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. 2018 Jan 22;8(1):1334.
doi: 10.1038/s41598-018-19692-5.

The prevalence and treatment pattern of clinically diagnosed pelvic organ prolapse: a Korean National Health Insurance Database-based cross-sectional study 2009-2015

Jin-Sung Yuk  1 , Jung Hun Lee  1 , Jun-Young Hur  2 , Jung-Ho Shin  3
Affiliations

The prevalence and treatment pattern of clinically diagnosed pelvic organ prolapse: a Korean National Health Insurance Database-based cross-sectional study 2009-2015

Jin-Sung Yuk et al. Sci Rep. .

Abstract

The study aim was to evaluate the prevalence of pelvic organ prolapse using claim data of South Korea and to evaluate treatment patterns. The Korea National Health Insurance Corporation pay medical costs for most diseases. This study used Health Insurance Review & Assessment Service-National Inpatient Sample (HIRA-NIS) 2009-2015. Pelvic organ prolapse was defined by diagnostic code (N81.x). Of the approximately 4.5 million women included in HIRA-NIS 2009-2015, 10,305 women were selected as having pelvic organ prolapse, and the mean age of the pelvic organ prolapse group was 63.9 ± 0.2 years. The prevalence of pelvic organ prolapse was 180 ± 4 per 100,000 population in women older than 50 years old. In logistic regression analysis, constipation increased the prevalence of all pelvic organ prolapse (odds ratio, 4.04; 95% confidence interval, 3.52-4.63; P < 0.01). The number of women requiring pessary only and surgery only were 26 ± 2 per 100,000 population and 89 ± 1 per 100,000 population, respectively, for women over 50 years of age. The prevalence of pelvic organ prolapse was quite lower than in previous studies. Surgery peaked at approximately 70 years of age. Pessary increased dramatically among women after the age of 65.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
The change in prevalence according to age increments in HIRA-NIS 2009–2015. HIRA-NIS: The Health Insurance Review & Assessment Service-National Inpatient Sample, POP: Pelvic Organ Prolapse.
Figure 2
Figure 2
The trend in prevalence according to year increments in HIRA-NIS 2009–2015. HIRA-NIS: The Health Insurance Review & Assessment Service-National Inpatient Sample, POP: Pelvic Organ Prolapse.
Figure 3
Figure 3
The change of pelvic organ prolapse treatment procedure according to 5-age increments in HIRA-NIS 2009–2015. OP: operation.
See this image and copyright information in PMC

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