Open AccessPelvic Organ Prolapse in Countries of Different Economy: A Systematic Review
Author(s) -
Shishir Paudel,
Anisha Chalise,
Ganesh Dangal,
Tulsi Ram Bhandari,
Gehanath Baral
Publication year - 2019
Publication title -
nepal journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
eISSN - 1999-9623
pISSN - 1999-8546
DOI - 10.3126/njog.v14i2.28436
Subject(s) - medicine , checklist , high income countries , obstetrics , uterine prolapse , systematic review , gynecology , medline , developing country , psychology , political science , law , economics , cognitive psychology , economic growth
Aims: This review was done to identify the reported prevalence rate of pelvic organ prolapse among the different world populations.
Methods: Systematic review of Pelvic Organ Prolapse (POP) using the PRISMA checklist; PubMed database was searched on reportingthe prevalence of POP and its management measures in January 2020. Medical Subject Headings (MeSH) like "Pelvic Organ Prolapse"OR "Uterine Prolapse" OR “Vaginal Wall Prolapse” OR "Cystocele"AND "Prevalence [key word/s]" were used. Additional articles were identified through the reference list of the retrieved articles.
Results: Out of 91 screened articles, 46 full articles were eligible and only 15 satisfied by selection criteria for the systematic review.The methodological score rated for the quality of studies is 4.5±1.7 (range=2-7) out of 8 points. The mean prevalence of POP diagnosis was 40%; with 42.44% in low and lower-middle-income countries,and 35.56%in upper-middle and high-income countries. Increasing age and parity, body mass indexand fetal macrosomia were found to be the significant risk factors irrespective of the country’s economy.
Conclusions:The low and lower-income countries have almost twice the burden of prolapse than the countries of the higher economy. The major risk factors associated with prolapse remain common in all countries irrespective of national income or development.