Publications by authors named "Geoffrey Cundiff"
Article Synopsis
- The study aims to compare the rates of vaginal uncomplicated deliveries (VUD) with cesarean deliveries (CD) to assess performance in obstetric care.
- An analysis was conducted on 16,620 deliveries by 210 obstetricians, revealing a vaginal delivery rate of 39.6% and a higher adverse delivery (AD) rate of 9.9%.
- The findings suggest that focusing on VUD rates rather than CD rates could better reflect the quality of maternal and infant outcomes in childbirth.
Importance: The burden and high prevalence of overactive bladder (OAB) underline the urgent need for effective treatment. This study provides an initial look at an alternative approach to behavioral therapy for overactive bladder (OAB) that is delivered as an app on a smartphone.
Objective: This study aimed to investigate feasibility, acceptability, and preliminary efficacy of a digital therapeutic for OAB.
Introduction: Vaginal surgery has a superior outcome profile compared with other surgical routes, yet skills are declining because of low case volumes. Graduating residents' confidence and preparedness for vaginal surgery has plummeted in the past decade. The objective of the present study was to investigate whether procedure-specific simulation skills, vs usual training, result in improved operative competence.
View Article and Find Full Text PDFThe Personal Quality Index (PQI) provides individual annual reports of benchmarked clinical data to inform practice development. This 5-year longitudinal retrospective study of PQI performance indicators also surveyed department members (n = 104) on utility, using t test, and Wilcoxon test. Technicity increased from 59% in 2014 to 72% in 2018 (P < 0.
View Article and Find Full Text PDFArticle Synopsis
- Surgery for stress urinary incontinence can significantly improve quality of life, and this study examined the effectiveness of five specific perioperative tasks performed by surgeons with and without female pelvic medicine and reconstructive surgery (FPMRS) certification.
- The study analyzed data from 2011 to 2013 across nine health systems, comparing the surgical volume, outcomes, and task performance between certified and non-certified surgeons.
- Results showed that FPMRS-certified surgeons performed more procedures, completed tasks more consistently, and had lower patient readmission rates within 30 days post-surgery than their non-certified counterparts.
Background: It is well established that female physicians in Canada are reimbursed at lower rates than their male counterparts. To explore if a similar discrepancy exists in reimbursement for care provided to female and male patients, we addressed this question: Do Canadian provincial health insurers reimburse physicians at lower rates for surgical care provided to female patients than for similar care provided to male patients?
Methods: Using a modified Delphi process, we generated a list of procedures performed on female patients, which we paired with equivalent procedures performed on male patients. We then collected data from provincial fee schedules for comparison.
Importance: Women pursue treatment to relieve symptoms, while surgeons repair anatomy, underlining the importance of the relationship between symptoms and anatomy.
Objective: We hypothesized different anatomical and symptom phenotypes associated with pelvic organ prolapse (POP). Our objective was to investigate prevalence of phenotypes to explore associations of symptoms with anatomical defects.
Background: Occiput posterior is the most common malposition in labor. Deliveries in occiput posterior position have been shown to have higher rates of adverse short-term maternal and neonatal outcomes compared with deliveries in occiput anterior position. There are no guidelines providing recommendations nor summarizing risks of adverse outcomes by delivery method to inform the decision-making process in occiput posterior delivery management.
View Article and Find Full Text PDFImportance: Data on long-term mesh hysteropexy outcomes are limited. This study provides 7-year data from the original VAULT (Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse Trial) study.
Objective: The aim of this study was to compare long-term outcomes and success for laparoscopic sacral hysteropexy (LSHP) and vaginal mesh hysteropexy (VMHP).
Study Objective: The objective of our study was to provide a contemporary description of hysterectomy practice and temporal trends in Canada.
Design: A national whole-population retrospective analysis of data from the Canadian Institute for Health Information.
Setting: Canada.
Article Synopsis
- The study aimed to assess the prevalence and impact of lower urinary tract symptoms (LUTS) on quality of life among women living with HIV (WLWH).
- Data was collected through a multicenter study using urinary questionnaires, and analysis was performed to identify associations between symptoms and various demographic and clinical variables.
- Results showed that while LUTS were common in the sample, they did not significantly affect the quality of life, suggesting that further research is needed to explore the relationship between HIV and LUTS.
Objectives: We sought to examine temporal trends in pelvic organ prolapse (POP) surgery in Canada.
Methods: In this observational cross-sectional study, we used diagnostic and procedure codes from all hospitalizations and outpatient clinic visits in Canada (excluding Québec) from 2004 to 2014 to identify and analyze data on POP surgery.
Results: There were 204 301 POP surgery visits from 2004 to 2014, and the rate of POP surgery declined from 19.
In Pursuit of Patient-Centered Innovation: The Role of Professional Organizations.
Female Pelvic Med Reconstr Surg
February 2020
Background: The rate of obstetric anal sphincter injury has increased in recent years, particularly among operative vaginal deliveries. We sought to characterize temporal trends in episiotomy use and to quantify the association between episiotomy and obstetric anal sphincter injury.
Methods: Using a population-based retrospective cohort study design of hospital data from 2004 to 2017, we studied all vaginal deliveries of singleton infants at term gestation in Canada (excluding Quebec).
Surgical Innovation and the US Food and Drug Administration.
Female Pelvic Med Reconstr Surg
January 2020
Objective: This study sought to quantify perinatal and maternal morbidity and mortality associated with forceps and vacuum delivery compared with Caesarean delivery in the second stage of labour and to estimate whether these associations differed by pelvic station.
Methods: The investigators conducted a population-based, retrospective cohort study of term singleton deliveries by operative delivery with prolonged second stage of labour in Canada (2003-2013) using national hospitalization data. The primary study outcomes were severe perinatal morbidity and mortality (i.
Background: Increased use of operative vaginal delivery (use of forceps, vacuum or other device) has been recommended to address high rates of cesarean delivery. We sought to determine the association between rates of operative vaginal delivery and obstetric trauma and severe birth trauma.
Methods: We carried out an ecological analysis of term, singleton deliveries in 4 Canadian provinces (2004-2014) using data from the Canadian Institute for Health Information.
Depression, Anxiety, and Pelvic Floor Symptoms Before and After Surgery for Pelvic Floor Dysfunction.
Female Pelvic Med Reconstr Surg
May 2021
Objectives: We aimed to explore the correlation between perioperative symptoms of depression and anxiety with pelvic floor symptoms after urogynecologic surgery. Postoperative pain, goal attainment, quality of life, and satisfaction were assessed.
Methods: A prospective cohort study of women undergoing inpatient urogynecologic surgery was conducted.