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. 2022 Mar:157:34-39.
doi: 10.1016/j.maturitas.2021.10.013. Epub 2021 Oct 28.

Gynecological aspects as a component of comprehensive geriatric assessment: A study of self-rated symptoms of pelvic organ prolapse among community-dwelling elderly women in Japan

Emiko Kato  1 , Taizo Wada  2 , Mayumi Hirosaki  2 , Mai Tatsuno  3 , Kiichi Hirayama  3 , Michiko Fujisawa  2 , Yumi Kimura  4 , Yasuko Ishimoto  5 , Mitsuhiro Nose  2 , Kiyohito Okumiya  2 , Kozo Matsubayashi  2 , Ryota Sakamoto  2
Affiliations

Gynecological aspects as a component of comprehensive geriatric assessment: A study of self-rated symptoms of pelvic organ prolapse among community-dwelling elderly women in Japan

Emiko Kato et al. Maturitas. 2022 Mar.

Erratum in

Abstract

Objectives: Despite the reported 'male-female health-survival paradox', no components of the comprehensive geriatric assessment (CGA) routinely used in the field of geriatrics focus on female-specific symptoms. To investigate the impact of gynecological factors among elderly women, we noted the gynecological history and examined the association between self-rated symptoms of pelvic organ prolapse (POP) and CGA.

Study design: This community-based, cross-sectional study in Japan included 164 community-dwelling women aged ≥75 years.

Main outcome measures: The main outcome measures were the Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6), activities of daily living (ADL), and Timed Up and Go (TUG) test. Self-rated symptoms of POP were assessed using POPDI-6, and the participants were dichotomized into POPDI-6 >0 (symptom group) and POPDI-6 = 0 (no-symptom group). Several components of the CGA were compared between the groups with and without symptoms of POP and the association with POPDI-6 score was analyzed by multiple logistic regression analysis.

Results: Compared with the no-symptom group, the symptom group had significantly longer TUG test time (≥13.5 s) (P = 0.024) and difficulty in basic ADL (score <21) (P = 0.02). In multiple logistic regression analysis, basic ADL <21 and TUG time ≥13.5 s were significantly associated with POPDI-6 >0 (odds ratio [OR] = 2.78; 95% confidence interval [CI] = 1.10-7.06 and OR = 3.45; 95% CI = 1.01-1.24).

Conclusions: Self-rated POP symptoms were associated with CGA components among community-dwelling elderly women. Evaluating POP symptoms as part of the CGA could be meaningful for improving physical and psychological health in elderly women.

Keywords: Comprehensive geriatric assessment; Male-female health-survival paradox; Pelvic Organ Prolapse Distress Inventory-6; Pelvic organ prolapse; Timed Up and Go test.

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Conflict of interest statement

The authors declare that they have no competing interests.

Comment in

  • Geriatrics.
    Griebling TL. Griebling TL. J Urol. 2022 Sep;208(3):713-716. doi: 10.1097/JU.0000000000002819. Epub 2022 Jun 20. J Urol. 2022. PMID: 35722718 No abstract available.

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