{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:23:41Z","timestamp":1761744221831},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T00:00:00Z","timestamp":1447718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2017,2]]},"abstract":"Aims<\/jats:title>Prompted by patients\u2019 changing perceptions of transvaginal mesh, this study examines how mesh has been reported in the news following the 2011 US Food and Drug Administration (FDA) updated notification about the use of mesh in the treatment of pelvic organ prolapse.<\/jats:p><\/jats:sec>Methods<\/jats:title>Two national newspaper databases were queried for articles discussing transvaginal mesh published within 3 years of the FDA announcement. Content analysis included headline subjects, mesh\u2010related complications, quoted sources, and the FDA recommendations. To determine whether more widely read sources publish higher quality reporting, a subgroup analysis was conducted based on newspaper circulation.<\/jats:p><\/jats:sec>Results<\/jats:title>Ninety\u2010five articles met inclusion criteria. Mesh\u2010related litigation was the most common headline subject (36 articles, 38%), and 54% of all articles referenced legal action. Fifty\u2010seven articles (60%) cited at least one mesh\u2010related complication. Only 18 articles (19%) quoted surgeons who use transvaginal mesh. For the FDA update, 40% of articles that first reported the announcement accurately specified that it applies to mesh for prolapse, not incontinence. This ambiguity persisted: half of all articles cited the warning, but only 23% distinguished between prolapse and incontinence. Higher newspaper circulation did not significantly improve the quality of reporting about the content or context of the FDA's recommendations.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Despite frequent media coverage of transvaginal mesh and its complications since 2011, very few news sources that cited the FDA warning distinguished between prolapse and incontinence. Given prevalent reporting of mesh\u2010related litigation, the findings raise concern about how patients perceive the safety and efficacy of transvaginal mesh, regardless of indication. Neurourol. Urodynam. 36:329\u2013332, 2017<\/jats:italic>. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.22923","type":"journal-article","created":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T15:18:42Z","timestamp":1447773522000},"page":"329-332","source":"Crossref","is-referenced-by-count":7,"title":["Transvaginal mesh in the media following the 2011 US food and drug administration public health notification update"],"prefix":"10.1002","volume":"36","author":[{"given":"Kevin","family":"Koo","sequence":"first","affiliation":[{"name":"Section of Urology, Department of Surgery Dartmouth\u2010Hitchcock Medical Center Lebanon New Hampshire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Ann","family":"Gormley","sequence":"additional","affiliation":[{"name":"Section of Urology, Department of Surgery Dartmouth\u2010Hitchcock Medical Center Lebanon New Hampshire"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,17]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"U.S. Food and Drug Administration. FDA Public Health Notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence [Internet]. [3 June 2015]. Available from:http:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/PublicHealthNotifications\/ucm061976.htm"},{"key":"e_1_2_6_3_1","unstructured":"U.S. Food and Drug Administration. Urogynecologic surgical mesh: update on the safety and effectiveness of transvaginal placement for pelvic organ prolapse [Internet]. [1 June 2015]. Available from:http:\/\/www.fda.gov\/downloads\/MedicalDevices\/Safety\/AlertsandNotices\/UCM262760.pdf"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2685"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22318"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","unstructured":"Khan A Rosenblum N Brucker B et al. Management of patients seeking care for stress urinary incontinence over the past four years: have rates of mesh slings decreased? Presented at American Urological Association Annual Meeting. New Orleans La. 2015.","DOI":"10.1016\/j.juro.2015.02.2885"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urpr.2014.10.008"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2014.03.051"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2014.08.058"},{"key":"e_1_2_6_10_1","unstructured":"Alliance for Audited Media. Top 25 U.S. Newspapers for March 2013 [Internet]. [5 June 2015]. Available from:http:\/\/auditedmedia.com\/news\/research\u2010and\u2010data\/top\u201025\u2010us\u2010newspapers\u2010for\u2010march\u20102013\/"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1007\/s11934-013-0380-3","article-title":"Implications of the FDA statement on transvaginal placement of mesh: The aftermath","volume":"15","author":"Koski ME","journal-title":"Curr Urol Rep 2014"},{"key":"e_1_2_6_12_1","volume-title":"Mesh used in women's surgery poses risks to health","author":"Perrone M","year":"2011"},{"key":"e_1_2_6_13_1","unstructured":"American Urological Association. AUA position statement on the Use of vaginal mesh for the repair of pelvic organ prolapse [Internet]. [2 June 2015]. Available from:http:\/\/www.auanet.org\/about\/vaginal\u2010mesh\u2010for\u2010pelvic\u2010organ\u2010prolapse.cfm"},{"key":"e_1_2_6_14_1","unstructured":"American Urogynecologic Society Society of Urodynamics Female Pelvic Medicine and Urogenital Reconstruction. Position statement on mesh midurethral slings for stress urinary incontinence [Internet]. [2 June 2015]. Available from:http:\/\/www.sufuorg.com\/docs\/news\/AUGS\u2010SUFU\u2010MUS\u2010Position\u2010Statement\u2010APPROVED\u20101\u20103\u20102014.aspx"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e31829ff765"},{"key":"e_1_2_6_16_1","unstructured":"Pew Research Center. State of the Media 2015 [Internet]. [3 June 2015]. Available from:http:\/\/www.journalism.org\/2015\/04\/29\/state\u2010of\u2010the\u2010news\u2010media\u20102015\/"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22923","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22923","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.22923","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:28:21Z","timestamp":1696400901000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.22923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,17]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1002\/nau.22923"],"URL":"https:\/\/doi.org\/10.1002\/nau.22923","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,17]]}}}