Regional practice variation in pelvic organ prolapse surgery in Tuscany, Italy: a retrospective cohort study on administrative health data.

ABSTRACT:

Objectives

To explore determinants of practice variation in both access, and quality and efficiency of surgical care for pelvic organ prolapse (POP).

Design and setting

A retrospective cohort study employing administrative health data from the Tuscany region, Italy.

Participants

All women over 40 years hospitalised for apical/multicompartmental POP reconstructive surgery (excluding anterior/posterior colporrhaphy without concomitant hysterectomy) from January 2017 to December 2019.

Outcomes

We first computed treatment rates just for women residing in Tuscany (n=2819) and calculated the Systematic Component of Variation (SCV) to explore variation in access to care among health districts. Then, using the full cohort (n=2959), we ran multilevel models for the aver

SUBMITTER: Ferrari A 

PROVIDER: S-EPMC10008403 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature