American Journal of Obstetrics & Gynecology
Volume 194, Issue 5 , Pages 1411-1417 , May 2006

Effect of patient age on increasing morbidity and mortality following urogynecologic surgery

Received 24 June 2005 ,Revised 28 October 2005 ,Accepted 13 January 2006.

References 

  1. US Census Bureau. Interim projections by age, sex, race, and Hispanic origin; 2004.
  2. Luber KM, Boero S, Choe JY. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol. 2001;184:1496–1501discussion 1501-3
  3. Lambrou NC, Buller JL, Thompson JR, Cundiff GW, Chou B, Montz FJ. Prevalence of perioperative complications among women undergoing reconstructive pelvic surgery. Am J Obstet Gynecol. 2000;183:1355–1358discussion 1359-60
  4. Stepp KJ, Barber MD, Yoo EH, Whiteside JL, Paraiso MF, Walters MD. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol. 2005;192:1630–1636
  5. Vetere PF, Putterman S, Kesselman E. Major reconstructive surgery for pelvic organ prolapse in elderly women, including the medically compromised. J Reprod Med. 2003;48:417–421
  6. Seymour DG, Vaz FG. A prospective study of elderly general surgical patients: II. Post-operative complications. Age Ageing. 1989;18:316–326
  7. Walsh TH. Audit of outcome of major surgery in the elderly. Br J Surg. 1996;83:92–97
  8. Nahhas WA, Brown M. Gynecologic surgery in the aged. J Reprod Med. 1990;35:550–554
  9. Romano PS, Roos LL, Jollis JG. Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: differing perspectives. J Clin Epidemiol. 1993;46:1075–1079
  10. Brown JS, Waetjen LE, Subak LL, Thom DH, Van den Eeden S, Vittinghoff E. Pelvic organ prolapse surgery in the United States, 1997. Am J Obstet Gynecol. 2002;186:712–716
  11. Waetjen LE, Subak LL, Shen H, Lin F, Want TH, Vittingnoff E, et al. Stress urinary incontinence surgery in the United States. Obstet Gynecol. 2003;101:671–676
  12. Toglia MR, Nolan TE. Morbidity and mortality rates of elective gynecologic surgery in the elderly woman. Am J Obstet Gynecol. 2003;189:1584–1587discussion 1587-9
  13. Sultana CJ, Campbell JW, Pisanelli WS, Sivinski L, Rimm AA. Morbidity and mortality of incontinence surgery in elderly women: an analysis of Medicare data. Am J Obstet Gynecol. 1997;176:344–348
  14. Hamel MB, Henderson WG, Khuri SF, Daley J. Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery. J Am Geriatr Soc. 2005;53:424–429
  15. Polanczyk CA, Marcantonio E, Goldman L, Rohde LE, Orav J, Mangione CM, et al. Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery. Ann Intern Med. 2001;134:637–643
  16. Finlayson EV, Birkmeyer JD. Operative mortality with elective surgery in older adults. Eff Clin Pract. 2001;4:172–177
  17. Beliveau MM, Multach M. Perioperative care for the elderly patient. Med Clin North Am. 2003;87:273–289
  18. Lawton FG, Hacker NF. Surgery for invasive gynecologic cancer in the elderly female population. Obstet Gynecol. 1990;76:287–289
  19. Handa VL, Harvey L, Cundiff GW, Kjerulff KH. Perioperative complications of surgery for genital prolapse: does concomitant anti-incontinence surgery increase complications?. Urology. 2005;65:483–487
  20. FitzGerald MP, Brubaker L. Colpocleisis and urinary incontinence. Am J Obstet Gynecol. 2003;189:1241–1244
  21. von Pechmann WS, Mutone M, Fyffe J, Hale DS. Total colpocleisis with high levator plication for the treatment of advanced pelvic organ prolapse. Am J Obstet Gynecol. 2003;189:121–126
  22. DeLancey JO, Morley GW. Total colpocleisis for vaginal eversion. Am J Obstet Gynecol. 1997;176:1228–1232discussion 1232-5
  23. Quan H, Parsons GA, Ghali WA. Validity of procedure codes in International Classification of Diseases, 9th revision, clinical modification administrative data. Med Care. 2004;42:801–809
  24. Quan H, Parsons GA, Ghali WA. Validity of information on comorbidity derived from ICD-9-CCM administrative data. Med Care. 2002;40:675–685

 Supported in part by grant T32: HD040674-03; WIH/Brown Epidemiology/Clinical Trials Training Program; National Institute of Child Health and Human Development.Presented at the Twenty-Sixth Annual Meeting of the American Urogynecologic Society, Atlanta, GA, September 15-17, 2005.Reprints not available from the authors.

PII: S0002-9378(06)00091-3

doi: 10.1016/j.ajog.2006.01.050

American Journal of Obstetrics & Gynecology
Volume 194, Issue 5 , Pages 1411-1417 , May 2006