Evidence map›Paper›PMID 41879375›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2026

A Retrospective Cohort Study Investigating the Clinical Care Pathway for Patients at a Pelvic Mesh Complications Clinic in a Western Australian Tertiary Hospital.

Marika Hart, Andrea Atkinson, Linda Goransson, Yamini Kapoor, Kiera Rogerson, Chelsea Schapel, Kelly Chilvers, Elizabeth Edwards, Agner Grieco Hazewinkel, Annissa Harwood and 6 more

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Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Marika HartDepartment of Physiotherapy, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Andrea AtkinsonDepartment of Urogynaecology, King Edward Memorial Hospital, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0003-2422-8205
Linda GoranssonCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Yamini KapoorCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Kiera RogersonCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Chelsea SchapelCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Kelly ChilversCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Elizabeth EdwardsCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Agner Grieco HazewinkelCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Annissa HarwoodCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Sinead HornbyCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Todd LadanchukDepartment of Urogynaecology, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Charlotte HoskingDepartment of Physiotherapy, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Leanda McKennaCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Emma WiseCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Darren BealesCurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic mesh complication clinics (PMCCs) were established in each Australian state following a senate enquiry into the use of artificial mesh implants for the management of pelvic organ prolapse and stress urinary incontinence.

aimsThis study aimed to describe the characteristics and clinical care pathways of women presenting to a PMCC at a tertiary hospital in Western Australia. The relationships between neuropathic pain symptoms and depression anxiety stress scale (DASS) scores with referral to pain medicine and psychology, respectively, were investigated. MATERIALS AND

methodsA retrospective cohort study utilising clinical files of 74 women who attended a mesh complications clinic between 2017 and 2024.

resultsThe mean age of women presenting to the PMCC was 60.6 years, with concerns including urinary leakage (82.4%), bowel symptoms (78.6%), pelvic pain (98.6%), possible/highly likely neuropathic pain (56.8%) and dyspareunia (78.7%). The median wait from referral acceptance to urogynaecologist consultation was 185 days (quartile one, quartile three; 116, 367). Management included topical oestrogen (83.8%), referral to physiotherapy (87.8%) and pain medicine (87.4%) with median (quartile one, quartile three) wait to referral of 0 (0,0) and 0 (0,14) days, respectively. A greater proportion of those categorised as possibly/highly likely to have neuropathic pain were referred to pain medicine (p = 0.005). Only 13.5% were referred to psychology, with no association between those referred and higher combined score on the DASS (p = 0.205).

conclusionsMost women attending a PMCC reported a variety of urogynaecological and pain symptoms, requiring an evidence-based, timely, individualised and multidisciplinary management approach.

Indexed as

Critical PathwaysPelvic Organ ProlapsePostoperative ComplicationsSurgical MeshAgedDepressionDyspareuniaFemaleHumansMiddle AgedNeuralgiaPelvic PainReferral and ConsultationRetrospective StudiesTertiary Care CentersUrinary Incontinence, Stresscare pathwaygynaecologistsphysiotherapyprolapsewomen's health

Identifiers

PMID41879375
PMCPMC13391020

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.