retrospective in nature or database driven leaving opportunity for further understanding the impact of frailty on gynecologic surgery outcomes in prospective surgical trials.7–16”
Citations
Cites
Functional Status and Postoperative Morbidity in Older Women with Prolapse
Greer, J. A., Northington, G. M., Harvie, H. S., Segal, S., Johnson, J. C., & Arya, L. A. (2013) · Journal of Urology · doi:10.1016/j.juro.2013.03.004 · Cited by 33 · cited 1×
“Prior studies have also suggested that comorbidities, in particular cardiovascular disease and higher ASA scores, are risk factors for surgical morbidity in the urogynecologic patient population.(6) To provide effective perioperative management and counseling, further investigation is needed to delineate the associati…”
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Research works printed but not linked: 18
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- Robinson, 2013, Robotic versus vaginal urogynecologic surgery: a retrospective cohort study of perioperative complications in elderly women., Female Pelvic Med Reconstr Surg, 19, 230, 10.1097/SPV.0b013e318299a66c · DOI
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Erekson, E., Menefee, S. A., Whitworth, R., Gizlice, S., Zyczynski, H. M., Rahn, D. D., Amundsen, C. L., Sung, V. W., Arya, L. A., Ferrando, C. A., et al. (2026) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2025.11.002
Metadata
- Authors
- Bretschneider, C. E., Robinson, B., Geller, E. J., & Wu, J. M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Augusta University (US)
- Corresponding author
- Bretschneider, C. Emi
- Geller, Elizabeth J.
- Wu, Jennifer M.
- Venue
- Female Pelvic Medicine & Reconstructive Surgery
- Published
- 2015-07
- Volume
- 21
- Issue
- 4
- Pages
- 236-240
- ISSN
- 2151-8378 (ISSN-L)
- OpenAlex
- W2320059216
- Cited by
- 24
- References
- 1
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 2 · 2017: 3 · 2016: 5 · 2015: 1
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Urogynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Keywords
- age, postoperative complications, urogynecologic surgery, pelvic floor reconstruction, older women, operative time, pelvic organ prolapse, smoking, Charlson Comorbidity Index, body mass index
- MeSH terms
- Adult, Age Factors, Aged, Female, Humans, Middle Aged, Morbidity, Postoperative Complications, Retrospective Studies, Risk Factors, Gynecologic Surgical Procedures, Urinary Incontinence, Stress, Logistic Models, Pelvic Organ Prolapse, Operative Time
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