Functional Status in Older Women Diagnosed with Pelvic Organ Prolapse

TitleFunctional Status in Older Women Diagnosed with Pelvic Organ Prolapse
Publication TypeJournal Article
Year of Publication2016
AuthorsSanses, TVD, Schiltz, NK, Couri, BM, Mahajan, ST, Richter, HE, Warner, Jr., DF, Guralnik, JM, Koroukian, SM
JournalAmerican Journal of Obstetrics and Gynecology
Volume214
Issue5
Pagination613.e1 613.e7
KeywordsDemographics, Health Conditions and Status
Abstract

Background Functional status plays an important role in the comprehensive characterization of older adults. Functional limitations are associated with an increased risk of adverse treatment outcomes, but there is limited data on the prevalence of functional limitations in older women with pelvic floor disorders. Objective The aim of the study was to describe the prevalence of functional limitations based on health status in older women with pelvic organ prolapse. Study Design This pooled, cross-sectional study utilized data from the linked Health and Retirement Study and Medicare files between 1992 and 2008. The analysis included 890 women 65 years with pelvic organ prolapse. We assessed self-reported functional status, categorized in strength, upper and lower body mobility, activities of daily living, and instrumental activities of daily living domains. Functional limitations were evaluated and stratified by respondents self-reported general health status. Descriptive statistics were used to compare categorical and continuous variables, and logistic regression was used to measure differences in the odds of functional limitation by increasing age. Results The prevalence of functional limitations was 76.2 in strength, 44.9 in upper and 65.8 in lower body mobility, 4.5 in activities of daily living and 13.6 in instrumental activities of daily living. Limitations were more prevalent in women with poor or fair health status than in women with good health status, including 91.5 vs 69.9 in strength, 72.9 vs 33.5 in upper and 88.0 vs 56.8 in lower body mobility, 11.6 vs 0.9 in activities of daily living, and 30.6 vs 6.7 in instrumental activities of daily living, all pandlt;0.01. The odds of all functional limitations also increased significantly with advancing age. Conclusion Functional limitations, especially in strength and body mobility domains, are highly prevalent in older women with pelvic organ prolapse, particularly in those with poor or fair self-reported health status. Future research is necessary to evaluate if functional status affects clinical outcomes in pelvic reconstructive and gynecologic surgery and whether it should be routinely assessed in clinical decision-making when treating older women with pelvic organ prolapse.

URLhttp://www.sciencedirect.com/science/article/pii/S0002937815024783
DOI10.1016/j.ajog.2015.11.038
Endnote Keywords

activities of daily living/functional status/limitations/mobility/pelvic organ prolapse/strength

Endnote ID

999999

Citation Key8397
PubMed ID26704893
PubMed Central IDPMC4851569