OBJECTIVE: To assess the effect of gynecological surgery on mobility and functional status in women aged 60 and older using Life-Space Assessment (LSA). DESIGN: Observational prospective cohort study. SETTING: Academic outpatient urogynecology and gynecological oncology clinics. PARTICIPANTS: Women presenting for urogynecology (n=51) and gynecological oncology (n=51) surgery. MEASUREMENTS: LSA scores 6 weeks, 6 months, and 1 year after surgery. Information on participant demographics, preoperative diagnoses, surgical approach, and medical comorbidities was collected. Analyses used repeated measures. RESULTS: Mean age was 71 +/- 7. Urogynecology participants started and maintained a higher LSA (P=.03) than oncology participants at all study intervals. Six weeks after surgery, urogynecology and oncology participants' mean decline was 13 points (95% confidence interval (CI)=4-21; P=.004) and 23 points (95% CI=13-33; P<.001), respectively. At 6 months, the urogynecology and oncology participants' scores increased by a mean of 9 points (95% CI=1-17; P=.03) and 13 points (95% CI=5-20; P=.001), respectively. No significant difference was found 1 year from baseline within each group or between groups in LSA scores. Income, depression, body mass index, and having an operative complication predicted a larger decline in life-space over time in both groups. CONCLUSION: Gynecological surgical interventions in older women limit physical and functional ability at 6 weeks after surgery. The urogynecology and gynecological oncology cohorts returned to baseline levels by 6 months, which was sustained to 1 year.
OBJECTIVE: To assess the effect of gynecological surgery on mobility and functional status in women aged 60 and older using Life-Space Assessment (LSA). DESIGN: Observational prospective cohort study. SETTING: Academic outpatient urogynecology and gynecological oncology clinics. PARTICIPANTS: Women presenting for urogynecology (n=51) and gynecological oncology (n=51) surgery. MEASUREMENTS: LSA scores 6 weeks, 6 months, and 1 year after surgery. Information on participant demographics, preoperative diagnoses, surgical approach, and medical comorbidities was collected. Analyses used repeated measures. RESULTS: Mean age was 71 +/- 7. Urogynecology participants started and maintained a higher LSA (P=.03) than oncology participants at all study intervals. Six weeks after surgery, urogynecology and oncology participants' mean decline was 13 points (95% confidence interval (CI)=4-21; P=.004) and 23 points (95% CI=13-33; P<.001), respectively. At 6 months, the urogynecology and oncology participants' scores increased by a mean of 9 points (95% CI=1-17; P=.03) and 13 points (95% CI=5-20; P=.001), respectively. No significant difference was found 1 year from baseline within each group or between groups in LSA scores. Income, depression, body mass index, and having an operative complication predicted a larger decline in life-space over time in both groups. CONCLUSION: Gynecological surgical interventions in older women limit physical and functional ability at 6 weeks after surgery. The urogynecology and gynecological oncology cohorts returned to baseline levels by 6 months, which was sustained to 1 year.
Authors: Richard M Allman; Patricia Sawyer Baker; Richard M Maisiak; Richard V Sims; Jeffrey M Roseman Journal: J Gen Intern Med Date: 2004-11 Impact factor: 5.128
Authors: Holly E Richter; David T Redden; Andrew S Duxbury; Evelyn C Granieri; Anne D Halli; Patricia S Goode Journal: Obstet Gynecol Date: 2005-04 Impact factor: 7.661
Authors: Valerie A Lawrence; Helen P Hazuda; John E Cornell; Thomas Pederson; Patrick T Bradshaw; Cynthia D Mulrow; Carey P Page Journal: J Am Coll Surg Date: 2004-11 Impact factor: 6.113
Authors: Cynthia J Brown; David L Roth; Richard M Allman; Patricia Sawyer; Christine S Ritchie; Jeffrey M Roseman Journal: Ann Intern Med Date: 2009-03-17 Impact factor: 25.391
Authors: Melisa L Wong; Ying Shi; Alexander K Smith; Christine Miaskowski; W John Boscardin; Harvey Jay Cohen; Vivian Lam; Melissa Mazor; Lia Metzger; Carolyn J Presley; Grant R Williams; Kah Poh Loh; Carling J Ursem; Terence W Friedlander; Collin M Blakely; Matthew A Gubens; Gregory Allen; Dianne Shumay; Louise C Walter Journal: J Am Geriatr Soc Date: 2021-10-05 Impact factor: 5.562
Authors: Elisabeth Erekson; Shawn Menefee; Ryan E Whitworth; Cindy L Amundsen; Lily A Arya; Yuko M Komesu; Cecile A Ferrando; Halina M Zyczynski; Vivian W Sung; David D Rahn; Jasmine Tan-Kim; Donna Mazloomdoost; Marie G Gantz; Holly E Richter Journal: Female Pelvic Med Reconstr Surg Date: 2021-01-01 Impact factor: 1.913