Does Attorney Advertising Influence Patient Perceptions of Pelvic Mesh?

Tippett, Elizabeth; King, Jackie; Lucent, Vincent; Ephraim, Sonya; Murphy, Miles; Taff, Eileen

doi:10.1016/j.urology.2017.08.050

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…In the wake of the 2019 FDA ban on transvaginal mesh for prolapse, many news articles failed to specify that this ban did not include transvaginal mesh used for incontinence 29 . Furthermore, exposure to attorney advertising was associated with higher risk perceptions of pelvic mesh 10 . Sources such as media/internet and friends/family provided most information for Latinas in the current cohort.…”

Section: Discussionmentioning

confidence: 95%

“…29 Furthermore, exposure to attorney advertising was associated with higher risk perceptions of pelvic mesh. 10 Sources such as media/internet and friends/family provided most information for Latinas in the current cohort. The value of "word-of-mouth" information, internet traffic, and social media sources in this community should be further explored in the context of finding reliable mesh information.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Some studies have examined the awareness of transvaginal mesh for POP among women in light of the corresponding FDA announcements and advertising campaigns by attorneys. [8][9][10] However, there is limited research investigating patients' knowledge or perceptions of mesh used in POP or UI surgery. [11][12][13] Brown et al 11 found that 57% of patients would avoid surgery using mesh and demonstrated that multiple misunderstandings about mesh in pelvic surgery were present in their study population.…”

Section: Why This Mattersmentioning

confidence: 99%

“…Some studies have examined the awareness of transvaginal mesh for POP among women in light of the corresponding FDA announcements and advertising campaigns by attorneys 8–10 . However, there is limited research investigating patients' knowledge or perceptions of mesh used in POP or UI surgery 11–13 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Aversion to Mesh Use in Pelvic Floor Surgery in a Latina Population at the U.S.-Mexico Border

Florence

Limtrakul

Sanchez

et al. 2023

UROGC

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Importance Limited studies have examined patient aversion to mesh use in pelvic surgery, especially in Latinas. Objective This study aimed to assess aversion to pelvic surgery with mesh for urinary incontinence and pelvic organ prolapse in a sample of Latinas on the U.S.-Mexico border. Study Design This was a cross-sectional study of self-identified Latinas with symptoms of pelvic floor disorders, recruited at their initial consultation visit at a single, academic urogynecology clinic. Participants completed a validated survey to assess perceptions of mesh use in pelvic surgery. Participants also completed questionnaires assessing the presence and severity of pelvic floor symptoms and level of acculturation. The primary outcome was aversion to mesh surgery, as indicated by a response of "yes" or "maybe" to the question "Based on what you already know, would you avoid surgery using mesh?" Descriptive analysis, univariate relative risk, and linear regression analysis were completed to identify characteristics associated with mesh avoidance. Significance was assessed and considered at P values <0.05. Results Ninety-six women were included. Only 6.3% had prior pelvic floor surgery using mesh. Sixty-six percent indicated that they would be likely to avoid pelvic surgery that uses mesh. Only 9.4% indicated that they obtained information regarding mesh directly from medical professionals. Levels of concern regarding the use of mesh varied widely (29.2% not worried, 19.1% somewhat worried, 16.9% very worried). Higher percentages of "more acculturated" participants indicated a desire to avoid mesh surgery (58.7% vs 27.3%, P < 0.05). Conclusions In this Latina population, a majority of patients indicated an aversion to using mesh in pelvic surgery. Few patients obtained information regarding mesh directly from medical professionals, relying instead on nonmedical sources.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%