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Self-reported pelvic organ prolapse surgery, prevalence, and nonobstetric risk factors: findings from the Nord Trøndelag Health Study

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Abstract

Introduction

The aim of this study was to assess prevalence and risk factors of self-reported pelvic organ prolapse (POP) surgery in a Nordic county.

Methods

We assessed cross-sectional data collection from participants in the Nord-Trøndelag Health Study in 2006–2008. All women in the county ≥30 years were eligible, of whom 20,285 (50.3 %) responded by completing questionnaires and attending screening stations. Outcome measures were self-reported POP surgery, age at survey, sociodemographic factors, and information on selected risk factors for POP: self-reported smoking, chronic obstructive pulmonary disease (COPD), asthma, constipation a decade prior, and measured body mass index (BMI). Descriptive statistics, Kaplan–Meier estimates, and multivariate logistic regression were used. Statistical significance was defined as p ≤ 0.01.

Results

POP surgery was reported by 1,123 (5.3 %) of all women: 0.7 % < age 40, 3.1 % between age 40 and 59, and 10.8 % age >60. Cumulative incidence by age 85 was 14.6 %; mean age at surgery was 51.6 [standard deviation 14.7]. After adjustment for sociodemographic and lifestyle factors, odds ratios (OR) with 99 % confidence intervals (CI) for reporting the need for POP surgery were marked constipation 1.83 (1.30–2.56), BMI categories above normal 1.58–1.64 (1.10–2.25), COPD 1.51 (1.06–2.16), occupation involving lifting compared with sitting 1.40 (0.98–2.01), and asthma 1.25 (0.98–1.59). Cigarette smoking was not significantly associated.

Conclusion

Prevalence of self-reported POP surgery was high and increased with age. Constipation reported a decade prior, above-normal BMI, and COPD were significant nonobstetric risk factors.

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Acknowledgements

The Nord-Trøndelag Health Study (The HUNT Study) is a collaboration between HUNT Research Centre (Faculty of Medicine, Norwegian University of Science and Technology NTNU), Nord-Trøndelag County Council, Central Norway Health Authority, and the Norwegian Institute of Public Health.

Conflicts of interest

None.

Funding

This study was funded by a grant from the Liaison Committee between the Central Norway Regional Health Authority (RHA) and the Norwegian University for Science and Technology (NTNU).

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Authors and Affiliations

  1. Department of Public Health and General Practice, Norwegian University of Science and Technology, Post Box 8905, 7006, Trondheim, Norway

    Risa Anna Margaretha Lonnée-Hoffmann & Berit Schei

  2. Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway

    Risa Anna Margaretha Lonnée-Hoffmann, Siv Mørkved & Berit Schei

  3. Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway

    Øyvind Salvesen

  4. Department of Clinical Services, St OlavsHospital, Trondheim, Norway

    Siv Mørkved

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  1. Risa Anna Margaretha Lonnée-Hoffmann
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Correspondence to Risa Anna Margaretha Lonnée-Hoffmann.

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Lonnée-Hoffmann, R.A.M., Salvesen, Ø., Mørkved, S. et al. Self-reported pelvic organ prolapse surgery, prevalence, and nonobstetric risk factors: findings from the Nord Trøndelag Health Study. Int Urogynecol J 26, 407–414 (2015). https://doi.org/10.1007/s00192-014-2509-4

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