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The prevalence and treatment pattern of pelvic organ prolapse in Republic of Korea: 7-years Population-Based Cross-Sectional Study
IUGA Academy. Shin J. Jun 30, 2018; 213011
Topic: Pelvic Organ Prolapse
Jung-Ho Shin
Jung-Ho Shin

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The prevalence and treatment pattern of pelvic organ prolapse in Republic of Korea: 7-years Population-Based Cross-Sectional Study

Shin, J1

1: Korea University

Introduction The aim are to evaluate the prevalence of pelvic organ prolapse (POP) using claim data of South Korea, and to evaluate treatment patterns.

Methods This study used Health Insurance Review & Assessment Service-National Inpatient Sample (HIRA-NIS) 2009-2015. If there is more than one POP diagnostic code (N81.x), the woman has POP. If the POP diagnostic code and the treatment code are concurrent, the POP is defined as the treated. To find out the risk of disease, chronic obstructive pulmonary disease and constipation were defined as having the disease when they had more than applicable diagnosis code, respectively.

Results Of the about 4.5 million women samples of HIRA-NIS 2009-2015, 10,305 women were selected as POP, and the mean age of the POP group was 63.9 ± 0.2 years. The prevalence of POP was 71 ± 1 per 100,000 person-years at all ages and 180 ± 4 per 100,000 person-years at over 50 years old. In logistic regression analysis, constipation increased the prevalence of all POP (Odds Ratio, 4.04; 95% Confidence Interval, 3.52-4.63; P<0.01). The number of women needing pessary only and surgery only were 9±1 per 100,000 person-years, 36±0 per 100,000 person-years at all ages and 26 ± 2 per 100,000 person-years, 89 ± 1 per 100,000 person-years at over 50 years old, respectively.

Discussion The prevalence of POP was quite lower than in the previous studies. Surgery peaked around 70 years old. The pessary has increased dramatically since the age of 65.

Disclosure:

Work supported by industry: no.

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