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Outcomes collected in female pelvic floor surgical procedure registries and databases: a scoping review

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Abstract

Introduction and hypothesis

The objective was to overview the literature on the existing pelvic floor procedure registries and databases and to identify patient demographic, clinical and/or patient-reported data items for inclusion in the Australasian Pelvic Floor Procedure Registry (APFPR) Minimum Data Set (MDS).

Methods

We conducted a literature search on the MEDLINE, Embase, CINAHL and PsycINFO databases in addition to Google Scholar and grey literature to identify studies in the period January 2008 to January 2020. All were English studies of registries and databases on female adults undergoing surgery for pelvic floor disorders including stress urinary incontinence (SUI) and pelvic organ prolapse (POP). Studies were assessed on demographic and clinical patient characteristics, procedure or treatment type, health-related quality of life, adverse events and safety outcomes, captured by pelvic floor procedure registries or databases that have been established to date.

Results

From 1662 studies, 29 publications describing 22 different pelvic floor registries and databases were included for analysis, 12 (55%) of which were multicentre. Six (27%) registries and databases involved solely SUI, eight (36%) were regarding POP, and the remaining eight (36%) focussed on both conditions. The majority of registries and databases captured similar details on patient characteristics, comorbidities and other clinical features, procedure or treatment type, health-related quality of life, adverse events, safety and efficacy.

Conclusion

The findings of this scoping review will assist in determining the MDS for the APFPR, an initiative of the Australian government, to improve health and quality of life outcomes of women who undergo pelvic floor reconstructive procedures.

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Funding

This work is supported by the Australian Department of Health.

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Authors and Affiliations

  1. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia

    Rasa Ruseckaite, Justin O. Daly, Joanne Dean & Susannah Ahern

  2. Department of Obstetrics and Gynaecology, Western Health, Melbourne, Victoria, Australia

    Justin O. Daly

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  1. Rasa Ruseckaite
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  2. Justin O. Daly
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Contributions

R Ruseckaite: Protocol development, Data collection/extraction, Manuscript writing.

JO Daly: Protocol development, Manuscript editing.

J Dean: Manuscript editing.

S Ahern: Manuscript editing.

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Correspondence to Rasa Ruseckaite.

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Ruseckaite, R., Daly, J.O., Dean, J. et al. Outcomes collected in female pelvic floor surgical procedure registries and databases: a scoping review. Int Urogynecol J 32, 3113–3130 (2021). https://doi.org/10.1007/s00192-021-04839-2

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