{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:06:33Z","timestamp":1784552793301,"version":"3.55.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>This retrospective cohort study examined racial\/ethnic differences in time from initial presentation with urinary incontinence (UI) to surgery and number of clinical visits prior to sling surgery for UI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic health records were accessed for patients aged 18\u00a0years or older who underwent sling procedures for UI over a 134-month period at a single academic institution. The primary outcome was lead time to surgery (LTTS), the number of days between the first clinical visit for UI and the anti-incontinence surgery. The secondary outcome was the number of UI-related clinical visits prior to surgery. ANOVA and multivariable linear regression analyses were used to identify independent predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4246 patients were analyzed. On univariate analysis, Black patients had the longest LTTS (462.8\u2009\u00b1\u2009735.7\u00a0days) compared with white patients (302.2\u2009\u00b1\u2009496.8\u00a0days) and \u201cOther\u201d patients (226.4\u2009\u00b1\u2009429.4\u00a0days;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). However, multivariable regression revealed that racial\/ethnic differences in LTTS were not statistically significant after controlling for confounders (\u03b2\u2009=\u200911.13,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.41). Instead, age and UI severity were identified as significant predictors of LTTS. Age was inversely associated with LTTS (\u03b2\u2009=\u2009\u22122.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.02), and greater UI severity was associated with shorter LTTS (\u03b2\u2009=\u2009\u221221.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). Notably, racial\/ethnic differences in preoperative visit frequency remained significant in adjusted models; Asian and Hispanic patients had, on average, 0.90 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and 0.58 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) more visits respectively than white patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although lead time to UI surgery did not differ by race\/ethnicity after adjustment, Asian and Hispanic patients had significantly more preoperative visits prior to surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06451-0","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T10:24:01Z","timestamp":1769768641000},"page":"2143-2151","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial and Ethnic Disparities in Surgical Timing and Preoperative Care for Urinary Incontinence: a Large Single Academic Institution Study in the USA"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5411-7413","authenticated-orcid":false,"given":"Julia","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachan","family":"Ghandour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Micussi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Marses","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Ovsepian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knar","family":"Krafian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Aljamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vatche A.","family":"Minassian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"issue":"8","key":"6451_CR1","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.1007\/s00192-012-1743-x","volume":"23","author":"VA Minassian","year":"2012","unstructured":"Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. 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