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Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? A Multicenter Retrospective Cohort Study.
Female Pelvic Med Reconstr Surg. 2020 Jul; 26(7):452-457.FP

Abstract

OBJECTIVE

To determine if women with human immunodeficiency virus (HIV) undergoing pelvic reconstructive surgery (PRS) have an increased risk of perioperative and postoperative complications compared with HIV-negative controls.

STUDY DESIGN

Multicenter, retrospective matched cohort study of patients with and without HIV infection who underwent PRS between 2006 and 2016. Cases were identified using International Classification of Disease, 9th edition Clinical Modification and 10th edition Clinical Modification and current procedural terminology (CPT) codes encompassing HIV diagnoses and pelvic reconstructive surgeries. Controls were identified as patients without HIV who underwent similar procedures, performed by the same surgeon during the same 1-year period as surgeries performed on patients with HIV. Cases were matched to controls at a ratio of 1:3. The primary outcome was composite complication rate within 1 year of surgery.

RESULTS

Sixty-three patients with HIV and 187 controls were identified. There was no difference in the composite complication rate between women with HIV and HIV-negative women (36.5% vs 30.0%, P = 0.15) over 1 year. However, 19.1% of patients with HIV compared with 5.4% controls had Clavien Dindo Grade I complications (P = 0.002), and 11.1% of HIV patients had urinary retention within 6 weeks of surgery compared with 3.2% of controls (P = 0.02). After multivariable logistic regression used to adjust for confounders, living with HIV was not associated with an increased risk of complications.

CONCLUSIONS

Patients living with HIV are not at an increased risk of complications within 1 year of PRS compared with patients without HIV.

Authors+Show Affiliations

From the Division of Female Pelvic Medicine and Reconstructive Surgery *MetroHealth Medical Center, Cleaveland, OH †University of Florida College of Medicine, Jackson, FL ‡Albert Einstein College of Medicine, New York, NY §Rutgers New Jersey Medical School, Newark, NJ ∥UT Southwestern, Dallas, TX ¶Northwestern University, Evanston, IL **Emory University, Atlanta, GA ††University Hospitals Cleveland Medical Center, Cleaveland, OH ‡‡TriHealth Good Samaritan Hospital, Cincinnati, OH.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32609461

Citation

Petrikovets, Andre, et al. "Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? a Multicenter Retrospective Cohort Study." Female Pelvic Medicine & Reconstructive Surgery, vol. 26, no. 7, 2020, pp. 452-457.
Petrikovets A, Weber Lebrun EE, Carlos DM, et al. Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? A Multicenter Retrospective Cohort Study. Female Pelvic Med Reconstr Surg. 2020;26(7):452-457.
Petrikovets, A., Weber Lebrun, E. E., Carlos, D. M., Perlman, B., Florian-Rodriguez, M. E., Bochenska, K., Eto, C. U., Lespinasse, P., Mahajan, S. T., El-Nashar, S., Crisp, C. C., & Sheyn, D. (2020). Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? A Multicenter Retrospective Cohort Study. Female Pelvic Medicine & Reconstructive Surgery, 26(7), 452-457. https://doi.org/10.1097/SPV.0000000000000821
Petrikovets A, et al. Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? a Multicenter Retrospective Cohort Study. Female Pelvic Med Reconstr Surg. 2020;26(7):452-457. PubMed PMID: 32609461.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does Living With Human Immunodeficiency Virus Increase Pelvic Reconstructive Surgery Perioperative Complication Risk? A Multicenter Retrospective Cohort Study. AU - Petrikovets,Andre, AU - Weber Lebrun,Emly E, AU - Carlos,Daniela M, AU - Perlman,Barry, AU - Florian-Rodriguez,Maria E, AU - Bochenska,Katarzyna, AU - Eto,Chidimma U, AU - Lespinasse,Pierre, AU - Mahajan,Sangeeta T, AU - El-Nashar,Sherif, AU - Crisp,Catrina C, AU - Sheyn,David, PY - 2020/7/2/entrez PY - 2020/7/2/pubmed PY - 2020/7/2/medline SP - 452 EP - 457 JF - Female pelvic medicine & reconstructive surgery JO - Female Pelvic Med Reconstr Surg VL - 26 IS - 7 N2 - OBJECTIVE: To determine if women with human immunodeficiency virus (HIV) undergoing pelvic reconstructive surgery (PRS) have an increased risk of perioperative and postoperative complications compared with HIV-negative controls. STUDY DESIGN: Multicenter, retrospective matched cohort study of patients with and without HIV infection who underwent PRS between 2006 and 2016. Cases were identified using International Classification of Disease, 9th edition Clinical Modification and 10th edition Clinical Modification and current procedural terminology (CPT) codes encompassing HIV diagnoses and pelvic reconstructive surgeries. Controls were identified as patients without HIV who underwent similar procedures, performed by the same surgeon during the same 1-year period as surgeries performed on patients with HIV. Cases were matched to controls at a ratio of 1:3. The primary outcome was composite complication rate within 1 year of surgery. RESULTS: Sixty-three patients with HIV and 187 controls were identified. There was no difference in the composite complication rate between women with HIV and HIV-negative women (36.5% vs 30.0%, P = 0.15) over 1 year. However, 19.1% of patients with HIV compared with 5.4% controls had Clavien Dindo Grade I complications (P = 0.002), and 11.1% of HIV patients had urinary retention within 6 weeks of surgery compared with 3.2% of controls (P = 0.02). After multivariable logistic regression used to adjust for confounders, living with HIV was not associated with an increased risk of complications. CONCLUSIONS: Patients living with HIV are not at an increased risk of complications within 1 year of PRS compared with patients without HIV. SN - 2154-4212 UR - https://www.unboundmedicine.com/medline/citation/32609461/Does_Living_With_Human_Immunodeficiency_Virus_Increase_Pelvic_Reconstructive_Surgery_Perioperative_Complication_Risk_A_Multicenter_Retrospective_Cohort_Study L2 - https://doi.org/10.1097/SPV.0000000000000821 DB - PRIME DP - Unbound Medicine ER -