{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:47:08Z","timestamp":1782348428487,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T00:00:00Z","timestamp":1615593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically evaluate the content and quality of national and international guidelines on vaginal mesh procedures for pelvic organ prolapse (POP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched PubMed, Medline, Web of Science, and ScienceDirect from inception to March 2020 and organizations\u2019 websites. The quality of the guidelines was assessed independently by six appraisers using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five guidelines were included. Most guidelines recommended individualized treatments, clinical observation, and conservative treatment for asymptomatic women discouraging the use of mesh. Vaginal pessary and pelvic floor muscle training are unanimously considered effective treatments. Only two guidelines recommended weight loss. Each guideline recommended patient counseling supported by data on success rates and complications. Most guidelines highlighted the importance of a specialist experienced surgeon, multidisciplinary teams, and national\/international registries. All guidelines highlighted potential benefits of the use of mesh and reported possible complications.<\/jats:p>\n                    <jats:p>The overall quality rating ranged between 4.2 and 6.3, suggestive of moderate to high quality. The highest mean score (92.5%) pertained to \u201cScope and Purpose\u201d and \u201cClarity of Presentation\u201d, and the lowest to \u201cEditorial Independence\u201d (18%). Three out of five guidelines were \u201cstrongly recommended\u201d by the appraisers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although most guidelines were of moderate to high quality, methodological applicability, stakeholder involvement, and editorial independence were domains with low scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13622","type":"journal-article","created":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T02:48:51Z","timestamp":1611456531000},"page":"400-411","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument"],"prefix":"10.1002","volume":"154","author":[{"given":"Sofia","family":"Tsiapakidou","sequence":"first","affiliation":[{"name":"1st Department of Obstetrics and Gynecology \u201cPapageorgiou\u201d General Hospital Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiana","family":"Campani Nygaard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust London UK"},{"name":"Department of Obstetrics and Gynecology Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janna","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Gynecology University Hospital of Zurich University of Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thais R.","family":"de Mattos Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Department of Urogynecology Discipline of Gynecology, Hospital das Cl\u00ednicas da Faculdade de Medicina da USP Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Falconi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Complex Operative Unit of Gynecology Fondazione PTV Policlinico Tor Vergata University Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Betschart","sequence":"additional","affiliation":[{"name":"Department of Gynecology University Hospital of Zurich University of Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stergios K.","family":"Doumouchtsis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust London UK"},{"name":"St George's University of London London UK"},{"name":"School of Medicine American University of the Caribbean Pembroke Pines FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"CHORUS: An International Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women's Health (https:\/\/i\u2010chorus.org\/)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.5041\/rmmj.10294"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31824b2e3e"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012079"},{"key":"e_1_2_7_5_1","unstructured":"PowisS McLeanK.Vaginal mesh: high vigilance restriction period: Immediate action required all cases should be postponed if it is clinically safe to do so. NHS Improvement and NHS England;2018.https:\/\/i.emlfiles4.com\/cmpdoc\/9\/7\/2\/8\/1\/1\/files\/47633_mesh\u2010letter\u2010to\u2010acute\u2010ceos\u2010and\u2010mds.pdf. Accessed May 2 2020."},{"key":"e_1_2_7_6_1","first-page":"1598","article-title":"Obstetrical and gynecological devices; reclassification of surgical instrumentation for use with urogynecologic surgical mesh. Final order","volume":"82","author":"Food and Drug Administration HHS","year":"2017","journal-title":"Fed Regist"},{"key":"e_1_2_7_7_1","unstructured":"U.S. Food and Drug Administration.FDA\u2019s Activities: Urogynecologic Surgical Mesh2019.https:\/\/www.fda.gov\/medical\u2010devices\/urogynecologic\u2010surgical\u2010mesh\u2010implants\/fdas\u2010activities\u2010urogynecologic\u2010surgical\u2010mesh. Accessed January 24 2020)."},{"key":"e_1_2_7_8_1","unstructured":"CumberlegeJ.First do no harm: the report of the Independent Medicines and Medical Devices Safety Review.2020. IMMD Saf Rev Rep 2020.https:\/\/www.immdsreview.org.uk\/downloads\/IMMDSReview_Web.pdf. August 16 2020."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebn.8.3.68"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.001"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i1152"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.1.18"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16412"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010018\u20103753\u20109"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.10.095"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.01.049"},{"key":"e_1_2_7_17_1","first-page":"122","article-title":"Analysis of primary and secondary outcome domains reported in randomised trials on surgery for female stress urinary incontinence. A systematic review","volume":"38","author":"Rada M\u2010P","year":"2019","journal-title":"Pelviperineology"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010019\u201003970\u20105"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010020\u201003070\u2010z"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.15891"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24297"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.15408"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016876"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13079"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010018\u20103781\u20105"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12766"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010017\u20103476\u20103"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2018.03.017"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002022"},{"key":"e_1_2_7_30_1","unstructured":"M\u00e9xico: Secretar\u00eda de Salud. Diagnostico y tratamiento de prolapso de la pared vaginal anterior (cistocele) e incontinencia urinaria de esfuerzo(IMSS\u2010263\u201010).2010."},{"key":"e_1_2_7_31_1","unstructured":"American Urological Association.AUA Position Statement on the Use of Vaginal Mesh for the Surgical Treatment of Stress Urinary Incontinence (SUI)2019.https:\/\/www.auanet.org\/guidelines\/use\u2010of\u2010vaginal\u2010mesh\u2010for\u2010the\u2010surgical\u2010treatment\u2010of\u2010stress\u2010urinary\u2010incontinence. Accessed January 28 2020."},{"key":"e_1_2_7_32_1","unstructured":"The Royal Australian and New Zealand College of Obstericians and Gynecologists (RANZCOG).Polypropylene vaginal mesh implants for vaginal prolapse (November 2016) Committee Statement2016."},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.03.048"},{"key":"e_1_2_7_34_1","unstructured":"National Institute for Health and Care Excellence.Transvaginal mesh repair of anterior or posterior vaginal wall prolapse[IPG599].2017."},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2017.05.006"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-119648"},{"key":"e_1_2_7_37_1","unstructured":"Royal College of Obstetricians & Gynaecologists.Post\u2010Hysterectomy Vaginal Vault Prolapse(Green\u2010top Guideline No.46).2015."},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_2_7_40_1","unstructured":"2009 Oxford Centre for Evidence\u2010Based Medicine: Levels of Evidence (March 2009)"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010020\u201001404\u20108"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010030299"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13622","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13622","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:06:34Z","timestamp":1764968794000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,13]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/ijgo.13622"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13622","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,13]]},"assertion":[{"value":"2020-07-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}