40 research outputs found
Guidelines for the Use of Approximations in Shock Response Analysis of Electronic Assemblies
Remote measurement of leak around an uncuffed tracheal tube: objective measurement and physical characteristics
Assessment of competency in clinical measurement: comparison of two forms of sequential test and sensitivity of test error rates to parameter choice
WatchBP Home A for opportunistically detecting atrial fibrillation during diagnosis and monitoring of hypertension: A NICE Medical Technology Guidance
Medical Technologies Evaluation Programme: A review of NICE progression decisions, 2010–2013
Coblation intracapsular tonsillectomy: A cohort study of NHS practice in England using Hospital Episode Statistics
Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics
Prevalence and management of recurrent respiratory papillomatosis (RRP) in the UK: cross-sectional study
Complications following vaginal mesh procedures for stress urinary incontinence: an 8 year study of 92,246 women
Complications of surgical mesh procedures have led to legal cases against manufacturers worldwide and to national inquiries about their safety. The aim of this study was to investigate the rate of adverse events of these procedures for stress urinary incontinence in England over 8 years. This was a retrospective cohort study of first-time tension-free vaginal tape (TVT), trans-obturator tape (TOT) or suprapubic sling (SS) surgical mesh procedures between April 2007 and March 2015. Cases were identified from the Hospital Episode Statistics database. Outcomes included number and type of procedures, including those potentially confounded by concomitant procedures, and frequency, nature and timing of complications. 92,246 first-time surgical mesh procedures (56,648 TVT, 34,704 TOT, 834 SS and 60 combinations) were identified, including 68,002 unconfounded procedures. Peri-procedural and 30-day complication rates in the unconfounded cohort were 2.4 [2.3-2.5]% and 1.7 [1.6-1.8] % respectively; 5.9 [5.7-6.1]% were readmitted at least once within 5 years for further mesh intervention or symptoms of complications, the highest risk being within the first 2 years. Complication rates were higher in the potentially confounded cohort. The complication rate within 5 years of the mesh procedure was 9.8 [9.6:10.0] % This evidence can inform future decision-making on this procedure