Thread by @IUJ_BlueJournal

Dear IUJ readers, another Journal Club coming! This October we will discuss the study from Diez-Itza et al. about factors involved in prolapse recurrence one year after anterior vaginal repair (shared link - rdcu.be/b8IEf ) - 1/11 - this is a thread

Factors involved in prolapse recurrence one year after anterior vaginal repair
Prepared by: Glaucia Varella, PT, MsC - on behalf of IUJ Social Media Scholar Group
Volume 31, issue 10, October 2020 - 2/11

-The authors mentioned the conservative treatment for pelvic organ prolapse. What are conservative options for treating pelvic organ prolapse? What is your experience with conservative treatment for pelvic organ prolapse in your clinical practice? 3/11

2-The present paper reports that anterior colporrhaphy is the most common procedure for treating the anterior compartment. Does this reflect the reality of your service? 4/11

3-The authors commented on the high rate of POP recurrence in their Introduction section. Discuss the risk factors involved in prolapse recurrence. 5/11

4-This is a prospective multicenter study. Comment on the pros and cons of a multicenter study compared to a single-center study. 6/11

5-Discuss how the primary outcomes “anatomic and symptomatic recurrence” were described. Do you agree with the criteria that patients must meet both anatomic and symptomatic recurrence in order to be classified as a recurrence? 7/11

6-The authors found that “preoperative POP-Q stages 3 and 4, levator avulsion, and hiatal area > 25 cm2 were independent risk factors for anatomic recurrence.” Explain when a variable is statistically called an “independent risk factor”? 8/11

7-Discuss the main findings of this paper. Are the recurrence rates found in the present study similar or different from your clinical practice?
9/11

8-The authors chose a cut-off point of -1 for the analysis of risk factors for recurrence of prolapse. Do you agree with this cut-off point and the justification for choosing that cut-off point presented by the authors? 10/11

9- What are the potential biases that can be found in this type of study design? How could these biases be controlled? 11/11

@threadreaderapp please enroll