Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/34383
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dc.contributor.authorFenocchi, Lindaen_UK
dc.contributor.authorBest, Catherineen_UK
dc.contributor.authorMason, Helenen_UK
dc.contributor.authorElders, Andrewen_UK
dc.contributor.authorHagen, Suzanneen_UK
dc.contributor.authorMaxwell, Margareten_UK
dc.date.accessioned2022-06-01T07:22:51Z-
dc.date.available2022-06-01T07:22:51Z-
dc.date.issued2022-06-28en_UK
dc.identifier.urihttp://hdl.handle.net/1893/34383-
dc.description.abstractIntroduction: Pelvic organ prolapse affects around 40% of women aged over 50 years. A multicentre parallel group randomised trial (the Pelvic Organ Prolapse PhysiotherapY (POPPY) trial) demonstrated pelvic floor muscle training (PFMT) was effective in reducing prolapse symptoms compared to no treatment. However, insight into the long-term impact of PFMT on health outcomes and health service utilisation is scarce. Methods: This study utilised linkage of Scottish administrative health records to follow-up POPPY trial participants resident in Scotland over 11 years. Mixed effects logistic regression determined the likelihood of receiving further prolapse treatment for those in the PFMT and control group. Analyses were adjusted for age group, prolapse stage, baseline symptom severity and attitude towards surgery. A cost assessment estimated longitudinal costs to the UK National Health Service (in Scotland) of accessing further prolapse treatment for each trial group. Results: 293 women, aged 25 to 79 years, were followed-up. 141 women (48.1%) had received further prolapse treatment: 65 (of 149; 43.6%) in the PFMT group compared with 76 (of 144; 52.8%) in the control group. PFMT was associated with a reduction in the odds of any prolapse treatment during follow-up (AOR 0.61 95% CI 0.37 to 0.99). Total cost of secondary care was 154,544 (GBP) PFMT group and 172,549 (GBP) control group. Conclusions: While PFMT did not lead to significant differences in total costs for further prolapse treatment over a post-intervention period of more than 10 years, it reduced the overall long-term risk of requiring hospital-based treatment for pelvic floor disorders.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationFenocchi L, Best C, Mason H, Elders A, Hagen S & Maxwell M (2022) Long-term effects and costs of pelvic floor muscle training for prolapse: trial follow-up record-linkage study. International Urogynecology Journal. https://doi.org/10.1007/s00192-022-05272-9en_UK
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectpelvic organ prolapseen_UK
dc.subjectrecord linkageen_UK
dc.subjectlongitudinal cost analysisen_UK
dc.subjectpelvic floor muscle trainingen_UK
dc.subjectrandomised controlled trialen_UK
dc.subjectlong-term follow-upen_UK
dc.titleLong-term effects and costs of pelvic floor muscle training for prolapse: trial follow-up record-linkage studyen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2022-06-28en_UK
dc.identifier.doi10.1007/s00192-022-05272-9en_UK
dc.identifier.pmid35763050en_UK
dc.citation.jtitleInternational Urogynecology Journalen_UK
dc.citation.issn1433-3023en_UK
dc.citation.issn0937-3462en_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNIHR National Institute for Health Researchen_UK
dc.author.emailcatherine.best2@stir.ac.uken_UK
dc.citation.date28/06/2022en_UK
dc.description.notesOutput Status: Forthcoming/Available Onlineen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationNMAHPen_UK
dc.identifier.isiWOS:000817823100004en_UK
dc.identifier.wtid1819249en_UK
dc.contributor.orcid0000-0002-3652-2498en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dc.date.accepted2022-05-30en_UK
dcterms.dateAccepted2022-05-30en_UK
dc.date.filedepositdate2022-05-31en_UK
dc.relation.funderprojectImplementation of an evidence based pelvic floor muscle training intervention for women with pelvic organ prolapse (PROlapse and PFMT: Implementing Evidence Locally - PROPEL)en_UK
dc.relation.funderrefHS&DR/14/04/02en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorFenocchi, Linda|en_UK
local.rioxx.authorBest, Catherine|0000-0002-3652-2498en_UK
local.rioxx.authorMason, Helen|en_UK
local.rioxx.authorElders, Andrew|en_UK
local.rioxx.authorHagen, Suzanne|en_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.projectHS&DR/14/04/02|National Institute for Health Research|http://dx.doi.org/10.13039/501100000272en_UK
local.rioxx.freetoreaddate2022-06-28en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2022-06-28en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2022-06-28|en_UK
local.rioxx.filenameFenocchi2022_Article_Long-termEffectsAndCostsOfPelv.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1433-3023en_UK
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